改良早期预警评分系统在急诊胸痛患者预检分诊中的应用

目的探讨改良早期预警评分系统在急诊胸痛患者预检分诊中的应用效果。方法选取我院急诊科2017年1月至2018年12月接诊的胸痛患者150例,随机均分为对照组和研究组,分别使用常规及改良早期预警评分系统。比较两组患者的候诊时间,以及不同疾病的分诊准确率和病死率。结果研究组患者的候诊时间为(13.3±2.5) min,显著短于对照组的(23.7±5.8) min (P<0.05)。研究组的急性肺梗死、急性心肌梗死和其他疾病的分诊准确率均显著高于对照组,病死率显著低于对照组(P<0.05);两组的主动脉夹层分诊准确率比较,差异无统计学意义(P>0.05)。结论在急诊胸痛患者中应用改良早期预警评分系统,可缩短患者的候诊时间,提高分诊准确率,为抢救争取时间,降低患者的病死率。

Application of Modified Early Warning Scoring System in Pre-Examination and Triage of Emergency Chest Pain Patients

Objective To explore the application effect of modified early warning scoring system in pre-examination and triage of emergency chest pain patients.Methods 150 chest pain patients in emergency department of our hospital from January 2017 to December2018 were selected and randomly divided into the control group(regular early warning scoring system) and the study group(modified early warning scoring system) equally. The patients’ waiting time, and the triage accuracy rate and mortality rate of different diseases were compared between two groups.Results The patients’ waiting time in the study group was(13.3 ± 2.5) min, significantly shorter than(23.7 ±5.8) min in the control group(P<0.05). The triage accuracy rates of acute pulmonary infarction, acute myocardial infarction and other diseases in the study group were significantly higher than those in the control group, and the mortality rates were significantly lower than those in the control group(P<0.05);No statistical difference was found between two groups in the triage accuracy rate of aortic dissection(P>0.05). Conclusions The application of modified early warning scoring system in emergency chest pain patients can shorten patients’ waiting time, improve the triage accuracy rate, save time for rescue and reduce the mortality rate of patients.