Mainz急诊评分对急诊院前急救干预效果调查分析研究.docVIP

Mainz急诊评分对急诊院前急救干预效果调查分析研究 　　[摘要] 目的 通过应用Mainz急诊评分，快速评价急诊患者的目前病情、病死危险性、指导治疗，动态评价我院院前急救工作和急诊复苏的效果和质量。 方法 对355例急危重患者进行Mainz急诊评分，通过记录患者GCS、心率呼吸频率、心律、疼痛、血压、外周脉氧饱和度等7个指标评分，评估急救前的院前情况、进行急诊干预后及转运途中病情的改善或恶化情况。 结果 MEES分值在1～5分的患者治愈好转率为12.5%，死亡率为87.5%;分值在6～15分的患者治愈好转率为68%，死亡率为32%;分值在16～19分的患者治愈好转率为96.5%，死亡率为3.5%;分值在20～25分的患者治愈好转率为100%，死亡率为0;分值在26～28分的患者治愈好转率为100%。 结论 应用Mainz急诊评分，能够快速、简单评价急诊患者的目前病情、病死危险性、指导急诊干预治疗，并能够动态评价我们医院院前急救工作和急诊复苏的效果和质量，应广泛应用于基层医院急诊科的院前急救工作中。 　　[关键词] Mainz急诊评分;院前急救;急诊干预 　　[中图分类号] R681.8 [文献标识码] B [文章编号] 2095-0616（2015）02-137-04 　　Analysis and research of Mainz emergency evaluation score on the effect investigation of emergency interference pre-hospital care 　　TAN Jianping LIANG Yanyun ZHANG Jinyan ZHU Lening 　　Department of Internal Medicine，Shaoguan Third Peoples Hospital，Shaoguan 512122，China 　　[Abstract] Objective Through to apply Mainz emergency evaluation score，to rapidly evaluate the actual disease，the mortality risk，the curative guidance of emergency patients，to dynamically evaluate the effect and the quality of pre-hospital care and emergency recovery. Methods 355 acute and severe patients were selected to evaluate the situation of pre-hospital care，the patients’ condition of improvement or deterioration after emergency interference and the transfer process，through Mainz emergency evaluation score which were the index scores of patients’ GCS，heart rate，respiratory rate，rhythm of the heart，pain，blood pressure，oxygen saturation of peripheral vein，an so on. Results The cured improvement rate and the mortality were 12.5% and 87.5% in MEES of 1～5，were 68% and 32% in MEES of 6～15，were 96.5% and 3.5% in MEES of 16～19，while the cured improvement rate was 100% in MEES of 20～28. Conclusion The application of MEES could rapidly and easily evaluate the actual disease，the mortality risk，the curative guidance of emergency patients，could dynamically evaluate the effect and the quality of pre-hospital care and emergency recovery，should be used on pre-hospi