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目的探讨颅脑损伤患者改良早期预警评分(MEWS)与格拉斯哥昏迷指数(GCS)评分及临床预后的相关性,为临床判断颅脑损伤患者预后提供参考。方法 1251例颅脑损伤患者,对所有患者均行MEWS评分,根据评分将患者分为轻度组(0~3分,504例)、中度组(4~6分,468例)和重度组(7~15分,279例),分析MEWS评分与GCS评分及临床预后的相关性。结果 GCS评分轻型组(12~15分,486例),中型组(9~12分,477例),重型组(3~8分,288例),Spearman相关性分析表明MEWS评分与GCS评分之间存在显著相关性(r=-0.727,P<0.05)。随着MEWS评分等级升高,GCS评分等级随之降低。MEWS评分轻度组504例患者治疗后,475例患者治愈,占94.25%;468例中度组患者治疗后,363例患者治愈,占77.56%;279例重度组患者治疗后,166例患者治愈,占59.50%。Spearman相关性分析表明MEWS评分与临床预后存在显著相关性(r=-0.333,P<0.05),MEWS评分等级越高,患者治愈率越低。结论颅脑损伤MEWS评分与GCS评分存在显著相关性,MEWS评分与临床预后存在显著相关性,二者有效结合进行评估病情,可以更全面观察病情变化,以早期预警与干预,可为临床颅脑损伤患者的预后提供科学参考。
Objective To investigate the correlation between the modified early warning score (MEWS) and the Glasgow coma index (GCS) score and clinical prognosis in patients with craniocerebral injury, and provide a reference for clinical judgment of the prognosis in patients with craniocerebral injury. Methods A total of 1251 patients with craniocerebral injury were enrolled in this study. All patients underwent MEWS score, and were divided into mild group (0-3 points, 504 cases), moderate group (4-6 points, 468 cases) and severe group (7-15 points, 279 cases), analysis of MEWS score and GCS score and clinical prognosis. Results The Spearman correlation analysis showed that there was no significant difference between the MEWS score and the GCS score in the GCS score (12-15 points, 486 cases), moderate (9-12 points, 477 cases), and severe (3-8 points, 288 cases) There was a significant correlation (r = -0.727, P <0.05). As the MEWS score increased, the GCS score decreased. After MEWS score mild group, 504 patients were cured, 475 patients were cured, accounting for 94.25%; 468 patients in moderate treatment group, 363 patients were cured, accounting for 77.56%; 279 severe patients after treatment, 166 patients were cured , Accounting for 59.50%. Spearman correlation analysis showed that there was a significant correlation between MEWS score and clinical prognosis (r = -0.333, P <0.05). The higher the MEWS score, the lower the cure rate. Conclusions The MEWS score of craniocerebral injury is significantly correlated with GCS score. There is a significant correlation between MEWS score and clinical prognosis. The combination of MEWS score and clinical prognosis is effective in assessing the disease. The MEWS score can be used to observe the change of disease more completely. Early warning and intervention can be used for clinical brain injury The prognosis of injured patients provide scientific reference.