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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2025; 9: (8) ; 10.12208/j.ijcr.20250399 .

Analysis of the role of MEWS scoring system in emergency care plan for patients with multiple injuries
MEWS评分系统的急救护理方案在急诊多发伤患者中的作用分析

作者: 勇远 *

江阴市中医院 江苏江阴

*通讯作者: 勇远,单位:江阴市中医院 江苏江阴;

引用本文: 勇远 MEWS评分系统的急救护理方案在急诊多发伤患者中的作用分析[J]. 国际临床研究杂志, 2025; 9: (8) : 138-140.
Published: 2025/8/31 9:19:58

摘要

目的 分析MEWS评分系统的急救护理方案在急诊多发伤患者中的作用。方法 收集2023.01-2023.12期间本院急诊收治的55例多发伤患者资料,此期间采用常规急救护理,作为对照组(n=55例)。再收集2024.01-2024.12期间的55例多发伤患者资料,此期间采用基于MEWS评分系统的急救方案护理,作为观察组(n=55例)。对比两组患者发生不良事件的情况、急诊抢救时间及病情的恶化程度。结果 观察组患者中不良事件的发生率明显比对照组患者要低、急诊抢救花费的时间比对照组显著更短、病情未恶化的患者也明显更少,差异均具有统计学意义(P<0.05)。结论 对多发伤患者实施MEWS评分系统的急救护理方案,可减少患者发生不良事件的几率、降低病情恶化程度,并缩短急诊抢救时间,取得了较好的应用效果,值得在临床中推广应用。

关键词: MEWS评分系统;急诊;多发伤;急诊护理

Abstract

Objective Analyze the role of the MEWS scoring system in emergency care plans for patients with multiple injuries.
Methods Data of 55 patients with multiple injuries admitted to the emergency department of our hospital from January 2023 to December 2023 were collected. During this period, routine emergency nursing was used as the control group (n=55 cases). Further collect data from 55 patients with multiple injuries between January 2024 and December 2024. During this period, emergency care plans based on the MEWS scoring system were used as the observation group (n=55 cases). Compare the occurrence of adverse events, emergency rescue time, and degree of deterioration of the condition between two groups of patients.
Results The incidence of adverse events in the observation group was significantly lower than that in the control group, the time spent on emergency rescue was significantly shorter than that in the control group, and the number of patients whose condition did not worsen was also significantly less, with statistical significance (P<0.05).
Conclusion   The implementation of the MEWS scoring system in emergency nursing for patients with multiple injuries can reduce the likelihood of adverse events, decrease the degree of disease deterioration, and shorten the emergency rescue time, achieving good application results and worthy of promotion and application in clinical practice.

Key words: Improve the early warning scoring system; Emergency treatment; Multiple injuries; Emergency nursing

参考文献 References

[1] 邢梦. 基于MEWS评分系统的急救护理方案在急诊多发伤患者中的应用[J]. 当代护士,2023,30(8):162-165. 

[2] 廖冰青,凌林. 院前院内一体化急救护理模式在多发伤患者抢救中的效果评价[J]. 护理实践与研究,2023, 20(16):2485-2489.  

[3] 吴江平,胡旭琴,王珏,等. 基于早期预警评分改良校正的动态触发护理模式在多发伤患者中的应用效果[J]. 中国乡村医药,2021,28(4):64-65.  

[4] 黄健,谢伟婵,华锦嫦,等. 改良早期预警评分系统在降低多发伤患者护理风险中的应用效果[J]. 赣南医学院学报,2022,42(9):967-971. 

[5] 海宁静,邹钊,汪茜. 情景模拟培训联合参与式反馈法在急诊创伤救治培训中的应用[J]. 长春中医药大学学报,2021,37(3):666-669. 

[6] 张雪芳. 院前-院内无缝隙急救护理在急诊多发伤患者中的应用效果分析[J]. 现代诊断与治疗,2021, 32(12): 2014-2016.

[7] 李敏,张莉,陶红伟,等. 多科协助的急救护理结合创伤救治原则在颅脑损伤合并多发伤患者中的应用[J]. 齐鲁护理杂志,2021,27(5):90-92. 

[8] 宗晶,刘晓燕,耿晴晴,等. 基于校正改良早期预警评分的危重多发伤标准化护理评估指标的研究[J]. 护理管理杂志,2025,25(2):98-103,110. 

[9] 林建聪,洪蓉蓉,黄国亮,等. 急救系统风险预测模型评分联合改良早期预警评分在多发伤危重症患者预后评估中的应用价值[J]. 广西医学,2022,44(23):2740-2743.  

[10] 王文英,李雅琴,范付兰,等. 改良早期预警评分系统在急诊多发伤患者救治中的应用效果[J]. 中华现代护理杂志,2021,27(21):2905-2908.