改良早期预警评分应用于急诊颅脑外伤患者中的干预效果探析

摘要

目的 探究改良早期预警评分应用于急诊颅脑外伤患者中的干预效果.方法 选取2016年5月至2017年5月本院收治的给予常规干预模式的急诊颅脑外伤患者58例,作为对照组,另选取2017年6月至2018年6月本院收治的给予改良早期预警评分模式的急诊颅脑外伤患者58例,作为观察组.对比两组预后情况与并发症发生率.结果 观察组干预1周后NHISS评分为(16.65 ± 3.25)分,低于对照组的(24.37±3.29)分,BI评分、GOS评分分别为(60.78±3.12)分、(12.35±2.44)分,均高于对照组的(51.45±4.69)分、(9.08±3.97)分,差异均有统计学意义(均P＜0.05);观察组干预1周后并发症发生率为5.17％,低于对照组的18.97％,差异有统计学意义(P＜0.05).结论 改良早期预警评分模式应用于急诊颅脑外伤患者中,可显著改善预后效果,降低并发症发生率,值得推广.%Objective To explore the effect of improved early warning score on the intervention of patients with emergency craniocerebral trauma.Methods 58 patients with emergency craniocerebral trauma who received routine intervention mode at our hospital from May,2016 to May,2017 were selected as a control group.And 58 patients with craniocerebral trauma intervened with improved early warning scoring mode at our hospital from June,2017 to June,2018 were selected as an observation group.The prognosis and incidence of complication were compared between the two groups.Results 1 week after the intervention,the NHISS score and the incidence of complications were lower,and the scores of BI and GOS were higher in observation group than in the control group [(16.65±3.25) vs.(24.37±3.29),5.17％ vs.18.97％,(60.78±3.12) vs.(51.45±4.69),and (12.35±2.44) vs.(9.08±3.97)],with statistical differences (all P ＜ 0.05).Conclusion Applying improved early warning scoring mode in patients with emergency craniocerebral trauma can significantly improve the prognosis and reduce the incidence of complications,so it is worth for promotion.