引用本文:胡 琴,向 华,王 庆,莫 伟,周碧芳,李 兰,高碧琦.基于NEWS评分构建的防控管理模型在致命性出血介入治疗患者中的应用效果研究[J].中国临床新医学,2022,15(9):788-793.
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基于NEWS评分构建的防控管理模型在致命性出血介入治疗患者中的应用效果研究
胡 琴,向 华,王 庆,莫 伟,周碧芳,李 兰,高碧琦
410005 长沙,湖南省人民医院介入血管外科
摘要:
[摘要] 目的 研究基于英国国家早期预警评分(NEWS)构建的防控管理模型在致命性出血介入治疗患者中的应用效果。方法 选取2019年6月至2020年6月湖南省某三甲医院收治的200例致命性出血介入治疗患者作为研究对象,将其随机分为观察组(n=100)和对照组(n=100)。对照组实施常规干预措施及流程,观察组在对照组基础上实施基于NEWS评分的防控管理,比较两组患者介入治疗急救时长、并发症发生率、死亡率和休克分期等情况。结果 观察组患者的预检分诊时间、多学科小组接诊时间、入院至B超出报告时间、入院至实验室出报告时间、急诊滞留时间、入院至到达手术室时间短于对照组,差异有统计学意义(P<0.05)。观察组患者多器官功能障碍综合征(MODS)、感染、心跳骤停等并发症发生率和死亡率低于对照组,差异有统计学意义(P<0.05)。观察组患者术后4 h休克分期情况优于对照组,差异有统计学意义(P<0.05)。结论 基于NEWS评分的致命性出血防控管理模型有助于临床医护人员早期识别致命性出血的风险,通过评分值采取相应的急救防控措施能显著缩短介入治疗患者的急救时长,降低术后并发症的发生率及死亡率,改善术后患者的休克分期程度及预后。
关键词:  英国国家早期预警评分  防控管理模型  致命性出血  介入治疗
DOI:10.3969/j.issn.1674-3806.2022.09.03
分类号:R 815;R 47
基金项目:湖南省科技重大专项项目(编号:2020SK1010)
A study on the application effect of prevention and control management model based on the construction of NEWS in patients undergoing interventional therapy for fatal bleeding
HU Qin, XIANG Hua, WANG Qing, et al.
Department of Interventional Vascular Surgery, Hunan Provincial People′s Hospital, Changsha 410005, China
Abstract:
[Abstract] Objective To study the application effect of prevention and control management model based on the construction of National Early Warning Score(NEWS) in patients undergoing interventional therapy for fatal bleeding. Methods A total of 200 fatal bleeding patients who underwent interventional therapy in a class A tertiary hospital in Hunan province from June 2019 to June 2020 were selected as the research subjects. The patients were randomly divided into observation group(n=100) and control group(n=100). The control group was implemented with routine intervention measures and procedures, while the observation group was implemented with prevention and control management based on NEWS plus the same intervention measures and procedures as the control group. The length of emergency treatment, the incidence of complications and the mortality and shock stage of interventional therapy were compared between the two groups. Results The pre-examination and triage time, multidisciplinary team reception time, time from admission to B-ultrasonic report, time from admission to laboratory report, emergency stay time and time from admission to the operating room in the observation group was shorter than that in the control group, and the difference was statistically significant(P<0.05). The incidence and mortality of complications such as multiple organ dysfunction syndrome(MODS), infection and cardiac arrest in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). The shock stage at 4 hours after operation in the observation group was better than that in the control group, and the difference was statistically significant(P<0.05). Conclusion The prevention and control management model of fatal bleeding based on NEWS is helpful for medical staff to identify the risk of fatal bleeding early. The corresponding emergency prevention and control measures based on the scoring values can significantly shorten the emergency time of the interventional patients, reduce the incidence of postoperative complications and mortality, and improve the shock stage and prognosis of the postoperative patients.
Key words:  National Early Warning Score(NEWS)  Prevention and control management model  Fatal bleeding  Interventional therapy