不同评分系统对急诊自发性非创伤性脑出血患者病情及预后判断的影响

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Abstract Objective To discuss rapid emergency medical grade (REMS), modified early warning score (MEWS) and acute physiology and chronic health evaluation system Ⅱ (APACHE Ⅱ) and the improvement of emergency (mEDICH) in emergency treatment of spontaneous cerebral hemorrhage grading scale non traumatic cerebral hemorrhage (sICH) patients and prognosis judgement of value. Methods A total of 201 cases of patients with sICH collected from September 2017 to August 2018, Department, Emergency of Renmin Hospital of Wuhan University, according to the hospital within 30 d death or death is divided into survival group and death group, and compared the four different points scoring system of case fatality rate difference was compared, and ROC curve was used to compare REMS, MEWS, APACHEⅡ and mEDICH score evaluation of the accuracy and clinical value of the prognosis of emergency patients with sICH. Results Within 30 d hospital death or death and survival of patients with sICH REMS, MEWS, APACHEⅡ and mEDICH score comparison, highly significant difference (P ＜ 0.01). The higher the score of each scale was, the higher the fatality rate was, and the difference between each score segment was highly statistically significant (P ＜ 0.01). REMS, MEWS, APACHE Ⅱ and mEDICH score area under the ROC curve were 0.733, 0.777, 0.833 and 0.899, respectively. Area under the ROC curve of mEDICH score significantly greater than the REMS, MEWS and APACHE Ⅱ (P ＜ 0.01). Conclusion REMS, MEWS, APACHE Ⅱ and mEDICH scores are good for emergency treatment of sICH patients was dead or not within 30 d to predict the risk of death, the predictive ability of mEDICH is the best.

Key words： Intracerebral hemorrhage Rapid emergency medicine score Acute physiology and chronic health evaluation Ⅱ Modified early warning score;mEDICH score Prognosis

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	XIE Tuxiu LYU Jingjun WEI Jie YE Lu

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XIE Tuxiu LYU Jingjun WEI Jie YE Lu. Effects of different scoring systems on condition and prognosis of patients with emergency spontaneous nontraumatic cerebral hemorrhage[J]. 中国医药导报, 2019, 16(14): 109-112.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I14/109

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