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目的:探究分析改良早期预警评分系统在慢性阻塞性肺病急性加重期患者病情评估中的应用价值。方法:随机选取医院在2013年8月~2014年12月期间收诊的400例AECOPD患者为研究对象,入院后即依据改良早期预警评分系统进行持续动态评分,根据不同分值采取相应的评分级别。结果:343例患者评分无动态变化,其中46例患者转专科病房,其余均出院。57例患者评分有动态变化,其中7例自动出院,40例转专科病房,10例转重症病房。结论:慢性阻塞性肺病急性加重期患者动态使用改良早期预警评分系统的效果显著,能够实现急诊患者病情分值化,临床监测效果精确,能够为急性疾病患者护理干预提供安全保障,同时有利于合理分配医疗资源,从而有效提高急诊护理质量和患者满意度。
Objective: To explore and analyze the value of improved early warning score system in the evaluation of patients with acute exacerbation of chronic obstructive pulmonary disease. Methods: A total of 400 patients with AECOPD admitted to the hospital from August 2013 to December 2014 were randomly selected as the study subjects. After admission, the patients were continuously scored according to the improved early warning score system and scored according to different scores . Results: There was no dynamic change in the scores of 343 patients, of which 46 patients were transferred to the specialist ward and the rest were discharged. Fifty-seven patients had dynamic changes in scores, of which 7 were discharged automatically, 40 were transferred to specialist wards, and 10 were transferred to intensive care wards. Conclusion: The improvement of dynamic early warning score system in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) can improve the score of emergency patients accurately, and the clinical monitoring results are accurate. It can provide safety guarantee for nursing interventions in patients with acute diseases, and at the same time it is reasonable Allocate medical resources to effectively improve the quality of emergency care and patient satisfaction.