Clinical application of MEWS score in 24-hour blood pressure management in perioperative period of strokeintervention
基于MEWS评分在脑卒中介入围术期24小时血压管理临床应用研究

摘要

目的 探讨Mews评分系统在缺血性脑卒中介入治疗患者围术期24小时血压管理的临床应用效果。方法 采用整群抽样法，选取某三甲医院脑血管病救治中心2019年10月到2019年12月收治的43例患者作为对照组，未使用Mews评分；选取2020年1月到2020年8月收治的126例患者作为实验组，使用Mews评分，比较两组的血压监测合格率和并发症发生率。结果 两组患者年龄、性别、手术时间、穿刺部位比较，差异无统计学意义（P>0.05），两组在血压监测合格率、并发症发生率的比较，差异有统计学意义（P<0.05），与对照组相比，试验组利用Mews评分，血压控制效果显著，并发症发生率减少。结论 围术期介入治疗患者运用Mews评分进行血压管理，术后4h、12h、24h早期预警显著，降低术后并发症发生率。

Abstract

Objective To explore the clinical effect of Mews scoring system in 24-hour blood pressure management in patients with ischemic stroke undergoing interventional therapy.
Methods Using the method of cluster sampling, 43 patients from October to December 2019 were selected as the control group, and the Mews score was not used; The 126 patients from January to August 2020 were selected as the experimental group, and the Mews score was used. The qualified rate of blood pressure monitoring and the incidence of complications were compared between the two groups.
Results There was no significant difference in age, sex, operation time and puncture site between the two groups (P >0.05) . There was significant difference in the rate of qualified blood pressure monitoring and the rate of complications between the two groups (P <0.05). Compared with the control group, the experimental group had a significant blood pressure control effect using the Mews score, and the incidence of complications was reduced.
Conclusion   In patients undergoing perioperative interventional therapy, using Mews score for blood pressure management, early warning at 4h, 12h, and 24h after operation is significant, and the incidence of postoperative complications is reduced.