CAJ | 학술논문

目的：通过比较分析4·20芦山地震重灾区与轻灾区伤员的伤情特点，为优化震后医疗资源调配提供依据。方法收集震后1周内、就诊于四川大学华西医院急诊科的地震伤员病历资料，回顾性分析重灾区与轻灾区伤员的伤情严重程度、受伤部位、受伤类型。结果重灾区与轻灾区伤员伤情严重程度及受伤部位无统计学差异。重灾区伤员中，骨折伤员比例少于轻灾区（50%和69%，P=0.020），软组织伤比例大于轻灾区（22%和10%，P=0.005）。结论在震后灾区医疗资源配置上，绝大部分医疗资源的需求比例在重灾区与轻灾区无差异，仅需在有关骨折伤与软组织伤的个别医疗资源调配比例方面稍作调整，但仍以骨科医疗资源为主。
목적：통과비교분석4·20호산지진중재구여경재구상원적상정특점，위우화진후의료자원조배제공의거。방법수집진후1주내、취진우사천대학화서의원급진과적지진상원병력자료，회고성분석중재구여경재구상원적상정엄중정도、수상부위、수상류형。결과중재구여경재구상원상정엄중정도급수상부위무통계학차이。중재구상원중，골절상원비례소우경재구（50%화69%，P=0.020），연조직상비례대우경재구（22%화10%，P=0.005）。결론재진후재구의료자원배치상，절대부분의료자원적수구비례재중재구여경재구무차이，부수재유관골절상여연조직상적개별의료자원조배비례방면초작조정，단잉이골과의료자원위주。
Objective To explore the differences on the injuries’charactors between the patients from different disaster area. Methods A retrospective analysis of the one-week casualty was conducted on Lushan earthquake, including severity, portion of casualties and injured types from different districts. Results There was no statistical difference in severity and injured portion between different districts. The proportion of fractures for the heavily damaged area was smaller than that of the other area (50%VS 69%, P=0.020), but its proportion of soft tissue injuries was larger (22% VS 10%, P=0.005). Conclusion In Lushan earthquake, no statistical difference was found in injured portion and severity between the two districts. Fractures more frequently occurred in the less damaged area, while the proportion of soft tissue injuries was larger in heavily damaged area. Bearing that in mind, only the portion of the medical demands related to fracture and soft tissue injury has to be taken into account.