CAJ | 학술논문

目的：探讨创伤评分在严重创伤患者急诊救治中的应用价值。方法回顾性分析我院2011年1月-2014年1月36例骨科急诊患者的临床资料，依据急诊救治的诊断方式不同将其中15例根据创伤评分作出诊断的患者标记为观察组，另21例根据患者的病史、临床表现和体征作出诊断标记为对照组，对比两组患者急诊救治的临床效果。结果观察组现场明确诊断例数明显多于对照组（P＜0.05），观察组伤情知晓率为93.33%、可预见率为80%明显高于对照组61.91%和47.62%（P＜0.05）。结论使用创伤评分能有效提高病情诊断的准确性，有利于救治人员了解病情和评估预后，值得临床推广。
목적：탐토창상평분재엄중창상환자급진구치중적응용개치。방법회고성분석아원2011년1월-2014년1월36례골과급진환자적림상자료，의거급진구치적진단방식불동장기중15례근거창상평분작출진단적환자표기위관찰조，령21례근거환자적병사、림상표현화체정작출진단표기위대조조，대비량조환자급진구치적림상효과。결과관찰조현장명학진단례수명현다우대조조（P＜0.05），관찰조상정지효솔위93.33%、가예견솔위80%명현고우대조조61.91%화47.62%（P＜0.05）。결론사용창상평분능유효제고병정진단적준학성，유리우구치인원료해병정화평고예후，치득림상추엄。
Objective: To discuss the application value of trauma score in emergency treatment for patients with severe trauma. Method: Clinical data of 36 emergency cases of orthopedics department in our hospital during January 2011 to January 2014 were retrospectively analyzed. According to different diagnostic modes 15 cases diagnosed by trauma score were marked as observation group and the other 21 cases diagnosed by medical history, clinical manifestation and sign were marked as control group. Clinical effects of emergency treatment of the 2 groups were compared. Result: Number of cases diagnosed on site of observation group was obviously bigger than control group (P<0.05). Awareness rate of traumatic condition and predictable rate of observation group were respectively 93.33% and 80% both obviously higher than control group 61.91% and 47.62% (P<0.05). Conclusion: Application of trauma score can effectively improve diagnostic accuracy of il ness and facilitate medical workers to understand il ness and assess prognosis, so it is worth of being popularized clinical y.