CAJ | 학술논문

目的探讨交通伤后患者应激性溃疡的发生率及影响因素.方法回顾性分析362例交通伤患者的临床资料,并行急性生理学和慢性健康评估Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)评分,对所有患者行胃镜检查,将其中发生应激性溃疡并出血的患者、未发生出血的患者与未发生溃疡的患者进行对比分析. 结果交通伤中大面积烧伤患者与其他创伤患者相比更易发生应激性溃疡,差异有统计学意义(X22=7.028,P＜0.05).APACHEⅡ评分分值越高,应激性溃疡或出血发生率越高；合并糖尿病、心肺疾病患者应激性溃疡出血发生率明显高于无糖尿病、无心肺疾病患者(P＜0.05). 结论交通伤后患者应常规行胃镜检查,APACHEⅡ评分对应激性溃疡或出血发生有一定的预测价值.应激性溃疡出血的发生,还决定于患者基础疾病及救治情况等综合因素.
목적 탐토교통상후환자응격성궤양적발생솔급영향인소.방법 회고성분석362례교통상환자적림상자료,병행급성생이학화만성건강평고Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)평분,대소유환자행위경검사,장기중발생응격성궤양병출혈적환자、미발생출혈적환자여미발생궤양적환자진행대비분석. 결과 교통상중대면적소상환자여기타창상환자상비경역발생응격성궤양,차이유통계학의의(X22=7.028,P＜0.05).APACHEⅡ평분분치월고,응격성궤양혹출혈발생솔월고；합병당뇨병、심폐질병환자응격성궤양출혈발생솔명현고우무당뇨병、무심폐질병환자(P＜0.05). 결론 교통상후환자응상규행위경검사,APACHEⅡ평분대응격성궤양혹출혈발생유일정적예측개치.응격성궤양출혈적발생,환결정우환자기출질병급구치정황등종합인소.
Objective To investigate the incidence and influence factors of stress ulcer SU) in traffic injury patients. Methods Clinical data of 362 traffic injury patients were studied retrospectively.Acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ ) score was carried out for all the patients.All the patients had gastroscopy and a comparative analysis was done on the SU patients with or without bleeding and the patients without SU. Results The patients with extensive burn in traffic injury were more susceptible to SU as compared with other trauma patients,with statistical difference ( X2 =7.028,P ＜ 0.05 ).The incidence of SU or hemorrhage was increased with higher APACHE Ⅱ score.The incidence of SU hemorrhage in patients with diabetes or cardiopulmonary disease was significantly higher than that in patients without diabetes or cardiopulmonary disease ( P ＜ O.05 ). Conclusions Traffic injury patients should receive routine gastroscopy.APACHE Ⅱ score has some predictive value for SU or hemorrhage.The incidence of SU hemorrhage is also determined by combined factors of underlying diseases and treatment methods.