实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2014年
9期
38-40
,共3页
创伤评分%严重创伤%伤情%抢救效果
創傷評分%嚴重創傷%傷情%搶救效果
창상평분%엄중창상%상정%창구효과
trauma score%severe trauma%injury condition%treatment efficacy
目的：探讨创伤评分对严重创伤患者病情反应及急诊救治效果的影响。方法选取严重创伤患者100例，入院后行损伤严重度评分（ISS）、新损伤严重度记分（NISS）、全身炎症反应综合征评分（SIRS）、急性生理与慢性健康（APACHEⅡ）评分。根据救治结果的不同分为死亡组11例和存活组89例。比较不同创伤评分的差异。结果2组在年龄、呼吸频率方面无显著（P ＞0．05），但存活组的手术次数、输血量、脉搏显著少于、低于死亡组，收缩压显著高于死亡组（P ＜0．05）。存活组的ISS、NISS、SIRS、APACHE Ⅱ评分均显著低于死亡组（P ＜0．05）。SIRS 总分值、SIRS 项目数与 ISS、NISS、APACHE Ⅱ评分均有显著相关性（P ＜0．05）。结论创伤评分可反映严重创伤患者的病情严重程度，预示患者的预后。
目的：探討創傷評分對嚴重創傷患者病情反應及急診救治效果的影響。方法選取嚴重創傷患者100例，入院後行損傷嚴重度評分（ISS）、新損傷嚴重度記分（NISS）、全身炎癥反應綜閤徵評分（SIRS）、急性生理與慢性健康（APACHEⅡ）評分。根據救治結果的不同分為死亡組11例和存活組89例。比較不同創傷評分的差異。結果2組在年齡、呼吸頻率方麵無顯著（P ＞0．05），但存活組的手術次數、輸血量、脈搏顯著少于、低于死亡組，收縮壓顯著高于死亡組（P ＜0．05）。存活組的ISS、NISS、SIRS、APACHE Ⅱ評分均顯著低于死亡組（P ＜0．05）。SIRS 總分值、SIRS 項目數與 ISS、NISS、APACHE Ⅱ評分均有顯著相關性（P ＜0．05）。結論創傷評分可反映嚴重創傷患者的病情嚴重程度，預示患者的預後。
목적：탐토창상평분대엄중창상환자병정반응급급진구치효과적영향。방법선취엄중창상환자100례，입원후행손상엄중도평분（ISS）、신손상엄중도기분（NISS）、전신염증반응종합정평분（SIRS）、급성생리여만성건강（APACHEⅡ）평분。근거구치결과적불동분위사망조11례화존활조89례。비교불동창상평분적차이。결과2조재년령、호흡빈솔방면무현저（P ＞0．05），단존활조적수술차수、수혈량、맥박현저소우、저우사망조，수축압현저고우사망조（P ＜0．05）。존활조적ISS、NISS、SIRS、APACHE Ⅱ평분균현저저우사망조（P ＜0．05）。SIRS 총분치、SIRS 항목수여 ISS、NISS、APACHE Ⅱ평분균유현저상관성（P ＜0．05）。결론창상평분가반영엄중창상환자적병정엄중정도，예시환자적예후。
Objective To explore the influence of trauma score system on the traumatic re-sponse and emergency treatment efficacy of patients with severe trauma.Methods 100 patients with severe trauma were collected,and they were conducted with the injury severity score (ISS), new injury severity score (NISS),systemic inflammatory response syndrome score (SIRS),acute physiology and chronic health evaluation (APACHE Ⅱ)for evaluation of trauma after hospital ad-mission.The patients were divided into the death group (n =11)and the survival group (n =89) according to the different treatment results.Difference of trauma score was compared between the two groups.Results There were no significant differences of the age and respiratory frequency be-tween two groups (P >0.05),but the number of operation,the volume of blood transfusion,the pulse in the survival group were significantly less and lower than those in the death group,and sys-tolic blood pressure was significantly higher than that in the death group (P <0.05).ISS,NISS, SIRS,APACHE Ⅱ scores in the survival group were significantly lower than those in the death group (P <0.05).The total score of SIRS and items of SIRS were closely correlated with ISS, NISS and APACHE Ⅱ score (P <0.05).Conclusion Trauma score may reflect the severity of patients with severe trauma.
