CAJ | 학술논문

目的探讨急诊创伤性脊柱损伤患者致残程度的相关因素.方法自行设计《创伤性脊柱损伤致残因素调查表》并结合《脊柱脊髓损伤评分》,对创伤性脊柱损伤患者285例进行调查评估.结果创伤性脊柱损伤患者中有昏迷情况患者A级57例,B级37例,C级44例,D级17例,E级18例,与无昏迷患者损伤程度比较差异有统计学意义(Z=20.055,P＜0.01)；不同运送方式、创伤原因、脊柱手术时间患者脊髓损伤程度不同,差异均有统计学意义(P＜0.05)；在创伤性脊柱损伤中主要是车祸、打砸和坠落伤.结论除创伤直接因素外,影响创伤性脊柱损伤患者损伤水平还包括现场及运送患者保护不当、昏迷患者救治措施以抢救生命为主、转运增加二次运送风险、延误早期手术时间.
목적 탐토급진창상성척주손상환자치잔정도적상관인소.방법 자행설계《창상성척주손상치잔인소조사표》병결합《척주척수손상평분》,대창상성척주손상환자285례진행조사평고.결과 창상성척주손상환자중유혼미정황환자A급57례,B급37례,C급44례,D급17례,E급18례,여무혼미환자손상정도비교차이유통계학의의(Z=20.055,P＜0.01)；불동운송방식、창상원인、척주수술시간환자척수손상정도불동,차이균유통계학의의(P＜0.05)；재창상성척주손상중주요시차화、타잡화추락상.결론 제창상직접인소외,영향창상성척주손상환자손상수평환포괄현장급운송환자보호불당、혼미환자구치조시이창구생명위주、전운증가이차운송풍험、연오조기수술시간.
Objective To explore the related factors of levels of disability in patients with traumatic spinal injury in the emergency.Methods Two hundreds and eighty-five patients with traumatic spinal injury were surveyed by the self-designed questionnaire "Survey on Related Factors of Disability Levels of Patients with traumatic injury" and American Spinal Injury Association (ASIA) from September 2011 to July 2012.Results The cases of coma patients with traumatic spinal injury were 57 cases of Grade A,37 cases of Grade B,44 cases of Grade C,17 cases of Grade D and 18 cases of Grade E.The degree of injury was compared between the coma patients and conscious patients,and the difference was statistically significant (Z =20.055,P ＜0.01).The patients who were encountered different transportation,trauma causes and surgery time had the different degree of injury,and the difference was statistically significant (P ＜ 0.05).However,no significant difference was found in protection in the injury site and the time getting hospital (P ＞ 0.05).Among patients with traumatic spinal injury,the main reasons were caused by traffic accidents,falls and crash.Conclusions In addition to direct traumatic factors,the injury degree in patients with traumatic spinal injury is affected by the improper protection for patients in the scene and transportation,the treatment of coma patients based on saving lives,the secondary transport risk increased by transportation and the delayed early surgery time.