CAJ | 학술논문

目的：探讨联合评估提高急诊创伤患者分诊的效能。方法：2014年3-10月收治创伤患者846例，按创伤评分方法不同分为试验组420例和对照组426例，试验组运用修正创伤评分(RTS)联合护理进一步评估(从头到脚的评估)的方法进行分诊分级，对照组则单纯运用修正创伤评分进行分诊；对比两组患者在急诊科留滞时间、住院率、转入ICU率、短期病死率。结果：试验组急诊滞留时间明显低于对照组，住院率、转入ICU率高于对照组(P＜0.05)，差异有统计学意义；而短期病死率差异则无明显统计学意义(P＞0.05)。结论：运用联合创伤评分法对急诊创伤患者进行分诊分级，其临床评估能力优于单纯运用修正创伤评分法，可有效提高急诊科分诊效能，对建立规范统一的分诊标准有重要的临床价值，建议临床应用及推广。
목적：탐토연합평고제고급진창상환자분진적효능。방법：2014년3-10월수치창상환자846례，안창상평분방법불동분위시험조420례화대조조426례，시험조운용수정창상평분(RTS)연합호리진일보평고(종두도각적평고)적방법진행분진분급，대조조칙단순운용수정창상평분진행분진；대비량조환자재급진과류체시간、주원솔、전입ICU솔、단기병사솔。결과：시험조급진체류시간명현저우대조조，주원솔、전입ICU솔고우대조조(P＜0.05)，차이유통계학의의；이단기병사솔차이칙무명현통계학의의(P＞0.05)。결론：운용연합창상평분법대급진창상환자진행분진분급，기림상평고능력우우단순운용수정창상평분법，가유효제고급진과분진효능，대건립규범통일적분진표준유중요적림상개치，건의림상응용급추엄。
Objective:To discuss the research of joint assessment to improve the effectiveness of emergency triage of trauma patients.Methods:846 patients with trauma were selected from March 2014 to October 2014,according to the trauma score methods,they were divided into the experimental group with 420 cases and the control group with 426 cases,the experimental group was used correction trauma score(revised trauma score,RTS)joint care further evaluation(from head to toe assessment) method triage classification,the control group was revised trauma score diagnosis;comparing two groups of patients in the emergency department the lag time,hospitalization rates,transferred to ICU rate,short-term mortality.Results:Emergency residence time in the experimental group was significantly lower than the control group,the rate of hospitalization,into ICU rate were higher than the control group(P<0.05),there was statistically significant;while the short-term mortality rate had no obvious statistical significance(P>0.05).Conclusion:The use of joint trauma score for trauma patients in emergency triage classification can effectively improve the efficiency of emergency department triage,it has an important clinical value for the establishment of a unified standard triage,it is worth promoting.