SIRS评分应用于预测创伤病人预后的临床研究

Clinical study on validation of systemic inflammatory response syndrome score in predicting outcome in trauma.

目的 :探讨SIRS评分预测创伤病人预后的作用和意义。方法 :对收治的 1 2 4 6例创伤病人在入院 2 4小时内进行SIRS评分及ISS评分 ,分析不同SIRS分值病人的病死率及控制年龄及ISS分值因素时 ,SIRS分值与病死率关系。结果 :随着SIRS分值的升高病人病死率增加 ,当SIRS分值≥ 2时病人病死率显著升高 ,相同年龄组及ISS分值时 ,SIRS分值≥ 2时 ,病死率升高 ,有统计学意义。结论 :SIRS评分具有独立预测创伤病人预后的作用 。

Objective:To explore effect and significance of systemic inflammatory response syndrome(SIRS)score in prognosis in trauma.Methods:Data of 1246 patients were collected at admission from 1995 to 2002,injury severity score(ISS)and SIRS score were calculated in 24 hours.We analyzed relation of mortality rates in different SIRS score patients by controlling age and ISS score.Results:With SIRS score increasing,mortality rates increased as well and patients with SIRS(score≥2)had significantly higher mortality rates, and also in same age and ISS score group.Mortality rates were significantly in staitistics.Conclusions:SIRS score is significant independent predicting of outcome in trauma and in chinical.