多发伤患者创伤后生活质量的研究

Research of life quality in survivors of multiple trauma

目的通过对ICU救治存活的多发伤患者定期随访,对其出院1年后的生理和残疾情况以及日常生活和社会活动能力进行调查,对多发伤患者伤后的生活质量进行评估,研究创伤情况与伤后生活质量之间的关系。方法采用创伤严重程度评分(ISS),格拉斯哥预后评分(GOS),格拉斯哥昏迷评分(GCS),诺丁汉健康量表(NHP)评分法对入选者进行统计分析,研究其创伤后的生理状态,残疾情况和生活质量与创伤严重程度的相关性。结果选取经抢救存活的60例患者,对其中35例来院复诊或经过电话联系的患者进行了随访。大多数患者在出院1年后生活质量受到一定的影响,其中20例恢复工作,4例存在一定程度上的残疾,无法生活自理。结论严重多发伤患者创伤后经救治成活者,总体生活质量受到一定的影响。患者的ISS及头部的创伤情况与创伤后生活质量有关。

Objective To follow and evaluate the quality of life and the disability of the multiple trauma patients who discharged form ICU one year ago,and investigate the relationship between the trauma state and the posttraumatic quality of life. Methods The physical state and disability were measured by the ISS, GOS, NHP and GCS and then analyzed the relationship between the trauma and the posttraumatic quality of life. Results Sixty patients survived. Totally 35 patients were followed up through telephone and the face-to-face interview. The quality of life of most patients was affected in different level. Twenty patients returned to work. Four patients experienced the disability and couldnt take care by themselves. Conclusion The majority of survivors of major trauma show considerable levels of disability and impairment in health-related quality of life. The ISS and the head injury severity are related with the quality of life.