致伤因素对伤亡程度影响的回顾性对比分析

A retrospective analysis of effect of transport and non-traffic injuries on risks of death during trauma care

目的探讨交通工具与其他致伤因素对院前急救伤员伤亡程度影响的差异性。方法我院2009年1月1日至2010年12月31日实施院前创伤急救2657例伤员,按创伤严重程度评分法(ISS)标准评定记录伤情,根据致伤因素将院前急救伤员分为交通事故伤员组和其他外伤伤员组,分析两组伤员创伤程度和死亡人数的差异性,观察两类致伤因素对伤择伤亡程度的影响。结果交通事故伤员组创伤严重程度与其他外伤伤员组比较,差异均有显著统计学意义(P<0.01);两组伤员的创伤严重程度与受伤原因有相关性(χ2=93.2,P<0.01)。结论交通工具对伤员的损伤程度明显重于其他外力对伤员的损伤,应采取有效措施降低两类致伤因素对人类的危害。

Objective To evaluate the impact of transport and other non-traffic injuries on the risks of death. Methods 2657 trauma patients were accepted for pre-hospital emergency care in our hospital during the period of January 1,2009 to December 31, 2010. These patients were divided into two groups according to the causes of the injury：transport and non-traffic injuries. The traumatic injuries were determined and recorded using ISS assessment criteria. The impact of transport and other non-traffic injuries on the risks of death of the wounded was statistically analyzed. Results There were significant difference in injury seriousness and death rate between two groups （P 〈 0.01 ）. It was also observed that injury seriousness was significantly associated with the cause of injuries （X2= 93.2, P 〈 0.01 ）. Conclusion The injury seriousness and death rate caused by transport injuries was significantly higher than that by nontraffic injuries.