严重创伤患者改良SIRS评分与MODS的相关性分析

Correlation of revised SIRS score with the incidence of multiple organ dysfunction syndrome in patients with severe trauma

目的探讨严重创伤患者改良的SIRS评分（R—SIRS）和多器官功能障碍综合征（MODS）发生率的相关性。方法选取275例严重创伤患者，入院前进行R—SIRS评分，并于入院1周内每日进行R-SIRS评分及MODS评分，同时诊断MODS发生率。分析R-SIRS与MODS评分及发生率的相关性。结果R-SIRS评分与MODS评分及MODS发生率具有明显的相关性（P〈0．01），尤以入院后1周内平均R—SIRS评分更为明显（P〈0．01）。结论全身失控性炎症免疫反应是导致MODS的重要原因之一。R—SIRS评分有助于预测MODS的发生率。

Objective To investigate the correlation of Revised System inflammatory Response Syndrome （R-SIRS） score with the incidence of multiple organ dysfunction syndrome （MODS） in patients with severe trauma. Methods The R-SIRS scores were assessed before admission and daily in the first week after admission in 275 patients with severe traumatic; the MODS scores were also measured after admission. The correlation of R-SIRS scores with the incidence of MODS was analyzed, Results The R-SIRS score was significantly correlated with MODS score and the incidence rate of MODS （P〈0.01）. Conclusion The R-SIRS score may predict the incidence of MODS in patients with severe trauma.