摘要
目的 探讨急诊创伤性脊柱损伤患者致残程度的相关因素.方法 自行设计《创伤性脊柱损伤致残因素调查表》并结合《脊柱脊髓损伤评分》,对创伤性脊柱损伤患者285例进行调查评估.结果 创伤性脊柱损伤患者中有昏迷情况患者A级57例,B级37例,C级44例,D级17例,E级18例,与无昏迷患者损伤程度比较差异有统计学意义(Z=20.055,P<0.01);不同运送方式、创伤原因、脊柱手术时间患者脊髓损伤程度不同,差异均有统计学意义(P<0.05);在创伤性脊柱损伤中主要是车祸、打砸和坠落伤.结论 除创伤直接因素外,影响创伤性脊柱损伤患者损伤水平还包括现场及运送患者保护不当、昏迷患者救治措施以抢救生命为主、转运增加二次运送风险、延误早期手术时间.
Objective To explore the related factors of levels of disability in patients with traumatic spinal injury in the emergency.Methods Two hundreds and eighty-five patients with traumatic spinal injury were surveyed by the self-designed questionnaire "Survey on Related Factors of Disability Levels of Patients with traumatic injury" and American Spinal Injury Association (ASIA) from September 2011 to July 2012.Results The cases of coma patients with traumatic spinal injury were 57 cases of Grade A,37 cases of Grade B,44 cases of Grade C,17 cases of Grade D and 18 cases of Grade E.The degree of injury was compared between the coma patients and conscious patients,and the difference was statistically significant (Z =20.055,P <0.01).The patients who were encountered different transportation,trauma causes and surgery time had the different degree of injury,and the difference was statistically significant (P < 0.05).However,no significant difference was found in protection in the injury site and the time getting hospital (P > 0.05).Among patients with traumatic spinal injury,the main reasons were caused by traffic accidents,falls and crash.Conclusions In addition to direct traumatic factors,the injury degree in patients with traumatic spinal injury is affected by the improper protection for patients in the scene and transportation,the treatment of coma patients based on saving lives,the secondary transport risk increased by transportation and the delayed early surgery time.
出处
《中华现代护理杂志》
2013年第27期3347-3349,共3页
Chinese Journal of Modern Nursing
关键词
创伤性脊柱损伤
致残程度
影响因素
Traumatic spinal injury
Levels of disability
Influencing factors