院前指数评价急诊创伤住院患者的价值

Pre-Hospital Index Applied to Evaluating Hospitalized Patients with Emergency Trauma

目的探讨院前指数(PHI)在评价急诊创伤患者临床疗效中的价值。方法急诊住院的创伤患者1 425例,应用院前指数法进行院前及院内评分,统计患者的致残率及致死率。结果在1 425例住院患者中,治愈1 312例(92.07%),死亡43例(3.02%),残疾70例(4.91%)。1 312例治愈者院前评分为(2.58±1.39)分,院内评分为(2.49±0.91)分;43例死亡患者的院前评分为(16.08±2.44)分,院内评分为(15.79±2.51)分;70例致残患者的院前评分为(7.58±2.12)分,院内评分为(6.02±1.61)分。结论院前评分高的急诊创伤住院患者,其死亡率和致残率较高。PHI对急诊严重创伤住院患者的预后判断具有重要意义。

Objective To study the pre-hospital index（PHI） applied to evaluating the clinical curative effect on patients with emergency trauma. Methods The pre-hospital and post-hospital scores were recorded with PHI method in1 425 hospitalized patients with emergency trauma,the patients＇ disability rate and fatality rate were analyzed. Results Among the 1 425 hospitalized cases,1 312 were cured（92.07%）,43 died（3.02%）,and 70 disabled（4. 91%）. The pre-hospital score was（2. 58 ± 1. 39） and the post-hospital score was（2. 49 ± 0. 91） in the 1312 cured cases. The pre-hospital score was（16. 08 ± 2. 44） and the post-hospital score was（15. 79 ± 2. 51） in the 43 death cases. The pre-hospital score was（7. 58 ± 2. 12） and the post-hospital score was（6. 02 ± 1. 61） in the 70 disabled cases. Conclusion Among the hospitalized patients with emergency trauma,the higher pre-hospital score is,the higher mortality and disability rate are. PHI is of great significance in the prognostic judgment of hospitalized patients with severe emergency trauma.