创伤的伤情调查分析

Investigation on Condition of Trauma Patients

目的 :了解创伤的一些基本特点及影响因素。方法 :采用流行病学问卷式调查方法 ,调查收集了 888例急诊创伤病例的基本资料 ,采用AIS’85精简伤情表对其受伤情况进行伤情评定 ,用SPSS统计软件建立数据库进行统计分析。结果 :888例创伤中 81 8%为单发伤、 18 2 %为多发伤 ,二者间的比例为 4 4 8∶1。单发伤以头颈伤 (2 6 8% )、上肢伤 (2 0 2 % )、下肢伤 (10 9% )为主。多发伤以头颈部伤 (11 8% )、上肢伤 (19 8% )、胸背部伤 (5 7% )为主。伤情严重程度单发伤中以轻伤为主 (71 2 % ) ,其次为中度伤 (19 0 % ) ,多发伤中也以轻伤为主 (88 3% ) ,其次为重伤 (6 9% )。单发伤的伤情严重程度男性高于女性 ,性别间有显著差异 (X =12 12 7,P <0 0 5 ) ,在文化程度上文化程度越高伤情越轻 ,不同文化程度间有显著性差异 (X =5 8 5 75 ,P <0 0 0 5 ) ,在年龄、职业、受伤原因上无显著性差异。多发伤的伤情则在受伤原因、受伤部位上 (X =10 0 2 74 ,P <0 0 0 1)有显著性差异。在性别、年龄、职业、文化程度上均无显著性差异。结论 :综上所述 :性别、文化程度对单发伤伤情有影响 ,受伤原因、受伤部位数对多发伤情有影响。因此人们除了文化教育外更应加强自身的素质教育 ,提高自身的修养 。

Objective:To understand the characters and affecting factors of trauma patients.Methods:Investigated 888 trauma cases who were treated in West China Hospital from March 24,1999 to April 23,1999 with questionnaire.Evaluated the injury degree with AIS 85 and ISS scale and analyzed with SPSS software.Result:Eighty-one was percents were suigle wound,18 2% was multiple wounds.The ratio was 4 48∶1.The major positions of single wounds were on head and neck(26 8%),upper limbs(20 2%),and lower limbs(10 9%).The major positions of maltiple wounds were on head and neck(11 8%),upper limbs(9 8%),chest and back(7 5%).The degree of single wounds was mild(71 2%)to moderate(19 0%).The degree of multiple wounds was mild(88 3%)to severe(6 9%).The difference between men and women was significant.The cultural trait is higher,the degree of injury often was milder.The difference in education was significant.There was no significance with age,profession and cause of injury.In multiple wounds,the difference in position and causes of injury was significant.The difference in age,position or education was insignificant.Conclusion:Sex and cultural status had influence on the injury degree in single wound,and the cause and position of injury had influence on the injury degree in multiple wounds.It is significant to enhance cultural status and consciousness of the safety in population that one might prevent avoidable accidents.