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目的对湖北省不同级别医院间创伤患者住院情况进行调查,为不同级别医院有重点地预防和干预创伤提供参考依据。方法收集湖北省5所不同级别医院2003年创伤住院患者临床资料,对5所医院患者数量、性别、年龄段、伤者职业、致伤原因、Glasgow昏迷评分(GCS)、损伤严重度评分(ISS)、手术及疾病结局的构成进行统计。结果三甲医院收治患者数多于二级医院,性别以男性为主。三甲教学医院患者主要以无业人员、工人、其他职业为主,普通三甲医院及二级医院中农民亦占较高比例(30.40%~41.40%)。患者致伤原因均以机动车撞伤为主,暴力及摔跌亦为主要致伤因素。三甲医院手术率、GCS评分3~8分(昏迷)组比例、ISS评分16~25分(重伤)组及≥25分(严重伤)组比例均高于二级医院,且三甲教学医院以上比例高于普通三甲医院。治疗效果在不同级别医院间无明显差异。结论不同医院间应根据收治患者特点采取有效预防和干预创伤发生的措施。
Objective To investigate the hospitalization of trauma patients in different levels of hospitals in Hubei Province and provide references for different levels of hospitals in the prevention and intervention of trauma. Methods The clinical data of 2003 inpatients with traumatic inpatients from 5 hospitals of different levels in Hubei province were collected. The number of patients, sex, age group, occupational injury, causes of injury, Glasgow Coma Scale (GCS), severity of injury (ISS) ), Surgery and disease outcome of the composition statistics. Results The number of patients admitted to the top three hospitals was more than that of the second-grade hospitals, with male-dominated sex. The patients in the SAC teaching hospital are mainly employed unemployed persons, workers and other occupations, and the peasants also account for a relatively high proportion (30.40% to 41.40%) in the ordinary top three hospital and secondary hospital. The causes of injury in patients were mainly motor vehicle injuries, violence and fall are also the main injury factors. The rates of operation in the top three hospitals, GCS score of 3 to 8 (coma) group, ISS score of 16 to 25 (severe injury) group and ≥ 25 points (severe injury) group were higher than the secondary hospital, Higher than the average top three hospitals. The treatment effect in different levels of hospital no significant difference. Conclusion Different hospital should be based on the characteristics of patients admitted to take effective measures to prevent and intervene in the occurrence of trauma.