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目的:探讨院前指数(PHI),CRAMS及RTS创伤评分(修订创伤记分)应用于地震伤员快速院内检伤分类时,对于评估其伤情危重度的价值。方法:纳入41例芦山地震伤员,均进行PHI,CRAMS及RTS评分,并随访至术后/出院,进行ISS评分。比较各评分与ISS评分的相关性。结果:CRAMS评分与ISS评分相关系数为-9.135(因CRAMS评分法分值越高,伤情越轻),P<0.05,差异有统计学意义;同时也发现RTS评分与ISS评分相关系数为10.331,P<0.05,差异有统计学意义。结论:CRAMS评分对于地震伤员伤情的评估与ISS评分的相关性好,可用于院内急诊的快速检伤分类。
Objective: To investigate the value of prehospital index (PHI), CRAMS and RTS trauma score (revised trauma score) in the assessment of the severity of injuries during rapid hospital injury classification of earthquake victims. Methods: Forty-one patients in Lushan earthquake were enrolled in the study. The PHI, CRAMS and RTS scores were assessed and followed up to the postoperative / hospital discharge for ISS. The correlation between each score and ISS score was compared. Results: The correlation coefficient between CRAMS score and ISS score was -9.135 (the higher the score of CRAMS score, the lighter the injury), P <0.05, the difference was statistically significant. The correlation coefficient of RTS score and ISS score was 10.331 , P <0.05, the difference was statistically significant. Conclusion: The CRAMS score is good for the correlation between ISS score and injury assessment of earthquake casualties, and can be used for fast test classification of emergency in hospital.