TI和ISS评分的效度测验及术后抑郁预测效果研究  

Study on predictive value of trauma index on patients' illness and depression with multiple injuries and craniocerebral trauma in emergency department

作　　者：何方军 谭朝峰 蔡宏新 陈少军[3] 

机构地区：[1]湖北省宜昌市夷陵医院,宜昌4431002 [2]宜昌市夷陵医院 [3]宜昌市第一人民医院

出　　处：《国际精神病学杂志》2015年第1期29-31,共3页Journal Of International Psychiatry

摘　　要：目的 TI和ISS评分的效度测验及术后抑郁预测效果。方法选取我院急诊科收治的创伤患者1518例,采用第三军医大学创伤数据库研究中心研制的创伤数据库系统V3.0版软件录入所有患者的临床资料,自动完成TI及ISS评分。采用汉密尔顿抑郁量表评估患者术后抑郁状况。结果死亡组TI与ISS评分显著高于生存组(P<0.05);TI评分的敏感度显著优于ISS评分(P<0.01),其他指标两者无显著性差异(P>0.05);随着TI与ISS评分升高,抑郁人数有上升趋势,1-15及≥16分区间,TI评分组抑郁人数显著高于ISS评分组(P<0.05)。结论相比ISS评分,TI评分具有高灵敏度、操作简单、易于掌握、应用范围广的特点,可及时反映急诊多发伤患者的伤情程度,并预测患者术后抑郁,有助于医务人员做出及时的治疗方案。Objective To investigate the predictive value of trauma index on patients＇ illness and depression with multiple injuries and craniocerebral trauma in emergency department. Method 1518 patients with multiple injuries enrolled in our hospital were selected as object. Trauma data system V3. 0 software developed by the 3ird military medical university was used to collect the clinical data. Hamilton depression table was used to evaluate the depression of patients after operation. Results TI and ISS scores of death group was significantly higher than that of survival group（ P〈0. 05）. Sensitivity of TI scores group was significantly lower than that of ISS score group（ P 0. 05）. With the mounting of TI and ISS scores,patients with depression rate increased,and significant difference was found between TI scores group and ISS score group between 10 - 15 scores and ≥16 range（ P 0. 05）. Conclusion Compared with ISS score,TI scores was more sensitive,simple,easy to control,extensive for usage,and could reflect the state of illness,predict depression,which was helpful for medical staff to make therapeutic schedule.

关 键 词：创伤指数 多发伤 预后 

分 类 号：R749[医药卫生—神经病学与精神病学]