修正CRAMS评分法在院前创伤患者中的应用  

Application of modified CRAMS score in pre-hospital trauma patients

作　　者：刘德忠[1] 李学东[1] 陈英杰[1] 林重辉[1] 

机构地区：[1]汕头大学医学院第一附属医院急诊科,515041

出　　处：《中国实用医药》2016年第36期182-184,共3页China Practical Medicine

基　　金：广东省高水平大学重点学科建设"感染性疾病研究与防治"(项目编号:2016011)

摘　　要：目的探讨修正CRAMS评分法对创伤患者院前救治评估的可行性。方法 1273例急诊创伤患者,对其进行标准CRAMS评分及修正CRAMS评分,将修正前后CRAMS评分与创伤严重程度特征评价方法 (ASCOT)进行一致性分析。结果修正CRAMS评分组与标准CRAMS评分组创伤类型比较差异无统计学意义(P>0.05)。经一致性检验,标准CRAMS评分与ASCOT评分的一致性好(Kappa=0.870,P<0.05);而修正CRAMS评分与ASCOT评分的一致性好(Kappa=0.941,P<0.05),修正后的CRAMS评分与ASCOT评分的一致性要高于标准CRAMS评分。结论修正CRAMS创伤评估法可能在院前创伤评估中更准确,可有效降低创伤患者的病死率,提高抢救成功率。Objective To investigate feasibility of modified CRAMS score in pre-hospital treatment and evaluation for trauma patients. Methods A total of 1273 emergency trauma patients were evaluated by standard and modified CRAMS score, and consistency analysis was made on CRAMS score before and after modification and a severity characterization of trauma （ASCOT）. Results Trauma type had no statistically significant difference in modified CRAMS score group and standard CRAMS score group （P〉0.05）. According to consistency check, standard CRAMS score and ASCOT score had good consistency （Kappa=0.870, P〈0.05）, while modified CRAMS score and ASCOT score also had good consistency （Kappa=0.941, P〈0.05）. Modified CRAMS score and ASCOT score had high consistency than standard CRAMS score. Conclusion Modified CRAMS score proves to be more precise in pre-hospital trauma evaluation, which can effectively reduce case fatality rate in trauma patients, and increase successful rescue rate.

关 键 词：创伤评估 院前创伤急救 创伤评分 

分 类 号：R641[医药卫生—外科学]