鲁甸地震创伤住院患者救治情况分析  

Study on the treatment of Ludian earthquake trauma patients

作　　者：马晶晶[1] 罗文东[1] 赵刚[1] 舒钧[1] 沈智 林丰[1] 袁勇[1] 何绍烜[1] 郭立民[1] 

机构地区：[1]昆明医科大学第二附属医院创伤外科,云南省创伤外科研究中心,云南昆明650101 [2]昆明医科大学第二附属医院医务科,云南昆明650101

出　　处：《云南医药》2018年第1期4-7,共4页Medicine and Pharmacy of Yunnan

基　　金：云南省创伤外科研究中心项目(2014NS098)

摘　　要：目的系统研究分析鲁甸地震创伤病人的救治情况,为地震灾害救治提供理论依据。方法应用描述性流行病学方法,对8.03鲁甸地震以来鲁甸县人民医院及昭通市人民医院收治的共计588例创伤患者进行调研,并进行回顾性问卷调查。调查内容包括院前救治、伤员转运、伤员感染及抗生素使用情况、治疗方式及治疗效果等。所得结果进一步进行统计分析。结果接受专业医务人员的院前急救伤员比例较少,以伤口止血包扎(72.87%)为主。伤员转运中24h内转运(42.78%)最多,其次为24~48h内转运(23.89%),向市级医院转运(68.33%)为主。伤员中共有112例患者出现感染情况,感染率(19.05%)较高,病原菌送检及检出率较低。治疗以保守治疗比例最高,为48.98%,行皮肤清创缝合术病例占17.35%,行手术治疗病例占15.99%;手术治疗中行四肢、脊柱、骨盆损伤相关手术最多,占82.98%;术式以骨折复位内固定术为主。患者经住院治疗后痊愈率为62.42%,好转率33.67%,影响治疗效果的因素中医疗条件限制比例最高。结论加快创伤急救队伍的建设,加强急救器材的研制,有助于在类似灾害中采取有针对性的预防措施和救治方案,合理利用医药资源,提高创伤患者救治成功率。Objective The research and analysis of Ludian earthquake trauma patients.To provide theoretical basis for the treatment of earthquake disaster. Methods Using descriptive epidemiological method,the medical records of 588 cases of trauma patients who admitted to Ludian People's Hospital and Zhaotong People's Hospital since 8.03 Ludian earthquake were investigated, and a retrospective questionnaire survey was conducted. The survey content included mechanism of injury distribution, geographical distribution, pre-hospital first-aid, the infection and antibiotic used, treatment and therapeutic effects etc. Then, the results were further analyzed by statistical analysis.Results The proportion of patients received professional first aid in pre-hospital was less, and the method was mainly hemostasis and bandage accounted for 72.87%.The patients are transferred within 24 hours mainly, accounted for 42.78%. And the transferred hospital was municipal hospital, accounted for 68.33%. There were 112 patients with infection, and the infection rate was higher, accounted for 19.05%, but the submission and the detection rate for pathogenic bacteria was low. With conservative treatment as the main therapy, the proportion was 48.98%, the operation of debridement and suture cases accounted for 17.35%, and the surgical treatment cases accounted for15.99%. The operation included mainly the musculoskeletal system surgery, accounted for 82.98%. And the musculoskeletal system surgery mainly included reduction and fixation. After hospitalization, the cure rate was62.42% and the improvement rate was 33.67%. Limitations of medical conditions were the most important factors influencing the treatment effect. Conclusion To speed up the construction of trauma emergency team and strengthen the development of emergency equipment is helpful to take targeted preventive measures and treatment programs in similar disasters, and make rational use of medical resources so as to improve the success rate of treatment of trauma patients.

关 键 词：鲁甸 地震 创伤 救治 

分 类 号：R605.97[医药卫生—急诊医学]