534例多发伤患者流行病学特征及致命性危险因素分析  

Analysis of epidemiological characteristics and fatal risk factors in 534 patients with multiple injuries

作　　者：吴小青[1] 雷桂花[1] 沈荷娟[2] Wu Xiaoqing;Lei Guihua;Shen Hejuan(Department of Emergency Trauma Surgery, Lishui People′s Hospital, Lishui 323000, China;Department of General Surgery, Lishui People′s Hospital, Lishui 323000, China)

机构地区：[1]丽水市人民医院急诊创伤外科,浙江丽水323000 [2]丽水市人民医院普外科,浙江丽水323000

出　　处：《中国医院统计》2020年第6期510-513,共4页Chinese Journal of Hospital Statistics

摘　　要：目的探讨534例多发伤患者流行病学特征及致命性危险因素,以期为临床急救方案制定,合理利用医疗资源提供参考。方法选择2017年1月至2019年12月某院收治的534例多发伤患者作为研究对象,调查多发伤患者的流行病学特征;并经多因素logistic回归分析模型分析多发伤患者致命性危险因素。结果多发伤患者多见于男性(63.11%)、<60岁(57.68%)群体,夏季发生率较高,致伤原因主要是交通伤和高处坠落伤。单因素分析结果显示,多发伤患者死亡和年龄、受伤到入院就诊时间、ISS评分、休克、创伤数量存在密切相关性(P<0.05);多因素logistic回归分析结果显示,患者年龄≥60岁、受伤到入院就诊时间≥3 h、ISS评分≥16分、休克、创伤数量≥4处为多发伤患者致命性危险因素(P<0.05)。结论多发伤患者致命性危险因素主要有年龄≥60岁、受伤到入院就诊时间≥3 h、ISS评分≥16分、休克、创伤数量≥4处等,临床需制定针对性应急救治方案,以提高多发伤患者生存质量。Objective To investigate the epidemiological characteristics and fatal risk factors of 534 patients with multiple injuries,and to provide theoretical references for formulating clinical emergency plans and rational use of medical resources.Methods Five hundred and thirty-four cases of patients with multiple injuries admitted in our hospital from January 2017 to December 2019 were selected as the subjects of this study.The epidemiological characteristics of patients with multiple injuries were investigated and multi-factor logistic regression analysis model was used toanalyze the fatal risk factors of patients with multiple injuries.Results The patients with multiple injuries were more common in men(63.11%)and<60 years old(57.68%).The incidence was high in summer,and the main causes of injuries were traffic injuries and fall injuries from heights.The univariate analysis showed that there was a close correlation between the death of patients with multiple injuries and age,the time from injury to admission,ISS score,shock,and the number of trauma(P<0.05).Multivariate logistic regression analysis showed that patients aged≥60 years old,injury to admission to hospital for≥3 h,ISS score≥16 points,shock,and trauma number≥4 were independent fatal risk factors for patients with multiple injuries(P<0.05).Conclusion The fatal risk factors for patients with multiple injuries are mainly age≥60 years,the time from injury to hospital admission≥3 h,ISS score≥16 points,shock,and the number of traumas≥4,etc.Therefore,it is necessary to formulate a targeted emergency treatment plan in order to improve the quality of life of patients with multiple injuries.

关 键 词：多发伤 流行病学特征 致命性 危险因素 

分 类 号：R195.4[医药卫生—卫生统计学]