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目的:研究分析医院急诊创伤评分(ETS)的临床应用价值,为急诊抢救提供更加合适的临床方案。方法:选择2012年6月至2013年6月在我院急诊抢救的90例患者作为研究对象。以数字法随机分成观察组和对照组,每组各45例。对照组由抢救医师依照患者病史、症状及体征进行急救诊断;观察组则由抢救医师根据ETS评分进行记录判定,辅助其作出急救诊断。统计并对比两组患者急救情况、院内转运时间及抢救时间,分析影响患者抢救成功的危险因素。结果:观察组患者在明确诊断及抢救成功方面的比例均显著高于对照组,但死亡率显著低于对照组,差异均有统计学意义(均P<0.05)。观察组的院内转运时间及抢救时间均显著少于对照组,差异均有统计学意义(均P<0.05)。Logistic回归分析显示,年龄>60岁,未使用ETS评分及合并多处创伤均为影响患者抢救成功的危险因素。结论:ETS评分可较好的判定出急诊创伤患者的伤情,利于抢救治疗,有效增加抢救成功率,值得临床推荐。
Objective: To study and analyze the clinical value of hospital emergency trauma score (ETS) and provide a more suitable clinical plan for emergency treatment. Methods: From June 2012 to June 2013, 90 patients were treated in our hospital for emergency treatment as the research object. Randomly divided into digital observation group and control group, 45 cases in each group. The control group was diagnosed by the rescue physician according to the patient’s medical history, symptoms and signs. The observation group was judged by the rescue physician based on the ETS score, which assisted the emergency medical diagnosis. Statistics and comparison of two groups of patients emergency situation, hospital transit time and rescue time, analysis of the risk factors affecting the success of the rescue. Results: The proportion of patients in the observation group was significantly higher than that of the control group, but the mortality rate was significantly lower than that of the control group (all P <0.05). The time of in-hospital transit and the rescue time in the observation group were significantly less than those in the control group, with significant differences (all P <0.05). Logistic regression analysis showed that age> 60 years, unused ETS scores and multiple trauma were the risk factors of successful rescue. Conclusion: ETS score can better determine the injury of emergency trauma patients, which is beneficial to rescue treatment and effectively increase the success rate of rescue. It is worth clinical recommendation.