本文關(guān)鍵詞： 急診 滯留時(shí)間 創(chuàng)傷 生存狀況　出處：《中國老年學(xué)雜志》2016年06期 　論文類型：期刊論文

【摘要】：目的探討急診滯留時(shí)間對老年創(chuàng)傷患者生存狀況的影響。方法 120例該院急診多發(fā)傷老年患者,詳細(xì)記錄患者信息,隨訪2個(gè)月記錄患者生存狀況,篩選出影響患者生存狀況的相關(guān)因素;同時(shí)根據(jù)急診滯留時(shí)間分為無滯留組(6 h),輕度滯留組(6 h≤滯留時(shí)間72 h),嚴(yán)重滯留組(滯留時(shí)間≥72 h)。分析不同急診滯留時(shí)間對老年創(chuàng)傷患者生存狀況的影響。結(jié)果 120例老年創(chuàng)傷患者中10例(8.3%)死亡。死亡組患者年齡、損傷嚴(yán)重評分(ISS)及急診滯留時(shí)間明顯高于生存組,與老年創(chuàng)傷患者生存狀況存在相關(guān)性(P0.05);多因素分析發(fā)現(xiàn)高齡、ISS評分高及急診滯留時(shí)間延長是老年創(chuàng)傷患者死亡的獨(dú)立危險(xiǎn)因素(P0.05)。無滯留組生存率高于輕度及嚴(yán)重滯留組(P0.05);輕度滯留組生存率高于嚴(yán)重滯留組(P0.05)。結(jié)論急診滯留時(shí)間延長可明顯增加老年創(chuàng)傷患者死亡率,在臨床實(shí)際中需進(jìn)行有效協(xié)調(diào)盡可能使該類患者住院,避免滯留時(shí)間延長帶來的不良影響。
[Abstract]:Objective to investigate the effect of emergency residence time on survival status of elderly patients with trauma. Methods 120 cases of the hospital emergency multiple injuries in elderly patients, detailed records of patient information, follow-up 2 months recorded the survival status of the patients, screening out the related factors that affect the survival of patients; at the same time according to the emergency detention time divided into non retention group (6 h group (6), mild retention retention time of H is less than or equal to 72 h), severe group (retention retention time = 72 h). Analysis of the effect of emergency residence time on the survival status of elderly patients with trauma. Results 120 cases of elderly patients with trauma in 10 cases (8.3%) died. The death age of patients, injury severity score (ISS) and emergency residence time was significantly higher than the survival group, correlation and survival status of elderly patients with wound (P0.05); multi factor analysis showed that age, high ISS score and prolong the retention time of emergency are independent risk factors of death in elderly patients with trauma (P 0.05). No stranded group survival rate higher than that of mild and severe retention group (P0.05); mild retention group survival rate is higher than the severe group retention (P0.05). Conclusion emergency residence time prolonged significantly increased mortality in elderly patients with trauma in clinical practice, the need for effective coordination as far as possible to make the patients in hospital, avoid prolonged residence time the adverse effects.

【作者單位】： 江蘇大學(xué)附屬醫(yī)院急診外科;
【分類號】：R641
【正文快照】： 急診創(chuàng)傷發(fā)病急、病情重,死亡率比較高,但臨床上由于多種因素影響,急診創(chuàng)傷患者不能及時(shí)住院治療。研究發(fā)現(xiàn)〔1〕,急診滯留時(shí)間會(huì)嚴(yán)重增加患者住院時(shí)間及住院費(fèi)用,但其對老年創(chuàng)傷患者生存預(yù)后的研究尚少。本研究旨在探討急診滯留時(shí)間對老年創(chuàng)傷患者生存狀況的影響。1對象和方

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本文編號：1474872