本文關(guān)鍵詞： 嚴(yán)重創(chuàng)傷 流行病學(xué) 救治　出處：《新疆醫(yī)科大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:探討能夠科學(xué)反映我市嚴(yán)重創(chuàng)傷患者的研究和救治情況，并分析創(chuàng)傷治過程中可能存在的問題，揭示我市現(xiàn)階段的嚴(yán)重創(chuàng)傷流行病學(xué)特征，為我們創(chuàng)傷的研究和救治工作提供幫助。方法:對(duì)我市嚴(yán)重創(chuàng)傷研究和救治的現(xiàn)狀與發(fā)展情況進(jìn)行需求分析，對(duì)其受傷時(shí)間、受傷部位、致傷誘因及病因、救治等進(jìn)行分析。建立數(shù)據(jù)庫，并對(duì)所有數(shù)據(jù)均通過統(tǒng)計(jì)軟件SPSS10.0進(jìn)行分析處理求P值。結(jié)果:通過對(duì)我市接診的10702例嚴(yán)重創(chuàng)傷患者資料的整理和分析，初步揭示了我市嚴(yán)重創(chuàng)傷病人的發(fā)病規(guī)律和一般特點(diǎn)，發(fā)現(xiàn)烏魯木齊市醫(yī)院接診的創(chuàng)傷患者人數(shù)逐年增加;嚴(yán)重創(chuàng)傷患者占院前急救患者總數(shù)的比例也在逐年增加;在各項(xiàng)原因?qū)е禄颊邍?yán)重創(chuàng)傷，交通傷、摔傷以及暴力傷位居我市嚴(yán)重創(chuàng)傷患者的前3名，其中男性和女性致傷原因的構(gòu)成比不全相同;嚴(yán)重創(chuàng)傷患者在不同民族和不同時(shí)間中的分布也有所不同;根據(jù)受傷部位來看，位居前三位的分別為:四肢的損傷及骨折、多發(fā)傷、頭頸部損傷;嚴(yán)重創(chuàng)傷多發(fā)生的年齡段分別為:21一30歲、31一40歲、41一50歲;致傷原因在不同年齡段的分布也有所不同;每天所好發(fā)的時(shí)間段分別為:9:00一12:00,12:00一15:00,15:00一18:00,18:00一21:00;每年好發(fā)創(chuàng)傷的月份分別為:五月、六月、七月、八月。結(jié)論:嚴(yán)重創(chuàng)傷的救治是一個(gè)連續(xù)不問斷的過程，尤其是危重患者的生命體征同樣處于動(dòng)態(tài)變化中，深入研究人群中嚴(yán)重創(chuàng)傷發(fā)生的誘發(fā)因素、流行的規(guī)律和預(yù)防措施，，為減少創(chuàng)傷的發(fā)生提供一個(gè)理論的依據(jù);此項(xiàng)調(diào)查通過對(duì)我市嚴(yán)重創(chuàng)傷病人的年齡、職業(yè)、性別、族別以及嚴(yán)重創(chuàng)傷所發(fā)生的時(shí)間等多種相關(guān)因素進(jìn)行流病調(diào)查，為科學(xué)合理的培訓(xùn)、組織專業(yè)人員，使患者降低死亡率，得到最快、最好的院前救護(hù)提供了初步的理論依據(jù)。
[Abstract]:Objective: to explore the research and treatment of severe trauma patients in our city, analyze the possible problems in the process of trauma treatment, and reveal the epidemiological characteristics of severe trauma in our city at the present stage. Methods: the present situation and development of the research and treatment of severe trauma in our city were analyzed, and the time, location, inducement and etiology of the injury were analyzed. The treatment was analyzed and the database was established. All the data were analyzed and processed by statistical software SPSS10.0. Results: the data of 10702 patients with severe trauma were collected and analyzed. The occurrence law and general characteristics of severe trauma patients in our city were revealed. It was found that the number of trauma patients received by Urumqi hospital increased year by year. The proportion of severe trauma patients in the total number of pre-hospital emergency patients is also increasing year by year. The causes of severe trauma, traffic injury, fall injury and violence injury were among the top three in our city, among which the ratio of male and female injury was not all the same. The distribution of severe trauma patients was different in different nationalities and different time. According to the injury site, the top three were: limb injury and fracture, multiple injuries, head and neck injury; The most common age groups of severe trauma were: 21 to 30 years old, 31 to 40 years old and 41 to 50 years old; The distribution of the causes of injury was different in different age groups. The time period for each day was: 9: 00 to 12: 00, 12: 00 to 15: 00, 15: 00 to 18: 00 to 18: 00 to 21: 00; The months of trauma were May, June, July, July. Conclusion: the treatment of severe trauma is a continuous process, especially the vital signs of critically ill patients are also in dynamic change. In order to provide a theoretical basis for reducing the occurrence of severe trauma, the inducing factors, epidemic rules and preventive measures of severe trauma in the population were deeply studied. Through the investigation of the age, occupation, sex, race and the time of serious trauma of the patients in our city, we carried out a survey of the disease, for scientific and reasonable training, organization of professional personnel. To reduce the mortality rate and get the fastest and best pre-hospital rescue provides a preliminary theoretical basis.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R641

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