意外伤害住院伤员损伤程度评分法与创伤严重度改良评分法比较

摘要

Objective:To compare the advantages and disadvantages of the injury severity score (ISS) and revised injury severity score (RISS) on the wounded of accidental injury,to provide a more appropriate wounded injury assessing method.Methods:A total of 2 282 wounded of accidental injury patients in hospital were evaluated by ISS and RISS.Results:RISS involved 3 743 (93.60％)wounded parts;ISS involved 3 140 (78.52％)wounded parts.RISS assessed 81.85％ wounded correctly and ISS only 42.07％ with multiple injuries.The group A and group B,group C and group B,group C and group D existed significant difference in ISS scores (P＜0.05),and the RISS method showed group A and group B,group C and group D had significant difference (P＜0.05),with no significant difference between group B and group C (P ＞0.05),which were more realistic.Conclusion:RISS is simple and can assess the injury severity of the wounded of accidental objectively and accurately,which fits for assessing accident harm wounded severity.%目的:使用创伤严重度改良评分法(RISS)对意外伤害住院伤员伤情严重度进行评估,探讨比较损伤严重程度评分法(ISS)与RISS在意外伤害伤员伤情严重度评估中的优缺点,为伤员伤情评估提供更合适的方法.方法:分别运用ISS和RISS对某医院近年意外伤害伤员2 282例进行评估分析.结果:RISS共涉及损伤部位3 743(93.60％)处;ISS共涉及损伤部位3 140(78.52％)处.在多发伤伤员中,RISS正确评估率为81.85％,ISS正确评估率仅为42.07％.ISS显示,A组与B组,B组与C组,C组与D组均有显著性差异(P＜0.05);而RISS显示,A组与B组,C组与D组有显著性差异(P＜0.05),B组与C组无显著性差异(P＞0.05),更符合实际情况.结论:RISS简单易行,且能客观准确地评估意外伤害伤员中各类损伤的创伤严重度,适合在地质灾害、局部战争、突发事件等灾害后评估伤员伤情严重度.