摘要
目的:探讨入院时SIRS评分在多发伤患者预后判断中的意义。方法:对589例多发伤患者进行入院SIRS评分,分析多发伤患者SIRS评分与休克率、ICU率及死亡率之间的关系。结果:SIRS的发生率为36.0%,其中属轻(2分)、中(3分)、重度(4分)SIRS分别是156例(24.1%)、62例(9.6%)、15例(2.3%)。多发伤的休克率、ICU率随着SIRS评分分值的增加而增高(P<0.05)。SIRS评分2、3、4死亡的相对危险性分别是非SIRS组的6.17(4.22～8.61)、9.23(7.65～12.39)、12.19(9.71～16.78)倍,差异有统计学意义(P<0.001)。结论:入院SIRS评分与疾病严重程度密切相关,具有独立预测多发伤患者预后的价值,并且该评分简便易得,值得临床推广应用。
Objective： to discuss the significance of admission systemic inflammatory reaction syndrome （SIRS） score in prognosis judgment of multiple trauma patients. Methods：from January 2010 to January 2012, admission SIRS scores were clone in 589 cases with multiple trauma patients, and the relationship between SIRS scores and shock rate, ICU rate and death were analyzed. Results ： the incidence of SIRS was 36.0 % , in which mild （2） , moderate（ 3）, severe （4） were 156 cases （24.1 % ）, 62 cases （9.6 % ）, 15 cases（2.3 %）. The shock rate, ICU rate in multiple trauma patients were gradually increased with the increment of SIRS scores （P〈0.05）. The relative risks of SIRS score 2, 3, 4 group were 6.17（4.22-8.61）, 9.23（7.65-12.39）, 12.19（9.71-16.78） times of non--SIRS group（P〈0. 001）. Conclusion： admission SIRS score is significantly correlated with disease degree, and has independent prognosis value, and this score can be easily obtained, which can be applied in clinic.
出处
《亚太传统医药》
2012年第12期162-163,共2页
Asia-Pacific Traditional Medicine
