摘要
目的探讨改良创伤评估法在海上救治分类中的作用。方法采用改良的院前创伤评估法(即改良CRAMS评分)用于批量伤病员的急救分诊,即在评估CRAMS(循环,circulation;呼吸,respiration;胸腹部,abdomen;运动,motor;语言,speech)的同时,增加尿量、瞳孔两项指标,用于全身伤情综合评估,分别比较标准CRAMS和改良CRAMS创伤评估法与院内伤情的创伤严重程度特征评价方法(a severity characterization of trauma,ASCOT)评估法的一致性。结果标准CRAMS创伤评估法和改良CRAMS创伤评估法与院内伤情评估的ASCOT评估法都有较好的一致性(Kappa=0.821,P<0.05;Kappa=0.947,P<0.05),且改良CRAMS伤情评估法的准确性要高于标准CRAMS评估法。结论改良CRAMS创伤评估法是一种更精确的院前创伤评估法,可有效降低海上医疗救治中创伤患者的病死率,提高抢救成功率,值得推广应用。
Objective To study the effect of revised trauma evaluation method in emergency treatment classification at sea. Methods Revised trauma evaluation method was used in emergency triage of mass patients. Based on CRMAS （circulation,respiration,abdomen,motor, speech）, the item of urine volume and pupil were used to evaluate the general condition, The consistency of CRAMS method and revised CRAMS method with a severity characterization of trauma （ASCOT） method were compared. Results The Kappa value between CRAMS and ASCOT method was 0. 821 （P〈0. 05）, and between revised CRAMS and ASCOT 0. 947 （P〈0. 05）. The revised CRAMS method showed a more accurate evaluation than CRAMS method. Conclusion Revised trauma evaluation method is more effective in pre-hospital emergency evaluation and should be used widely to reduce fatality rate and raise emergency treatment success rate at sea.
出处
《华南国防医学杂志》
CAS
2014年第5期484-486,共3页
Military Medical Journal of South China
关键词
创伤评估
创伤急救
创伤评分
Trauma evaluation
Emergency treatment of trauma
Trauma score
