CRAMS评分在院前急性创伤患者中应用研究.docVIP

CRAMS评分在院前急性创伤患者中应用研究 　　[摘要]目的 探讨CRAMS评分在急性创伤患者中的应用效果情况。方法 分析2014年1月～2015年12月我院收治的急性创伤患者240例临床资料进行分析，依据是否实施CRAMS评分进行分组，对照组120例和观察组120例，观察两组急性创伤患者接诊到确诊时间、急救实施时间、术前准备时间、院前明确诊断、转运成功率、转运死亡率、急救成功率、急救死亡率和患者家属满意度情况。结果 观察组急性创伤患者接诊到确诊时间、急救实施时间、术前准备时间、转运死亡率、急救死亡率均低于对照组，院前明确诊断、转运成功率、急救成功率和患者家属满意度均高于对照组，差异均有统计学意义（P0.05）。结论 CRAMS评分在急性创伤患者应用，可以明显提高抢救效率和成功率，降低死亡率，值得临床推广应用。 　　[关键词]CRAMS评分；急性创伤；效果 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2017）04（b）-0183-03 　　The application research of acute trauma patients by CRAMS score 　　YANG Qiu-na 　　Department of Emergency，Xiangya Pingkuang Coperation Hospital in Jiangxi Province，Pingxiang 337000，China 　　[Abstract]Objective To approach result of acute trauma patients by CRAMS score.Methods The 240 clinical datas of acute trauma patients in emergency surgery of our hospital from January 2014 to December 2015，which was to be divided into two groups by carrying out CRAMS score or not，control group 120 cases and detection group 120 cases，the admissions to diagnosis time，first aid implementation time，preoperative preparation time，pre-hospital diagnosis，transfer success rate，transfer mortality，first aid success rate，first aid mortality and patients family satisfaction of two groups acute trauma patients were detected.Results The admissions to diagnosis time，first aid implementation time，preoperative preparation time，transfer mortality，first aid mortality of detection group acute trauma patients were lower than control group，pre-hospital diagnosis，transfer success rate，first aid success rate and patients family satisfaction were higher than control group，the difference were statistical significance （P0.05）.Conclusion The application of CRAMS score in acute trauma patients，can increase rescue efficiency and success rate，decrease mortality.It is worth to be used. 　　[Keyword]CRAMS score；Acute trauma；Effect 　　?S着人类生产活动的增多，急性创伤的发生率明显升高，成为威胁人类生命的主要原因之一，占全世界总死亡率的7%[1]。因死亡率的升高，创伤急救逐步引起人们的广泛关注，其作为急诊医学中重要组成部分，可提高急救反应能力和临床救治水平，提高急性创伤患者的存活率，降低伤残率[2]。