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创伤信息管理系统在严重创伤患者救治中的作用

Role of trauma management information system in treating and curing victim with severe trauma

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【作者】 卫波方伟敏赵李克沈伟

【Author】 WEI Bo;FANG Weimin;ZHAO Like;Emergency Trauma Center,Shanghai Pudong New Area People′s Hospital;

【机构】 上海市浦东新区人民医院急救创伤中心

【摘要】 目的探讨《创伤信息管理系统》(TMIS)在救治严重创伤患者中的作用。方法应用TMIS后ICU收治严重创伤患者117例(A组),应用TMIS前收治严重创伤患者84例(B组)。比较使用TMIS前后ICU收治严重创伤患者的救治效率及质量。结果 A组从急诊收入ICU的耗时明显少于B组[(6.5±4.4)h vs.(15.8±10.2)h](P<0.01),住ICU时间和总住院日均明显短于B组[(4.7±3.2)d vs.(5.6±3.0)d和(13.2±11.8)d vs.(16.9±10.7)d](P<0.05)。A组严重创伤患者治愈率明显高于B组(78.6%vs.54.8%)(P<0.05)。A组病死率低于B组(7.7%vs.20.2%)(P<0.05)。结论使用TMIS对严重创伤的救治效率及救治质量均起到了积极作用。

【Abstract】 Objective To investigate the role of the trauma management information system(TMIS)in treating and curing victim with severe trauma(NISS≥16points).Methods A total of 117patients with severe trauma admitted to ICU after the implementation of the TMIS was taken as group A and that of 84cases before carring out the TMIS was taken as group B.The efficiency and quality of treatment were compared between two groups.Results The time from admitted to emergency department to ICU was shorter in group A than that in group B[(6.5±4.4)h vs.(15.8±10.2)h](P<0.01).So did ICU stay[(4.7±3.2)d vs.(5.6±3.0)d]and total hospital stay[(13.2±11.8)d vs.(16.9±10.7)d](P<0.05).The cure rate was higher in group A than that in group B(78.6%vs.54.8%)(P<0.05)and the mortality was lower in group A than that in group B(7.7% vs.20.2%)(P<0.05).Conclusion The application of TMIS produces an active effect on the efficiency and quality of treating the patients with severe trauma.

【基金】 上海市卫生局上海市加强公共卫生体系建设3年行动计划(2011-2013年)(沪府办发[2011]55号);上海市卫生局科研项目(20124445)
  • 【文献出处】 江苏医药 ,Jiangsu Medical Journal , 编辑部邮箱 ,2013年18期
  • 【分类号】R641
  • 【被引频次】2
  • 【下载频次】56
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