乌鲁木齐市严重创伤流行病学调查及救治情况

发布时间：2018-02-04 17:08

本文关键词： 严重创伤流行病学救治　出处：《新疆医科大学》2013年硕士论文　论文类型：学位论文

【摘要】：目的:探讨能够科学反映我市严重创伤患者的研究和救治情况，并分析创伤治过程中可能存在的问题，揭示我市现阶段的严重创伤流行病学特征，为我们创伤的研究和救治工作提供帮助。方法:对我市严重创伤研究和救治的现状与发展情况进行需求分析，对其受伤时间、受伤部位、致伤诱因及病因、救治等进行分析。建立数据库，并对所有数据均通过统计软件SPSS10.0进行分析处理求P值。结果:通过对我市接诊的10702例严重创伤患者资料的整理和分析，初步揭示了我市严重创伤病人的发病规律和一般特点，发现乌鲁木齐市医院接诊的创伤患者人数逐年增加;严重创伤患者占院前急救患者总数的比例也在逐年增加;在各项原因导致患者严重创伤，交通伤、摔伤以及暴力伤位居我市严重创伤患者的前3名，其中男性和女性致伤原因的构成比不全相同;严重创伤患者在不同民族和不同时间中的分布也有所不同;根据受伤部位来看，位居前三位的分别为:四肢的损伤及骨折、多发伤、头颈部损伤;严重创伤多发生的年龄段分别为:21一30岁、31一40岁、41一50岁;致伤原因在不同年龄段的分布也有所不同;每天所好发的时间段分别为:9:00一12:00,12:00一15:00,15:00一18:00,18:00一21:00;每年好发创伤的月份分别为:五月、六月、七月、八月。结论:严重创伤的救治是一个连续不问断的过程，尤其是危重患者的生命体征同样处于动态变化中，深入研究人群中严重创伤发生的诱发因素、流行的规律和预防措施，，为减少创伤的发生提供一个理论的依据;此项调查通过对我市严重创伤病人的年龄、职业、性别、族别以及严重创伤所发生的时间等多种相关因素进行流病调查，为科学合理的培训、组织专业人员，使患者降低死亡率，得到最快、最好的院前救护提供了初步的理论依据。
[Abstract]:Objective: to explore the research and treatment of severe trauma patients in our city, analyze the possible problems in the process of trauma treatment, and reveal the epidemiological characteristics of severe trauma in our city at the present stage. Methods: the present situation and development of the research and treatment of severe trauma in our city were analyzed, and the time, location, inducement and etiology of the injury were analyzed. The treatment was analyzed and the database was established. All the data were analyzed and processed by statistical software SPSS10.0. Results: the data of 10702 patients with severe trauma were collected and analyzed. The occurrence law and general characteristics of severe trauma patients in our city were revealed. It was found that the number of trauma patients received by Urumqi hospital increased year by year. The proportion of severe trauma patients in the total number of pre-hospital emergency patients is also increasing year by year. The causes of severe trauma, traffic injury, fall injury and violence injury were among the top three in our city, among which the ratio of male and female injury was not all the same. The distribution of severe trauma patients was different in different nationalities and different time. According to the injury site, the top three were: limb injury and fracture, multiple injuries, head and neck injury; The most common age groups of severe trauma were: 21 to 30 years old, 31 to 40 years old and 41 to 50 years old; The distribution of the causes of injury was different in different age groups. The time period for each day was: 9: 00 to 12: 00, 12: 00 to 15: 00, 15: 00 to 18: 00 to 18: 00 to 21: 00; The months of trauma were May, June, July, July. Conclusion: the treatment of severe trauma is a continuous process, especially the vital signs of critically ill patients are also in dynamic change. In order to provide a theoretical basis for reducing the occurrence of severe trauma, the inducing factors, epidemic rules and preventive measures of severe trauma in the population were deeply studied. Through the investigation of the age, occupation, sex, race and the time of serious trauma of the patients in our city, we carried out a survey of the disease, for scientific and reasonable training, organization of professional personnel. To reduce the mortality rate and get the fastest and best pre-hospital rescue provides a preliminary theoretical basis.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R641

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