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目的:探讨伤员创伤严重度与药品消耗之间的关系,为客观地描述战时药材需求和需求分布提供一种有用的方法。方法:运用简明损伤严重度评分法( A I S I S S)和反映药物利用的约定日剂量( D D D),研究“两山”作战中后方医院收治伤员的伤势和药品(抗感染药物)消耗的规律。结果:建立了战伤严重度 I S S值和抗感染药品消耗 D D D数的数学模型,其关系式为: Y= 16.99ln X- 0.53,决定系数r2 = 0.663 7, P< 0.01。在 I S S的一定范围内,抗感染药的使用频度随伤势的严重度增加而加大,且随着伤势的进一步加重,抗感染药物的使用有一个饱和的趋势。结论:解决了对伤员伤势难以量化的限制,对于揭示后方医院战伤救治药品消耗的一般规律具有实际意义。本方法具有使用方便、可操作性强的优点。
Objective: To explore the relationship between the severity of wounded trauma and the consumption of medicines, and to provide a useful method for objectively describing the demand and the distribution of wartime demand. Methods: Using the simple injury severity score (A I S-I S S) and the agreed daily dose (D D D) reflecting the use of drugs to study the wounds and drugs (anti-infection Drug consumption patterns. Results: The mathematical model of I S S value of war damage severity and the D D D of anti-infective drug product was established. The relational formula is: Y = 16.99ln X- 0.53, coefficient of determination r2 = 0.663 7, P <0.01. Within a certain range of ISS, the frequency of use of anti-infectives increased with the severity of the injury, and as the injury further aggravated, the use of anti-infectives tended to be saturated. Conclusion: This method solves the limitation of quantifying the injury of the wounded and has practical significance for revealing the general rule of drug consumption in rear hospital wounded. The method has the advantages of convenient use and strong operability.