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目的:本文针对急诊重度创伤的结局应用ASCOT法进行预测,对预测结果进行分析研究。方法:选取我院112例重度创伤患者,包括交通事故、火灾事故等造成的重度创伤患者,分为两组进行不同方法预测结局。其中常规组56例患者利用TRISS法进行预测,对照组56例患者利用ASCOT法进行结局预测,分别对比两组方法的灵敏度、准确度、特异性以及判断错误率,进行分析。结果:对照组比常规组中患者预测结局更准确,其灵敏度、特异性的概率更高,预测错误结局的概率也比常规组要低。比较两组数据信息,使得P<0.05,具有统计学意义,临床上具有比较意义。而计算所得患者造成重度创伤的方式与结局的数据计算,得到的P>0.05,不具有统计学意义。结论:在临床上对急诊重度创伤结局的预测应用ASCOT法准确率高、敏感性高、特异性高、判断错误率低,所以值得被应用于临床重度创伤结局的预测;而重度创伤结局与患者造成创伤的原因无关。
OBJECTIVE: In this paper, ASCOT method is used to predict the outcome of emergency severe trauma and the prediction results are analyzed. Methods: A total of 112 severe trauma patients in our hospital were selected, including severe trauma patients caused by traffic accidents and fire accidents. The patients were divided into two groups to predict the outcome by different methods. Among them, 56 patients in routine group were predicted by TRISS method, and 56 patients in control group were predicted by ASCOT method. The sensitivity, accuracy, specificity and judgment error rate of two groups were compared respectively. Results: The patients in the control group had more accurate predictive outcomes than those in the control group, the higher the sensitivity and specificity, the lower the probability of predicting the false outcome. Comparison of two sets of data, making P <0.05, with statistical significance, clinically meaningful. Calculating the data of patients with severe trauma caused by the way and outcome, the P> 0.05, not statistically significant. CONCLUSIONS: The clinical application of ASCOT in the prediction of severe traumatic outcomes in emergency is of high accuracy, high sensitivity, high specificity and low error rate. Therefore, it is worth to be used in the prediction of clinical severe traumatic outcomes. However, severe traumatic outcomes and patients The cause of the trauma has nothing to do.