[损伤严重度评分在多发性颌面损伤评估中的应用]

[Assessment of the injury severity score in evaluation of multiple maxillofacial injuries].

作者信息

Wang Di, Lu Li

机构信息

Department of Oral and Maxillofacial Surgery, China Medical University, Shenyang 110002, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2008 Nov;43(11):646-9.

PMID:19087635

Abstract

OBJECTIVE

To compare the superiority of abbreviated injury scale (AIS) 2005 and AIS 1998 for evaluation of maxillofacial injury severity and major trauma outcome.

METHODS

A total of 450 trauma patients evaluated by AIS 2005 and AIS 1998 from July 2005 to January 2007 were analyzed retrospectively.

RESULTS

The mortality and morbidity of complications in trauma patients were ascending with the increase of injuries severity score (ISS). The ascending tendency in mortality was more notable in injuries severity score (ISS) > 20 in AIS 2005. The mortality in trauma patients in AIS 2005 was significantly lower than those in AIS 1998 in ISS > 15, < 20 (P = 0.001). The ascending tendency to morbidity of complications was more notable in other ISS groups in AIS 2005 than those in AIS 1998.

CONCLUSIONS

The evaluation of injury severity and major trauma outcome by ISS based on AIS 2005 is superior to based on AIS 1998. It is reasonable to definite severe trauma by ISS value greater than 20 in AIS 2005.

摘要

目的

比较简明损伤定级标准（AIS）2005版和1998版在评估颌面部损伤严重程度及主要创伤结局方面的优越性。

方法

回顾性分析2005年7月至2007年1月期间采用AIS 2005版和AIS 1998版评估的450例创伤患者。

结果

创伤患者的死亡率及并发症发病率随损伤严重程度评分（ISS）的增加而上升。在AIS 2005版中，损伤严重程度评分（ISS）>20时，死亡率的上升趋势更为显著。在ISS>15且<20时，AIS 2005版创伤患者的死亡率显著低于AIS 1998版（P = 0.001）。AIS 2005版中其他ISS组并发症发病率的上升趋势比AIS 1998版更为显著。