多发伤后全身炎症反应综合征相关因素分析

目的探讨多发伤后全身炎症反应综合征（SIRS）的发生率和病死率，以及SIRS评分对早期预测患者预后的有效性。方法对我院创伤外科108例多发伤患者进行SIRS评分，分为非SIRS组和轻、中、重度SIRS组共4组，比较各组间的病死率，并分析相关因素的影响及SIRS评分的关系。结果SIRS组病死率明显高于非SIRS组（P〈0．05）；且随着SIRS严重程度的增加，患者病死率明显升高（P〈0．01）。同时多发伤病死率也随着相关因素的增加而增高（P〈0．05）。结论入院后SIRS评分操作简单，对独立预测多发伤患者预后、进行早期干预、提高救治水平具有临床指导意义。

Study on the correlative factors of systemic inflammatory response syndrome after multiple injury

Objective The study was designed to investigate the incidence and mortality rate of systemic inflammatory response syndrome ( SIRS) after multiple injury, and study the availability of prognosis prediction. Methods 108 patients were divided into non-SIRS group and light,moderate,heavy SIRS groups. The mortality rate of SIRS groups was compared with that of the non-SIRS group. The effect of relative factors and the relationship between mortality rate and SIRS score were analyzed. Results The mortality rate of SIRS groups was significantly higher as compared with that of non-SIRS group(P <0. 05). When the severity of sensitive risk factors increased, the incidence and mortality rate of SIRS increased ( P < 0. 05 ). Conclusion SIRS score at admission is a simple method to predict independently the prognosis of multiple injury patients and improve the medical treatment.