大客车正面碰撞车内乘员损伤AIS评分的个案分析
AIS Score Analysis of Passenger Injuries in Coach Head-on Collision
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摘要: 目的 基于大客车正面碰撞事故车内乘员损伤AIS (abbreviated injury scale) 评分, 分析损伤的影响因素和特征, 探讨预防措施.方法 采用事故深度调查方法, 对人体损伤及相关因素进行统计和回归分析.结果性别对损伤AIS值影响无显著性差异, 乘员损伤部位主要是头部 (AIS均值=3.7647) 和胸部 (AIS均值=4.000) , t检验无显著性差异 (t=-0.275, P=0.785>0.05) ;前3排乘员平均损伤 (AIS=4.750) 显著大于3排后的损伤 (AIS=1.706) (t=-4.819, P<0.05) ;座椅连接牢固、使用安全带可显著减轻乘员损伤程度;单因素方差分析表明年龄、第几排和安全带是乘员损伤的显著影响因素;二分类项Logistic回归模型表明前两排位置死亡与非死亡概率比达311倍.结论 影响损伤程度的显著性因素有年龄、第几排和安全带;车身前两排死亡与非死亡概率比过高, 两点式安全带对头部和胸部保护作用不足.应改善车身前部安全性结构设计提倡使用用三点式安全带.Abstract: Objective To explore the preventive measures through the analysis of the influential factors and the characteristics of human wounded based on the AIS (abbreviated injury scale) score to the occupant of the coach happened head-on collision. Me thods We adopted the accident investigation in-depth method and conducted statistical analysis and regression analysis of human wounded and related factors. Re s ults The person's gender had no significant difference on the AIS. The main body parts wounded were the head (AIS mean =3.7647) and the chest (AIS mean =4.000) , but no significant differences was shown in the t-test (t =-0.275, sig =0.785>0.05) ; The possibility of injury happened in the front three rows (AIS=4.750) was significantly higher than that of the average injury (AIS=1.706 (t=-4.819, Sig=0.000<0.05) happened in other rows; The seat fixed firmly with seatbelt can significantly reduce the occupant hurt. An analysis of variance showed that age, the seat row and the seat belt were the significant relative factors to the occupant hurt. The binomial logistic regression model showed that the death to the non-death probability ratio of the front two rows was up to 3 to 11 times.Conclus ion The significant factors affecting the degree of hurt are age, the seat rows and seat belt. The death to non-death probability ratio of the front two rows is too high, and the lap belt are not enough to protect the head and chest of the passengers. The front structure of the coach should be improved for the safety and the use of seatbelt should be encouraged while travelling.
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Key words:
- Coach /
- Head-on collision /
- Occupant injury /
- AIS score
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