重庆市渝中区3453例院前急救患者流行病学分析  

The epidemiological analysis of 3453 cases in pre-hospital medical care for Yuzhong district in Chongqing city.

作　　者：张在其[1] 赵兴吉[2] 陈培正[3] 陈文标[1] 陈玮莹[1] 郭彦池[1] 杨正飞[1] 黄子通[1] 

机构地区：[1]中山大学附属第二医院急诊科,广东广州510120 [2]重庆市急救医疗中心,重庆400014 [3]广东药学院计算机中心,广东广州510006

出　　处：《四川医学》2010年第11期1581-1584,共4页Sichuan Medical Journal

基　　金：卫生部临床重点项目(编号:2007-353);中山大学5010项目(编号:2007019)

摘　　要：目的调查重庆市渝中区院前急救患者流行病学情况,探讨院前急救病例特点。方法从重庆市急救医疗中心系统数据库中导出渝中区2008年度全部数据进行统计分析。结果①院前急救患者平均调度时间、路上时间、现场时间、急救半径分别是(1.42±1.01)、(16.58±7.33)、(16.40±7.54)min、(11.06±5.12)km,死亡患者分别是(1.35±0.93)、(12.16±7.06)、(38.72±19.69)min、(6.99±4.03)km;②院前急救患者及死亡主要分布在下半年度;③在3453例院前急救中,创伤是院前急救中最多的,以21～50岁青壮年阶段最多,其次分别是神经系统、循环系统、呼吸系统、消化系统急症,且均以51岁(尤其是70岁)以上的中老年阶段最多;④循环系统急症死亡(尤其是心脏性猝死)、呼吸系统急症死亡、神经系统急症死亡分别位居第一、第四、第五,均以51岁(尤其是70岁)以上的中老年阶段最多,创伤死亡位居第二,以21～50岁青壮年阶段最多,其他类的死亡位居第三;⑤男性院前急救的数量与死亡均明显高于女性。结论①加强心脑血管病和呼吸系统疾病防治,提高中老年患者的常见急危重症早期识别与院前急救水平对降低死亡有重要意义;②加强安全生产、遵守交通法规、强化法制意识将是降低创伤,尤其是交通意外发生及其死亡的有力手段。Objective To investigate the epidemiological information of patients in pre-hospital medical care for Yuzhong district in Chongqing city and probe the patients′ characteristic.Methods The data of yuzhong district in 2008 were exported from the computer database of Chongqing emergency medical center.Results ①The scheduling time,running time,rescue time and service radius of patients in pre-hospital medical were（1.42±1.01）、（16.58±7.33）、（16.40±7.54）min and（11.06±5.12）km,and the above parameter of patients in the death group were（1.35±0.93）、（12.16±7.06）、（38.72±19.69）min and（6.99±4.03）km respectively;②The patients′amounts of the death amounts in pre-hospital medical care distributed mastly in the next half year;③In 3453 cases of pre-hospital medical care,The patients′amounts of trauma,especially in traffic accident,was at most,which the patients′age grades was by far among 21～50,and the others in sequence were nerves system,circulatory system,respiratory system and digestive system respectively,which the patients′age grades was by far above 51,especially above 70;④The death amounts of circulatory system（especially in sudden cardiac death）,respiratory system and nerves system ranked at the 1th,4th,5threspectively,which the patients′age grades was by far above 51,especially above 70.The death amounts of trauma ranked at the 2nd,which the patients′age grades was by far among 21～50,and the death amounts of the other group ranked at the 3rd,⑤The total or death amounts of the man patients was more than the one of the female patients.Conclusion s①It is very important to cut the death rate of the middle-old age patients by strengthening prevention and cure of cardiovascular and cerebrovascular diseases,discerning the critical illness early and improving the level of pre-hospital medical care;②It is a strong method to decrease the total or the death amounts of the trauma,especially in traffic accident,by strengthening safety in production,obser

关 键 词：院前急救 院前死亡 心脏性猝死 流行病学分析 

分 类 号：R459.7[医药卫生—急诊医学]