武汉市江汉区2198例院前急救患者流行病学分析  

The Epidemiological Study of 2198 Cases in Pre-Hospital Emergency Care in Jianghan District of Wuhan City

作　　者：张在其[1] 陆家韬[2] 熊悦安[2] 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]湖北省武汉市急救中心,湖北武汉430022

出　　处：《中国临床医学》2010年第6期892-894,共3页Chinese Journal of Clinical Medicine

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：调查武汉市江汉区院前急救患者流行病学情况,探讨院前急救病例的特点。方法：对从武汉市急救中心系统数据库中导出的2008年度武汉市江汉区全部数据进行统计分析。结果：（1）院前急救患者总的调度时间、到达时间、现场时间分别为2.24±1.05（min）、16.41±7.82（min）、12.39±6.17（min）,急救半径为9.17±4.36（km）。其中院前死亡患者的调度时间、到达时间、现场时间分别为2.17±1.13（min）、15.86±8.17（min）和23.26±11.39（min）;急救半径为8.96±4.28（km）,院前心脏性猝死患者分别为2.26±1.08（min）、16.23±7.94（min）和22.97±10.48（min）;急救半径为9.25±4.13（km）。院前死亡及院前心脏性猝死患者到达现场时间明显长于未发生院前死亡的患者（P〈0.01）。（2）院前急救,包括院前死亡及院前心脏性猝死患者均以第1季度为最多。（3）在2 198次院前急救中,创伤类居首位,年龄以21~50岁青壮年段最多;其次分别是循环系统、神经系统、呼吸系统、消化系统等疾病。（4）创伤类的死亡位居首位;循环系统、神经系统、呼吸系统、消化系统类的死亡分别位居第2~5位,其中循环系统类的死亡中居首位的是心脏性猝死。（5）男性的院前急救例数、总死亡及院前心脏性猝死均明显高于女性。结论：（1）心脑血管病和呼吸系统疾病是中老年患者的院前急救的主要原因;（2）应重视创伤,尤其是交通意外伤发生及其死亡。Objective：To investigate the frequency,severity and outcome of patients in pre-hospital emergency medical care in Jianghan district of Wuhan city.Methods： This was a retrospective epidemiology study.We analyzed the data of Wuhan emergency medical center.Results： There were a total of 2198 pre-hospital emergency care patients in the year 2008.（1）The scheduling time,running time,rescue time and service radius of patients in the pre-hospital medical care group were 2.24±1.05（min）,16.41±7.82（min）,12.39±6.17（min） and 9.17±4.36（km）,respectively.The above parameter of patients in the death group were 2.17±1.13（min）,15.86±8.17（min）,23.26±11.39（min） and 8.96±4.28（km）,respectively.The above parameter of patients in the sudden cardiac death group were 2.26±1.08（min）,16.23±7.94（min）,22.97±10.48（min） and 9.25±4.13（km）,respectively.Although the scheduling time.The running and the service radius time didn＇t have significant difference among the three groups（P0.05）,the rescue time in the pre-hospital medical care group was less than that in the death group and the sudden cardiac death group respectively（P0.01）.（2） The frequency of patients,the incidence of death and the sudden cardiac death were more common in the first season of the year.（3） Among 2198 cases of pre-hospital medical care,34.03% were due to trauma.Diseases of circulatory system,nervous system,respiratory system and digestive system appeared to be more common,respectively.（4） The incidence of trauma death ranked at the first.Next were death with circulatory system,nervous system,respiratory system and digestive system diseases,respectively.The amount of sudden cardiac death was at most in the death amount of circulatory system.（5）The total amount,the death amount and the sudden cardiac death amount of male patients were more than those of female patients.Conclusions：（1） Cardiovascular and cerebrovascular diseases are most common disease in pre-hospital medical car

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]