院前急救中创伤性疾病与非创伤性疾病出诊率的对比分析  

A Comparative Analysis of Rates of Traumatic and Non-traumatic Diseases in Emergency First Aid

作　　者：李效全[1] 刘佳易[1] 赵小兰[1] 

机构地区：[1]四川省德阳市第二人民医院急诊科,618000

出　　处：《中华全科医学》2011年第10期1629-1630,共2页Chinese Journal of General Practice

摘　　要：目的分析院前急救疾病谱中创伤性疾病和非创伤性疾病在院前急救中所占比重及两组疾病之间出诊率的差异性,为院前急救工作的重点规划和发展方向提供指导。方法将德阳市第二人民医院2009年1月1日-2010年12月31日实施院前急救的3934例伤病员,根椐病因分为创伤性疾病组和非创伤性疾病组。创伤性疾病组包括交通事故伤员和其他外伤伤员,非创伤性疾病组包括内科性急症病员、儿科性急症病员和妇产科性急症病员。将两组资料进行统计学对比分析,观察两组在院前急救中所占比重及两组之间出诊率的差异性。结果创伤性疾病组占院前急救的67.54%,非创伤性疾病组占院前急救的32.46%;创伤性疾病组所占比重明显高于非创伤性疾病组,占院前急救的2/3;两组出诊率之间差异有统计学意义,即创伤性疾病组出诊率明显高于非创伤性疾病组。结论院前急救疾病谱中创伤性疾病在院前急救中占比重明显高于非创伤性疾病,创伤性疾病出诊率明显高于非创伤性疾病,院前急救工作应以创伤性疾病急救为主,非创伤性疾病急救为辅。Objective To evaluate the proportion of the traumatic and non-traumatic diseases from the spectrum of diseases in pre-hospital cares and the difference in visit rates,and to provide a guidance for the pre-hospital emergency plan and process development.Methods All 3934 patients received the emergency first aid in our hospital from January 1,2009 to December 31,2010 were divided into traumatic disease group and non-traumatic disease group based on the cause of disease.The traumatic group included the traffic injuries and other traumatic patients,while the non-traumatic disease group included of the emergency internal,pediatrics,obstetrics and gynecology patients.The statistical methods were used to evaluate the differences in proportion and pre-hospital care visit rate of the two groups.Results The traumatic injuries accounted for 67.54% and non-traumatic diseases for 32.46% in all emergency first aid diseases.The rate of the traumatic diseases was significantly higher than that of non-traumatic diseases.The emergency visit rate of the traumatic group was higher than that of the non-traumatic disease group,and the difference were statistically significant between the two groups.Conclusion In the disease spectrum of emergency first aid,the proportion of the traumatic disease is significantly higher than that of the non-traumatic diseases,and the emergency visit rate in the traumatic disease group is significantly higher as compared to the non-traumatic disease group.The pre-hospital emergency first aid works should primarily be focused on traumatic diseases,and then the non-traumatic diseases.

关 键 词：院前急救 出诊率 分析 

分 类 号：R605.97[医药卫生—急诊医学]