广州军区广州总医院2001～2010年院前急救现况分析  

Analysis of pre-hospital care in Guangzhou Army General Hospital from 2001 to 2010

作　　者：周伟梁[1] 秦伟毅[1] 苏磊[1] 卢勇[1] 贾乐宁[1] 钱洪津[1] 华黎电[1] 唐柚青[1] 刘云松[1] 

机构地区：[1]广州军区广州总医院急诊科,广东广州510010

出　　处：《现代预防医学》2012年第5期1120-1122,1137,共4页Modern Preventive Medicine

基　　金：广东省科技厅基金名称:急性胸痛救治规范化流程暨"胸痛中心"建设的研究(2011B031800204)

摘　　要：目的分析广州军区广州总医院院前急救的现况,探索院前急救规律,为有效利用救护资源,提高救治成功率提供科学依据。方法对广州军区广州总医院2001～2010年院前急救资料进行描述性流行病分析。结果广州军区广州总医院2001～2010年院前急救总病例54612例,男性病例43542例,占79.73%,女性病例11070例,占20.27%,男、女性病例之比为3.93︰1;城郊患者40265例,城内患者14347例,二者之比为2.81︰1;内科病例4285例,占7.85%;外科病例39151例,占71.69%;妇产科病例5867例,占10.74%;儿科患者5309例,占9.72%;外科病人占第1位,超过总急救病例的2/3;21～50岁病例占76.39%;各种疾病病例53615例,占98.17%,突发事件病例266例,占0.49%,车祸427例,占0.79%,其他病例304例,占0.56%。结论创伤急救是出诊的首位原因,出诊半径和到达时间与患者死亡密切相关;对院前急救应采取分层、分类与分流急救相结合方式。OBJECTIVE To analyze pre-hospital care of the Guangzhou Army General Hospital,to search the pre-hospital care,to effectively use rescue resources,so as so to provide scientific bases for improving the successful rate of pre-hospital care.METHODS By epidemiological analysis,the epidemiological situation of the pre-hospital care in the Guangzhou Army General Hospital from 2001 to 2010 was analyzed.RESULTS Epidemiological analysis showed the total number of the pre-hospital care cases in the Guangzhou Army General Hospital from 2001 to 2010 was 54 612,male cases was 43 542（79.73%）,female cases was 11 070（20.27%）,and ratio was 3.93 to 1;suburban cases was 40 265,city patients was 14 347 and ratio was 2.81 to 1;patients in Department of Internal Medicine was 4 285 cases（7.85%）,patients in Department of Surgery was 39 151 cases（71.69%）,patients in Department of Gynecology was 5 867 cases（10.74%）,patients in Pediatric Department was 5 309 cases（9.72%）;patients in Department of Surgery were most,accounting for 2/3 in all pre-hospital care cases;20 to 50 years old patients were 76.39% in pre-hospital care cases;53 615 cases with various diseases（98.17%）,patients with sudden incidents was 266 cases（0.49%）,car accidents with 427 cases and it was 0.79%,ofher patients were 304 cases and it was 0.56%.CONCLUSION Trauma care is the leading cause of visits.The visits radius and arrival time have a close relation with patients＇death;it should take the way that combined stratification,classification and bridging in pre-hospital care.

关 键 词：院前急救 流行病学特征 疫情分析 

分 类 号：R195[医药卫生—卫生统计学]