2006～2010年度绵阳市院前急救流行病学变化趋势分析  

Analysis on the epidemic character and prevalence trend of pre-hospital care from 2006 to 2010 in Mianyang

作　　者：李银先[1] 叶红梅[1] 冯守映 汤道雄[1] 骆贵强 邓樱 

机构地区：[1]绵阳市第三人民医院,四川绵阳621000 [2]绵阳市紧急救援指挥中心,四川绵阳621000

出　　处：《四川医学》2012年第10期1688-1690,共3页Sichuan Medical Journal

基　　金：四川省卫生厅课题(编号:090244)

摘　　要：目的分析绵阳市2006～2010年度院前急救流行病学变化趋势,为制定合理的院前急救策略提供科学依据。方法依照事先确立的入组标准,以2006～2010年度经绵阳市紧急救援指挥中心受理的绵阳市城区急救患者为调查对象,以性别构成、日期分布、时间分布、疾病谱等为观察指标,将资料分年度建立数据库,进行统计分析。结果急救总人次有逐年递增的趋势,性别构成上无变化,2007年度的日期分布有集中现象,其余各年度日期分布无集中趋势。各年度均有急救高峰时间段,但高峰开始的时间在逐年提前(F=29.3271,P=0.0000)。疾病谱的构成中,车祸及非车祸所致损伤排前两位,但构成比在逐年下降(χ=92.7787,P=0.0000)。地域分布仍以主城区为主,但构成比也在逐年下降(χ=441.1486,P=0.0000)。结论合理调配急救资源,提高院前急救水平,扩大院前急救的服务范围,方能不断适应社会发展的需要。Objective To analyze the epidemic character and prevalence trend of pre-hospital care from 2006 to 2010 in Mianyang,to provide the scientific basis for developing the rational strategies of pre-hospital care.Methods The patients recieved by Emergency Medical Rescue Command Center of Mianyang during 2006 to 2010 were selected as the surveyed object in accordance with the criteria to enter.The disease spectrum,date,time,season were used as the main observation index.The database has been established and statistical analysis has been given hereby year by year.Results The total number of first-aid tend to increase year by year,while analysis shows no distinguished change in gender composition.The distribution of the date did not present central tendency except those data in 2007.The emergency peak of a day appeared every year and the starting time advanced year by year（F=29.3271,P=0.0000）.The traffic trauma and non-traffic trauma has taken the first two places in the order of disease spectrum.Meanwhile,the main city area still occupied the domination of the geographical distribution,which shows a trend of decreasing gradually（=441.1486,P=0.0000）.Conclusion It is necessary to meet the needs of social development by the means of opitmizing the allocation of emergency resource,strengthening the professional training of staff,as well as expanding the region of rescuing service.

关 键 词：院前急救 流行病学 绵阳 趋势 疾病谱 

分 类 号：R459.7[医药卫生—急诊医学]