5117例院前急救患者流行病学特征及相关分析  被引量:16

Epidemiological characteristics and related analysis in 5 117cases of pre-hospital emergency patients

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作  者:葛文汉[1] 阮海林[1] 杨春旭[1] 杨家有[1] 

机构地区:[1]广西医科大学第四附属医院急诊科,广西柳州545005

出  处:《临床急诊杂志》2012年第6期389-392,共4页Journal of Clinical Emergency

基  金:吴阶平医学基金会临床科研资助基金课题(NO:24-D)

摘  要:目的:分析广西某大型三甲医院2011年院前急救患者流行病学特征。方法:采用前瞻性资料收集的方法,对我院2011-01-01-2011-12-31院前急救患者的年龄、性别、就诊时间、急诊诊断或主诉等要素进行调查统计分析。结果:2011年我院院前急救患者5117例,男女比1.46:1,年龄49.28±22.26岁;院前死亡患者349例,男女比2.14:1,年龄61.34±18.49岁;院前急救量与院前死亡例数,在时间段分布上,呈显著性线性正相关关系(r=0.689,P=0.013);院前急救患者疾病谱前6位依次为:创伤(34.38%)、神经系统疾病(16.81%)、循环系统疾病(11.47%)、消化系统疾病(7.78%)、其他(7.60%)、中毒(6.59%);院前死亡患者疾病谱前6位依次为:循环系统疾病(30.37%)、神经系统疾病(21.78%)、创伤(18.34%)、消化系统疾病(12.32%)、呼吸系统疾病(7.45%)、其他(2.87%);院前急救30~59岁组与其他年龄组比较,男性更易患创伤和循环系统疾病(P值分别为0.000、0.008)。结论:①院前急救患者流行病学的特点,对指导院前急救工作有重要意义,为疾病监控、预防保健等提供依据;②加强创伤、心脑血管疾病及中毒的宣传教育,普及全民急救知识,实施各种危重病的院前急救演练,提高救治成功率;③加强青中年男性健康和安全防范教育,重点减少创伤和循环系统疾病的发生,使青中年男性的预防保健工作更有针对性。Objective:To analyze the epidemiological characteristics of the pre-hospital care at a large general hospital in Guangxi in 2011.Method:A prospective data collection method was instituted and data including age,sex,visiting time,emergency diagnosis and chief complaint of all the first aid patients in our hospital during 2011 were collected.Result:In 2011,there were 5 117first aid patients visting our hospital and the ratio of male to female was 1.46:1 ;age:49.28±22.26.349patients dead before visting hospital,in whichthe ratio of male to female was 2.14:1 ;age:61.34±18.49.There were significantly positive linear correlations between the number of pre-hospital emergency and the number of pre-hospital deaths within the phases(r=0.689,P=0.013);the first causes of pre-hospital emergency disease were trauma(34.38%),nervous system diseases(16.81%),circulatory system diseases(11.47%),digestive system diseases(7.78%),others(7.60%),poisoning(6.59%).The first causes of pre-hospital deathwere circulatory system diseases(30.37%),nervous system diseases(21.78%),trauma(18.34%),digestive system diseases(12.32%),respiratory system diseases(7.45%),others(2.87%).Compared with other groups.Male patients between 30and 59were more likely to suffer from trauma and cardiovascular disease(P value were 0.000and 0.008respectively).Conclusion:①The characteristics of the epidemiology of Pre-hospital patients provide the basis for disease monitoring and prevention,which were important to guide the pre-hospital emergency work.②Strengthen the public education on trauma,cardiovascular and cerebrovascular disease,and poisoning,popularize the nationwide first-aid knowledge,carry out a range of critical care first-aid drill,in order to improve the treatment success rate.③Strengthen health and safety prevention education in young and middle-aged male,reduce the occurrence of trauma and circulatory system disease,which made the health care inyoung and middle-aged male mor

关 键 词:院前急救 流行病学 疾病谱 院前死亡 青中年男性 

分 类 号:R459.7[医药卫生—急诊医学]

 

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