城市群体性伤害事件流行病学调查  

Epidemiology survey of mass injury events in city

作　　者：林绍鹏[1] 林珮仪[1] 江慧琳[1] 刘国斌[1] 邓爱茹[1] 陈晓辉[1] 

机构地区：[1]广州医学院第二附属医院急诊科,广东广州510260

出　　处：《中国急救医学》2013年第5期424-427,共4页Chinese Journal of Critical Care Medicine

基　　金：广东省自然科学基金项目（$2011010002975）;广东省科技计划项目（20098030801363,20128031800240）

摘　　要：目的研究城市群体性伤害事件的流行病学特点，以期有效地提高城市群体性伤害事件的抢救成功率。方法收集我院2009—01—2011—12就诊的所有群体性伤害事件，根据事件的类型、人口学资料、患者临床特点和急诊处理情况进行统计和分析。结果2009-01-2011—12我院急诊科共接诊群体性伤害事件87宗，患者总数376例，男性250例，女性126例，男女比例为1．984：1，21～30岁年龄段最多见。创伤是最常见的事件类型，共57宗，占总数65．52％。创伤所占人数亦最多，为212例，占总数56．38％。中毒事件为第二常见的急性群体性伤害事件，共27宗，人数为132例，中毒事件以食物中毒最为多见，为24宗。食物中毒事件在5月、6月、9月和10月呈现一个起病高峰，在12：00—18：00和20：00—24：00呈现两个明显的就诊高峰期。创伤患者有11．32％需要入院治疗，与中毒组和其他组比较差异有统计学意义（χ2=11．195，P=0．001；χ2=4．389，P=0．036）。我院群体性伤害事件的总病死率为0．27％。结论广州地区群体性伤害事件好发于年轻男性。创伤是导致城市急性群体性伤害事件的最常见原因，中毒事件排第二。食物中毒发病具有季节性，就诊时间有两个高峰期。创伤患者病情相对较重。建立创伤中心和急诊重症监护室是提高抢救成功率的方法。Objective To master the epidemiology of mass injury events in city in order to improve effectively the success rate of rescue. Methods To analyze the reasons, the demography, clinical characteristics and the emergency treatment of mass injury events handled by emergency department of our hospital from January 2009 to December 2011 by statistical methods. Results 87 mass injury events were collected from the Second Affiliated Hospital of Guangzhou Medical College from January 2009 to December 2011. There were 376 patients, including 250 males and 126 females. The ratio of male to female was 1. 984：1 and the most common ages were 21 to 30 years old. Trauma incidents （57 cases） were most common in mass injury events, accounted for 65.52% of the total number of events. Trauma incidents also had the largest number of patients （212 patients）, accounted for 56.38% of the total patients. Poisoning incidents （27 cases） were the second mass injury events, including 132 patients. Food poisoning incidents （24 cases）, which presented a peak in May, June, September and October, were the most common poisoning incidents. 12：00 - 18：00 and 20：00 - 24：00 were two peak periods of visiting time of food poisoning incidents. 11.32% patients of the trauma events needed hospital treatment, and there were significant differences compared with poisoning incidents group and other incidents group（χ2 = 11. 195, P = 0. 001 ;χ2 = 4. 389, P = 0. 036 ）. In our study, the total mortality was 0.27%. Conclusion Young men are involved in mass injury events commonly. Trauma incidents are most common in mass injury events in city, followed by poisoning incidents. Food poisoning incidence has seasonal periods and there are two peak periods of visiting time. Trauma patient~ condition is relatively severe. The establishment of trauma centers and emergency ICU is a method to improve the success rate.

关 键 词：群体性伤害事件 流行病学 城市 

分 类 号：R129[医药卫生—环境卫生学]