乌鲁木齐市646例内科院外急救患者流行病学分析  

Epidemiological analysis of 646 pre-hospital patients in Urumqi city

作　　者：阿不都外力·赛买提[1] 阿力木江·阿布力米提[2] 依力哈木·买买提[1] 

机构地区：[1]新疆医科大学第一附属医院急救中心,乌鲁木齐830054 [2]新疆医科大学第一附属医院全科医学科,乌鲁木齐830054

出　　处：《中国急救复苏与灾害医学杂志》2016年第6期554-556,共3页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：国家自然科学基金（项目编号：81060158）

摘　　要：目的探讨内科常见急症的基本规律，为本地区内科急诊急救工作的合理安排和科学管理以及医疗防治重点等方面提供客观依据。方法回顾性分析2013年新疆医科大学第一附属医院院外急救中心内科疾病患者的性别、年龄、出诊时间和出诊月份的分布特点，以及病种分布。结果全年院外急救中内科疾病患者646人次，男性392例（60．68％），女性254例（39．32％）。年龄分布呈双峰型，主要集中在30～49岁和60。79岁两个年龄段，其中以30-39岁段和70-79岁段显著。汉族患者占大多数。院外急救前5位系统或大类内科疾病依次是神经系统疾病（30．05％）、心脑血管疾病（29，29％）、急性中毒（14．87％）、呼吸系统疾病（14．26％）和消化系统疾病（6．98％）。急救呼叫服务时间主要分布在凌晨1：00—3：00时和上午10：00～12：00时两个时间段（北京时间）。1、3、11月份月院外急救人次略高于年平均水平。结论乌鲁木齐市急救患者有其自身的流行病学特点，因此不断完善院外急救系统建设，加强从业人员的业务培训，以适应新形势下的院外急救需求。Objectives To investigate the characteristics of pre-hospital care patients in internal medicine ward, provide scientific bases for proper arrangement of internal emergency care in Urumqi and prioritization of disease are and prevention. Methods Clinical data of 646 patients who called for pre-hospital first aid in 2013 in Xinjiang Medical university first affiliated hospital emergence center were retrospectively analyzed. Results Among 646 patients, 392（60.68%） were males and 254（39,32%） were females. Distribution of age presented two peaks, which were 30-39 age group and 70-79 age group, respectively. Majority of patients were Han ethnic＇, group. Five mostly seen disease in internal emergency care were namely neuron system disease （30.05%）, cero-eardio-vascular disease （29.290/o）, acute poisoning（14.87%）, respiratory system disease （14.26%）, and digestive disease（6.98%）. The period with highest frequency of emergency call was at 1：00 Am-3：00 Am and 10：00 Am-12：00 Am（Beijing time）. Emergency occurred mostly in November, January and March. Conclusion The results of this study may provide the basis for establishment of emergency medical services system and promote the development of standardization and management of first aid work.

关 键 词：院外急救 内科 流行病学 

分 类 号：R459.7[医药卫生—急诊医学]