中山市博爱医院老年患者院前急救流行病学分析  

Analysis of Epidemiology of Pre-hospitalcareof Elderly Patients in BoaiHospital of Zhongshan City

作　　者：李海忠[1] LI Hai-zhong(The department of Emergencydepartment,Boai Hospital of Zhongshan,Guangdong,52840)

机构地区：[1]广东省中山市博爱医院急诊科,528400

出　　处：《岭南急诊医学杂志》2018年第5期404-406,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:通过分析我院老年患者院前急救的流行病学特点,为急诊科制定符合实际需求的急救医疗服务提供依据,以及提高老年人群患者院前急救的效率。方法:采用回顾性分析研究方法,对中山市博爱医院急诊科2015年7月至2018年7月院前急救共1354例老年患者的年龄、性别、疾病谱等指标进行描述性分析,对相对应的出车时间进行统计分析,从而得出相对应的自身特点。结果:本中心1354例老年患者中男女比例0.85∶1.0,平均年龄(72.0±8.5)岁。疾病谱排名前3位疾病依次为创伤、呼吸系统疾病与心脑血管疾病。出车时间统计结果显示5月至次7月,12月至次年2月为老年患者院前急救高峰期;一天中的急救高峰时段为12点至18点与0点至6点。结论:我院院前急救老年患者的情况具有自身特点,急诊科可据此合理配置急救资源,组织相关培训,重点提高创伤、呼吸系统与心血管疾病急症的现场救治能力。Objective ： The aging of social population is a serious problem. By analyzing the epidemiological characteristics of pre-hospital carefor the elderly patients in our hospital, we can provide the basis for the emergency department to formulate emergency medical services that meet the actual needs, and improve the efficiency of pre-hospital carefor the elderly patients. Methods ： A retrospective analysis method was used to analyze the age, sex, disease patterns and other indicators of 1354 elderly patients in the emergency department of Boai Hospital of Zhongshan city from July 2015 to July 2018. Statistical analysis was made on the corresponding departure time, so as to draw corresponding char- acteristics. Results： The average age of the 1354 elderly patients of male to female ratio in the center was 0.85： 1.0, with an average age of （72_＋8.5） years. The top three diseases of the disease spectrum are trauma, respiratory diseases and cardio cerebrovascular diseases. The statistical results of departure time showed that the peak period of pre-hospital care was from May to July, December to February, and the peak period of first aid was from 12：00 to 18：00 and from 0 ： 00 to 6 ： 00. Conclusion： The pre-hospital emergency treatment of elderly patients depends greatly on special cases. Therefore, emergency department should allocate emergency resources properly, organize relevant training, and focus on improving the ability of on-site treatment of trauma, respiratory system and cardiovascular disease emergencies.

关 键 词：老年患者 院前急救 流行病学 资源配置 救治能力 

分 类 号：R459.7[医药卫生—急诊医学]