1840例院前急救死亡患者流行病学分析  

Epidemiological characteristics of deaths in pre-hospital first aid: Analysis of 1,840 cases

作　　者：李海燕[1] 焦盼盼 卫鹏羽 何光辉[1] 朱晓凤 景建军[1] LI Haiyan;JIAO Panpan;WEI Pengyu;HE Guanghui;ZHU Xiaofeng;JING Jianjun(Department of Emergency, People's Hospital of Shihezi, Xinjiang Uygur Autonomous Region, Shihezi 832000, China;Infection Management Office, Binzhou People's Hospital, Binzhou 256600, China)

机构地区：[1]新疆维吾尔自治区石河子市人民医院急诊科,832000 [2]滨州市人民医院感染管理办公室,256600

出　　处：《中华灾害救援医学》2019年第4期198-201,共4页Chinese Journal of Disaster Medicine

基　　金：新疆第八师石河子市科技局科研课题(2017HZ17)

摘　　要：目的分析1 840例院前急救死亡患者流行病学特征,为降低院前急救患者死亡率,提高院前急救水平提供参考依据。方法从石河子市120调度指挥中心系统数据库中调取2015—2017年数据,对1 840例院前急救死亡患者的性别、年龄、呼叫时间、死亡原因等流行病学资料进行统计分析。结果院前急救死亡患者≥71岁患者占比最多(65.92%);去除猝死及原因不明的死亡(89.35%),死亡原因位居前3位的依次是心脑血管疾病(3.48%)、创伤(2.72%)、肿瘤晚期(2.17%);各年度及合计死亡人数每天分布最高时间段均为08:00～09:59,分布最低时间段集中在00:00～05:59;依据圆形统计分析出院前急救死亡患者的高峰时间和时段分别为13:20和05:54～21:56。结论本地区院前急救死亡患者的流行病学特点为:以男性和≥71岁患者为主,一天中以05:54～21:56较密集,但集中趋势不明显,急救人员任何时间点都应该提高警惕院前急救患者死亡的发生,对死亡率较高的心脑血管疾病、创伤等应采取干预措施,为院外心搏骤停患者赢得宝贵的抢救时间。Objective The objective of this study was to analyze the epidemiological characteristics of 1,840 deaths, and to provide reference for reducing the mortality and improving the level of pre-hospital first aid. Methods The general information of 1,840 deaths was collected from 120 Emergency Dispatch Center of Shihezi city from year 2015 to 2017, such as sex, age, call time and causes of death, and was statistically analyzed. Results Patients over 71 years old (65.92%) accounted for most of pre-hospital first aid deaths;the top three causes for the death were cardio-cerebrovascular diseases (3.48%), trauma (2.72%) and advanced tumors (2.17%) excluding sudden death and unknown causes (89.35%);the highest time period for each year and total number of deaths were from 08:00 to 09:59, and the lowest were from 00:00 to 05:59. Circular statistical analysis showed that the peak time and period of pre-hospital emergency deaths were 13:20 and 05:54 to 21:56, respectively. Conclusions The epidemiological characteristics of pre-hospital emergency deaths in Shihezi city are as follows: male patients and patients aged over 71 years old account for the most, and they are concentrated in 05:54-21:56 in a day, but the trend is not obvious. Emergency personnel should be on the alert, and take appropriate measures for cardiovascular and cerebrovascular diseases and trauma with high mortality to gain valuable time for patients.

关 键 词：院前急救 死亡 流行病学 圆形分布 

分 类 号：R195[医药卫生—卫生统计学]