某综合三甲医院急诊抢救室患者流行病学调查及分析  

Epidemiological investigation and analysis of the patients in emergency rescue room

作　　者：宋昆[1] 林航 丁宁[1] 李长罗[1] SONG Kun;LIN Hang;DING Ning;LI Changluo(Changsha Central Hospital,Changsha Hunan,410004 China)

机构地区：[1]长沙市中心医院急诊科,湖南长沙410004

出　　处：《中国急救复苏与灾害医学杂志》2020年第5期598-600,628,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：湖南省卫生计生委课题(编号:B20180468)。

摘　　要：目的研究分析某三级曱等综合医院急诊抢救室收治患者的流行病学特征方法回顾性分析2018年1月-2018年12月急诊抢救室收治患者的性别、年龄、就诊时间、疾病谱及滞留情况等。结果急诊抢救室共收治9664例患者,男女之比为1.66:1。年龄以50~89岁患者居多,共6695人,占69.28%。随年龄的增长,在急诊抢救室滞留时间>3h患者的比例逐渐增高。抢救室收治患者时间高峰出现在10:00~12:00,21:00~24:00。月高峰出现在1月、10-12月。排名前五的疾病谱为呼吸内科1664例(25.70%)、心血管内科1223例(19.04%)、神经内科990例(15.29%)、创伤患者667例(10.30%)及消化内科507例(7.05%);各专科疾病抢救室滞留>3h患者占比较少的为心内科31.12%、神经内科25.15%、创伤患者29.99%、急性中毒36.25%。结论急诊科因根据患者的主要人群、高峰时段、高峰季节,疾病谱及急诊滞留时间合理配备医疗资源,规范急诊流程,促进急诊科的发展。Objective To analyze the epidemiological characteristics of the patients in the emergency.rescue room of one general hospital.Methods A retrospective analysis was made on the basis of the gender,age,visiting time,disease and detention of the patients in the emergency rescue room from January 2018 to December 2018.Results The total number of patients was 9664,which the ratio of male to female was 1.66:1.The number of majority patients aged 50 to 89 was 6695,which was accounting for 69.28%of the total.With the increase of age,the proportion of patients with emergency detention time more than 3 hours also increased gradually.The time when the most patients were in the rescue room were from 10 am to 12am,and from 9pm to 12pm.In January,October and December,the number of patients was the most.The top five diseases in emergency room were respiratory disease,cardiovascular disease,neurological disease,trauma and digestive disease,which the number of every kind of disease were respectively 1664(25.70%),1223(19.04%),990(15.29%),667(10.30%),and 507(7.05%).The proportion of patients with different diseases who stayed in emergency room for more than 3 hours were respectively 31.12%in cardiological disease,25.15%in neurological disease,29.99%in trauma and 36.25%in acute poisoning.Conclusion According to the main population,peak time,peak season,kinds of diseases and emergency detention time,emergency department should allocate medical resources reasonably and standardize emergency procedures in order to promote the development of emergency department.

关 键 词：急诊抢救室 流行病学 调查分析 

分 类 号：R196.7[医药卫生—卫生事业管理]