口腔急诊夜间患者流量及病种分析  

Analysis of flow rate and disease types of patients in department of oral emergency at night

作　　者：付元 吴佳琪[1] 邵校 杨雪[1] 姬爱平[1] 郑佳佳[2] FU Yuan;WU Jiaqi;SHAO Xiao;YANG Xue;JI Aiping;ZHENG Jiajia(Department of Oral Emergency,Peking University School and Hospital of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Laboratory for Digital and Material Technology of Stomatology&Beijing Key Laboratory of Digital Stomatology,Beijing 100081)

机构地区：[1]北京大学口腔医学院·口腔医院,国家口腔疾病临床医学研究中心,口腔数字化医疗技术和材料国家工程实验室,口腔数字医学北京市重点实验室,北京100081 [2]北京大学口腔医学院·口腔医院门诊部

出　　处：《现代口腔医学杂志》2020年第4期235-238,共4页Journal of Modern Stomatology

基　　金：北京大学口腔医院青年科研基金资助(PKUSS20180111)。

摘　　要：目的分析口腔急诊科晚诊及夜间门诊患者流量,病种分布和变化规律,为建立口腔急诊分诊机制提供理论基础。方法从2018年11月26日下午4点至2019年3月28日早8点,每日下午四点至第二天早8点共4个月22周口腔急诊科晚诊及夜间的就诊数据,共有7297人次,对每小时患者分布及各种患者信息进行统计分析。结果患者中急症病例4444人次,非急症病例1949人次,未明确诊断病例904人次。患者流量高峰在20:00~23:00,低在2:00~6:00。最常见口腔急症为智齿冠周炎和急性牙髓炎,非急症多为术后复查。非急症患者占所有患者的26.7%。结论口腔急诊科晚诊及夜诊患者有明显就诊高峰,急症主诉具有明显的集中性,需要管理者在排班时综合考虑,合理安排值班人员数量及各专业医生组合。口腔急诊就诊患者存在大量非急症人群,需要建立快速分诊机制对这部分患者进行分流。Objective To provide theoretical basis for establishing the protocol of emergency triage in stomatology by analyzing the flow rate,disease distribution and variation of outpatients at night in the department of Department of Oral Emergency.Methods To analyze the flow rate,disease types and changes of patients at night in Department of Oral Emergency.The dusk and night visit time in this study was 4:00 pm to 8:00 am,and the date was time from November 26,2018 to March 28,2019.There were in total of 7,297 people visiting the department of oral emergency in dusk and night during the 4 months(22 weeks).Observe patient number changing during each hour to analyze the correlative factors affecting the crowded degree in Department of Oral Emergency.Results There were 4444 emergency cases,1949 non-emergency cases and 904 undiagnosed cases.The visiting patient number in the dusk and night was changing regularly,and the peak was between 20:00 to 23:00,while the trough was between 2:00 and 6:00.The most common oral cases in the dusk and night were pericoronitis of wisdom teeth and acute pulpitis,and most of non-emergencies cases were review cases.Non-emergency patients accounted for 26.7%of all patients.Conclusion There was a significant peak of patient number at night.The main complaints of oral emergency have obvious centralization,which requires managers to consider comprehensively when scheduling,and to arrange the number of on-duty personnel and the combination of various professional doctors reasonably.There were also a large number of non-emergency patients visiting the department of oral emergency.It was necessary to establish a more complete triage system to improve the efficiency of diagnosis and treatment.

关 键 词：口腔急诊 患者流量 分诊 

分 类 号：R780.1[医药卫生—口腔医学]