2017-2018年2年间137 740例口腔急诊病例分析  

Analysis of 137 740 dental emergency cases from 2017 to 2018

作　　者：沈烨青 刘义[1] 江龙[1] 郭一波[1] 廖骞[1,2] SHEN Ye-qing;LIU Yi;JIANG Long;GUO Yibo;LIAO Qian(Department of General Dentistry,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomalology&Shanghai Research Institute of Stomatology,Shanghai 200011;Output lent and Emergency Management Office,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院•口腔医学院口腔综合科,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海200011 [2]上海交通大学医学院附属第九人民医院门急诊管理处,上海200011

出　　处：《上海口腔医学》2021年第2期151-155,共5页Shanghai Journal of Stomatology

基　　金：上海市重中之重临床医学中心(2017ZZ01011);上海市临床重点专科建设项目(shslczdzk01601);上海市口腔疾病临床医学研究中心科研资助项目(19MC1910600)。

摘　　要：目的:回顾2017-2018年2年间口腔急诊病例的临床资料,分析口腔急诊患者就诊特点和病种类型,为提高口腔急诊医疗质量、制订合理配置提供依据。方法:收集2017年1月1日-2018年12月31日就诊的口腔急诊患者137 740例,按性别、年龄、就诊时间、诊断等进行回顾性分析。应用Excel 7.0和SPSS 19.0软件包对结果进行χ2检验。结果:急诊患者男女比例为1.13∶1,平均年龄35.71岁;口腔急诊量最高月份为2018年10月,最低为2017年2月,最高时段为20:00~21:00;口腔急诊诊断前3位病种为颌面外伤(29.17%)、面部感染(26.95%)和牙髓炎症性疾病(10.08%)。结论:口腔急诊患者数量大,就诊时间相对集中且病种范围较广。口腔急诊医师需掌握口腔外科及牙体牙髓病科专业知识。医院管理人员需考虑口腔急诊量时段、月份等的变化规律,精准施策,制订口腔急诊规模配置。PURPOSE: To analyze the clinical data of oral emergency cases and the characteristics of oral emergency diseases, and provide clinical basis for improving the quality of oral emergency treatment and making reasonable arrange-ment. METHODS: A total of 137 740 patients in oral emergency department from January 1 st, 2017 to December 31 st,2018 were collected and analyzed retrospectively according to gender, age, time of visit and diagnosis. The results were analyzed with Chi-square test by Excel 7.0 and SPSS 19.0 software package. RESULTS: The ratio of men and women was 1.13:1, with an average age of 35.71 years. The highest incidence was seen in October 2018, and the lowest was in February 2017. The peak time of oral emergency was 20:00 to 21:00. The top three disease entity were maxillofacial injury(29.17%), facial infection(26.95%) and pulpitis(10.08%). CONCLUSIONS: There is a wide range of diseases and a large number of patients in oral emergency and the visiting time is relatively concentrated. Dentists for emergency need to master the professional knowledge of oral surgery and endodontics. In order to make precise strategies to formulate the scale of oral emergency, considerations should be taken with the changing features of the period and month of oral emer-gency treatment.

关 键 词：口腔急诊 患者量 就诊时段 病种 

分 类 号：R78[医药卫生—口腔医学]