114452例苏州市辖区院前急救创伤分布分析  

Distribution Analysis of 114,452 Cases of Pre-hospital Emergency Trauma in Suzhou City

作　　者：王冬阳 罗曚悦 王亮 戴斌 郑伟伟 林岐 WANG Dongyang;LUO Mengyue;WANG Liang;DAI Bin;ZHENG Weiwei;LIN Qi(Office,Suzhou Emergency Center,Suzhou,Jiangsu,215031;Emergency Department,Suzhou Emergency Center,Suzhou,Jiangsu,215031;Suzhou Institute of Biomedi-cal Engineering and Technology,Chinese Academy of Sciences,Suzhou,Jiangsu,215163;Orthopedics Department,Suzhou Municipal Hospital(North District),Suzhou,Jiangsu,215005)

机构地区：[1]苏州市急救中心办公室,江苏苏州215031 [2]苏州市急救中心急救科,江苏苏州215031 [3]中国科学院苏州生物医学工程技术研究所医工所,江苏苏州215163 [4]苏州市立医院(北区)骨科,江苏苏州215005

出　　处：《江苏卫生事业管理》2022年第1期132-136,共5页Jiangsu Health System Management

基　　金：2021年度苏州市科技发展计划指导性项目(SKJYD2021142);2019年苏州市临床重点病种诊疗技术专项及重大疾病、传染病预防和控制关键技术(研究)资助项目(GWZX201904);2019年度苏州市“科教兴卫”青年科技资助项目(KJXW2019055)。

摘　　要：目的:分析苏州市院前急救创伤分布情况,调整资源布局,整体提升创伤救治能力。方法:从苏州市急救中心提取2018-2020年院前急救创伤患者病历资料,进行回顾性分析。结果:创伤是占用院前急救资源最大的病种,院前急救创伤患者男女比为1.43:1,年龄集中在25-44岁年龄段的青年人群,每年2月为院前急救创伤病例的最低谷,一天中的高峰时段为8-9时和17-18时,院前急救创伤的主要发生地为道路,主要高发区是吴江区,主要类型为交通事故。结论:院前急救创伤病例在人群、时间和区域的分布有相对明显的规律,急救中心和有关部门可以此为依据,针对高危人群、高峰时节、重点区域、重点类型进行医疗资源整合和人员配置优化,提升创伤救治效率,降低创伤的致死率及致残率。Objective:To analyze the distribution of pre-hospital emergency trauma in Suzhou to adjust the layout of resources and improve the overall trauma treatment capacity.Methods:To extract the medical records of pre-hospital emergency trauma patients from Suzhou Emergency Center from 2018 to 2020,and conduct a retrospective analysis.Results:Trauma is the disease that occupies the largest pre-hospital emergency resources,the ratio of male to female in pre-hospital emergency trauma patients is 1.43:1,and the age is concentrated in the 25-44 years old.The lowest valley of pre-hospital emergency trauma cases is in February of the year,the peak hours of the day are 8-9 and 17-18,the main place of pre-hospital emergency trauma is the road,the main high incidence area is Wujiang District,and the main type is traffic accident.Conclusions:The distribution of pre-hospital emergency trauma cases in the population,time and area has a relatively obvious pattern,the emergency center and relevant departments shall integratemedical re⁃sources and human resources for high-risk groups,peak seasons,key areas and key types,so as to improve the efficiency of trauma treatment and reduce the death and disability rates of trauma.

关 键 词：院前急救 创伤 分布 

分 类 号：R197.32[医药卫生—卫生事业管理]