黔北地区院前急救现状分析  

Analysis of the current situation of pre-hospital first aid in northern Guizhou

作　　者：马娟 段海真 樊烨 张曌 李玉林 喻安永 Ma Juan;Duan Haizhen;Fan Ye;Zhang Zhao;Li Yulin;Yu Anyong(Department of Emergency,the Affiliated Hospital of Zunyi Medical University,Zunyi Guizhou 563099,China;Zunyi Medical Emergency Rescue Center,Zunyi Guizhou 563099,China)

机构地区：[1]遵义医科大学附属医院急诊科,贵州遵义563099 [2]遵义医疗紧急救援中心,贵州遵义563099

出　　处：《遵义医科大学学报》2023年第3期286-290,共5页Journal of Zunyi Medical University

基　　金：遵义市科技创新人才培养计划项目NO:遵义市科人平台[2021]4;遵义市科技计划项目,NO:遵义市科合HZ字[2021]72。

摘　　要：目的分析黔北地区院前急救现状,为全面提升院前急救服务能力提供依据。方法采用回顾性分析方法,收集2021年7月1日至2022年6月30日黔北地区院前急救网络医院患者病历资料,分析患者的年龄、性别、所属地区特点、急救病种构成及院前急救处理方式。结果2021年7月1日至2022年6月30日黔北地区院前急救共计54741次,各种原因退车10012次(18.29%),有效出诊44729次(81.71%),录入系统并完善病例共计19130例,其中男11480例(60.01%),女7650例(39.99%),男女之比1.5∶1。呼救患者年龄10 d~100岁,高峰区间在20~89岁年龄段,30~39岁年龄段出诊人数最多,50~59岁年龄段次之,出现了双峰;车祸伤在单病种中病例最多,神经系统疾病次之,循环系统疾病及急性中毒也占有相当大的比例;救护车空车返回1483例(7.75%),其中患者拒绝来院583例(39.31%)、到达时患者死亡642例(43.22%)、到达时患者离去125例(8.43%)、自行送医129例(8.70%)、恶意拨打急救电话5例(0.34%)。结论黔北地区院前急救各月的出诊次数无明显差异,呼叫地点以主城区为主,患者年龄主要集中在20~89岁,男性多于女性,疾病谱以创伤和神经系统疾病为主,空车返回率较高。有针对性对院前急救医护人员进行培训,提高院前救护能力,对民众进行疾病急救知识普及宣传,提高自救互救能力和急救意识,对提高院前救治率有重要意义。Objective To analyze the current situation of pre-hospital emergency care in northern Guizhou,and to provide a basis for improving the ability of pre-hospital emergency care.Methods A retrospective analysis was performed to collect the medical records of 19130 patients in the network hospitals of pre-hospital emergency care in Qianbei area from July 1,2021 to June 30,2022.The age,gender,regional characteristics,disease composition and emergency treatment of pre-hospital emergency care patients were analyzed.Results From July 1,2021 to June 31,2022,a total of 54741 times of pre-hospital emergency treatment,10012 times of withdrawal for various reasons(18.29%),44729 times of effective home visits(81.71%),19130 cases were recorded and improved in the system,including 11480 male cases(60.01%).There were 7650 females(39.99%)with a male to female ratio of 1.5∶1.The age of patients calling for help was between 10d and 100 years old,and the peak range was between 20 and 89 years old.The number of outpatient visits was the largest in the age group between 30 and 39 years old,followed by the age group between 50 and 59 years old,with a double peak.Car accident was the most common disease,followed by nervous system disease,circulatory system disease and acute poisoning.There were 1483 cases of ambulances returning empty(7.75%),among which 583 cases(39.31%)of patients refused to come to the hospital,642 cases(43.22%)of patients died on arrival,125 cases(8.43%)of patients left on arrival,129 cases(8.70%)of patients sent to the hospital by themselves,and 5 cases(0.34%)of patients made malwill calls to emergency services.Conclusion There is no significant difference in the number of visits to pre-hospital emergency hospitals in each month in the northern Guizhou region.The call locations are mainly in the main urban area.The patients are mainly aged 20-89 years old,and the male patients are more than the female patients.Targeted training of pre-hospital emergency medical staff,improve the pre-hospital rescue ability,populariz

关 键 词：黔北地区 院前急救 急救医学 急诊医疗服务体系 

分 类 号：R605.97[医药卫生—急诊医学]