297例一氧化碳中毒患者院前急救流行病学分析  

Epidemiological analysis of prehospital emergency treatment in 297 patients with carbon monoxide poisoning

作　　者：李春喆 唐峰[1] 王士梅[1] LI Chun-zhe;TANG Feng;WANG Shi-mei(Tianjin Emergency Medical Center,Tianjin 300015,China)

机构地区：[1]天津市急救中心,天津300015

出　　处：《中国城乡企业卫生》2024年第10期40-43,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 分析天津市一氧化碳中毒患者院前急救流行病学特征,为一氧化碳中毒的预防和院前抢救提供依据。方法通过天津市急救中心院前病历记录系统数据库收集2019年1月—2021年12月一氧化碳中毒患者的基本信息,对一氧化碳中毒患者院前急救的性别、年龄、出诊时间等流行病学资料进行统计分析。结果 297例一氧化碳中毒患者院前急救中,男女比例为1:1.01,中青年患者240例,占80.8%。院前救治中毒人数最多的时间段是20:00—24:00,共76例,占比25.6%;最少的时间段是4:00—6:00和8:00—10:00,共19例,占比6.4%。一年中冬季院前救治人数最多,共107例,占比36.0%;夏季最少,共41例,占比13.8%。结论 一氧化碳中毒患者无明显性别差异,年龄以中青年患者为主,每年冬季中毒患者较多,冬季来临前加强多方媒体力量进行预防知识宣传,培训医护人员相关知识和技能,遇到中毒患者进行规范救治并送往有抢救能力的医院,有效降低一氧化碳中毒率,提高救治有效率。Objective To analyze the epidemiological characteristics of prehospital emergency treatment patients with carbon monoxide poisoning in Tianjin,to provide the evidence for prevention and prehospital emergency treatment of carbon monoxide poisoning.Methods The basic information of carbon monoxide poisoning patients from January 2019 to December 2021 was collected trough the prehospital medical record system database of Tianjin Emergency Center,epidemiological data such as the gender,age and visit time of prehospital emergency treatment patients with carbon monoxide poisoning were statistically analyzed.Results In 297 patients with carbon monoxide poisoning in prehospital emergency treatment,male and female ratio was 1:1.01;240 young and middle-aged patients,accounting for 80.8%.The time period with the highest number of cases of poisoning treated prehospital was from 20:00 to 24:00,with a total of 76 cases,accounting for 25.6%.The time periods with the lowest number of cases were from 4:00 to 6:00 and 8:00 to10:00,with a total of 19 cases,accounting for 6.4%.The highest number of prehospital treatment cases in winter of the year was 107 case,accounting for 36.0%,while the lowest number in summer was 41 cases,accounting for 13.8%.Conclusion There was no obvious gender difference among carbon monoxide poisoning patients.Age was given priority to young and middle-aged patients.Poisoning patients were more in winter every year.To strengthen the prevention knowledge propaganda via variety of media,train medical staff on releveant knowledge and skills before the arrival of winter,the poisoning patients accepted standard treatments and sent to the capable hospital,effectively reduced the carbon monoxide poisoning rate and improved the treatment efficiency.

关 键 词：一氧化碳中毒 院前急救 流行病学 

分 类 号：R18[医药卫生—流行病学]