2019—2023年吉林省妇产科类疾病院前急救流行病学特征及当下救援水平探讨  

Epidemiological features and current rescue level of obstetrics and gynecology-related diseases in prehospital emergency in Jilin Province from 2019 to 2023

作　　者：李化 王玉 骆凝 朱星潼 刘航 张小秋[3] LI Hua;WANG Yu;LUO Ning;ZHU Xing-tong;LIU Hang;ZHANG Xiao-qiu(Medical Emergency Command Center of Jilin,Changchun,Jilin 130021,China;不详)

机构地区：[1]吉林省医疗急救指挥中心,吉林长春130021 [2]长春市口腔医院 [3]吉林省妇幼保健院

出　　处：《中国妇幼保健》2024年第24期4815-4819,共5页Maternal and Child Health Care of China

基　　金：吉林省卫生健康科技能力提升项目(2022GL007)。

摘　　要：目的探究2019—2023年吉林省妇产科类疾病院前急救流行病学特征,并分析当下救援水平。方法选取2019年1月1日—2023年12月31日吉林省急救中心院前急救妇产科类疾病患者5508例为研究对象,回顾性分析其病历资料,总结其流行病学特征。结果2019—2023年妇产科类疾病院前急救人数呈现逐年上升趋势,2019年977例,2020年868例,2021年950例,2022年1360例,2023年1353例。2019年院前急救主要集中在8—22时,0—6时相对较少。2020年和2021年院前急救规律与2019年相似。2022年0∶00∶00—1∶59∶59时和22∶00∶00—23∶59∶59时院前急救人数占比最高,为12.65%。2023年院前急救人数占比最高也出现在0∶00∶00—1∶59∶59时。各时间段综合比较,8∶00∶00—9∶59∶59时段为妇产科类疾病院前急救高峰时间段,与整体其他时间段比较,差异均有统计学意义(P<0.05);其次为20∶00∶00—21∶59∶59和22∶00∶00—23∶59∶59时间段,与整体其他时间段比较,差异均有统计学意义(P<0.05)。2019年春、夏、秋、冬季节院前急救人数占比接近;2020年院前急救占比最高是冬季(28.11%),春季院前急救占比最低(22.12%);2021年夏季和秋季院前急救人数占比接近;2022年冬季占比低于同年度春季、夏季及秋季院前急救人数占比;2023年秋季院前急救人数占比最高,冬季院前急救人数占比最低。各季节综合比较,秋季为妇产科疾病院前急救高发季节,与其他季节比较,差异均有统计学意义(P<0.05),其次为夏季和春季,明显高于冬季,差异均有统计学意义(均P<0.05),春季与夏季之间比较差异无统计学意义(P>0.05)。10~20岁年龄组,2019—2023年院前急救人数逐年下降,21~30岁年龄组,2021年院前急救人数最多;31~40岁年龄组、41~50岁年龄组,在2019—2022年院前急救人数逐年下降,至2023年显著增加;51~60岁年龄组,2022年院前急救人数最多;61~90岁年龄组,各年度妇产类疾病�Objective To investigate the epidemiological characteristics and current rescue level of obstetrics and gynecology diseases in emergency medical services from 2019 to 2023 in Jilin Province.Methods A retrospective analysis was conducted on the medical records of 5508 obstetrics and gynecology patients who were treated by emergency medical services from January 1,2019 to December 31,2023 in Jilin Provincial Emergency Center.Results From 2019 to 2023,the number of pre-hospital emergency treatment for obstetrics and gynecology diseases showed an increasing trend year by year,with 977 cases in 2019,868 cases in 2020,950 cases in 2021,1360 cases in 2022,and 1353 cases in 2023.In 2019,pre-hospital first aid was mainly concentrated at 8-22 hours,and relatively less at 0-6 hours.The pattern of pre-hospital emergency care in 2020 and 2021 was similar to that in 2019.In 2022,the number of pre-hospital emergency patients during 0∶00∶00-1∶59∶59 and 22∶00∶00—23∶59∶59 accounts for the highest proportion(12.65%).In 2023,the highest proportion of pre-hospital emergency patients also appeared at 0∶00∶00—1∶59∶59.According to the comprehensive comparison of all time periods,8∶00∶00—9∶59∶59 was the peak time period for pre-hospital emergency treatment of obstetrics and gynecology diseases,and the difference was statistically significant compared with other time periods(P<0.05).The second time periods were 20∶00∶00—21∶59∶59 and 22∶00∶00—23∶59∶59,and the differences were statistically significant compared with other time periods(P<0.05).In spring,summer,autumn and winter of 2019,the proportion of pre-hospital emergency patients was close;in 2020,the proportion of pre-hospital emergency care was the highest in winter(28.11%),and the lowest in spring(22.12%);in the summer and autumn of 2021,the proportion of pre-hospital emergency patients was close;the proportion of pre-hospital emergency patients in winter of 2022 was lower than that in spring,summer and autumn of the same year

关 键 词：妇产科 院前急救 发病时间 季节 年龄 救援水平 

分 类 号：R459.7[医药卫生—急诊医学]