北京市院前急救患者流行病学分析

The analysis of epidemiology of the pre-hospital patients in Beijing

目的了解北京市院前急救患者流行病学特点。方法采用前瞻性资料收集的方法,对2005年度北京"120"受理出诊患者的性别、年龄、出诊目的主诉等进行调查,并统计分析。结果本组资料是全年"120"受理后出诊患者。男女比例1.93:1。高发年龄为70岁以上。心脑血管疾病患者占第一位(28.23%)。7、8、11、12、1月份出诊患者最多。8:00～24:00为出诊高峰时间。结论(1)要重视民众心脑血管疾病的预防保健教育。(2)提高院前救治技术和仪器装备水平。(3)建立心脑血管疾病院前急救与院内急诊抢救绿色通道势在必行。(4)根据呼叫出诊密度,科学合理安排工作。(5)完善救援应急预案,装备应对不同类灾种的救援器材。

Objective To study the characteristics of epidemiology of pre-hospital patients in Beijing. Method The data, including name, genda, age and chief complaints of the patients treated by Beijing 120 Emergency Center in 2005, were collected and analyzed. Results The patients were treated by Beijing 120, and the ratio of male to female was 1.93 ： 1. The patients centralized in patients older than 70 years old, and most came to the hospitat in July, August, November, December and January. The daily peak time was between 8：00 and 24 ： 00. The heart and brain vessel diseases were the most, and accounted for 28.23 % . Conclusions （1） Attention should be paid to the prevention of the heart and brain vein diseases. （2） It is necessary to improve the pre-hospital treatment technique and equipments. （3） It is very important to build a life channel from ambulance to hospital in transporting the patients of heart and brain vessel diseases. （4） The routine work should be arranged based on the frequency of emergency calls. （5） It is necessary to optimize the rescue project and equipments for various disasters and unexpected events.