1205例院前急救患者疾病谱分布与流行病学分析

Disease spectrum distribution and epidemiological analysis on 1205 cases of pre-hospital first aid

目的:了解我院急救中心近两年院前急救与转运患者的疾病谱分布及流行病学特点。方法:对2008年1月—2009年6月间我院急救中心出诊救护车院前急救转运患者的性别、年龄、出诊时间、急诊诊断或主诉等进行调查分析。结果:18个月内院前急救与转运患者1205例,男女比为1.56:1;年龄(42.06±19.53)岁;创伤、神经系统疾病、心血管系统疾病、急性中毒、消化系统疾病居前5位;每天12∶00～16∶00和20∶00～24∶00为出诊高峰时间;急救半径分布不同与出诊地点有一定联系。结论:院前急救工作的医务人员可根据疾病分类和疾病谱为依据进行重点培训,科学合理地安排院前急救工作时间,提高工作效率。

Objective： To understand the disease spectrum distribution and epidemiological features of transfer patients and first aid patients in our hospital emergency center in the last two years. Methods： Investigate and analyze the sex, age, visit time, emergency diagnosis and eomfflaints of the transfer patients and first aid patients in our hospital＇s emergency center in January 2008 - June 2009. Results： Transport and give first aid treatment for 1205 cases within lg months. Of these 1205 patients, ratio of male to female is 1.56： 1; and the mean ageis （42.06 ± 19.53） years; trauma, nervous system diseases, cardiovascular diseases, acute toxicity and digestive system diseases are the top 5; 12：00 - 16：00 and 20：00 - 24：00 are the daily rush hours of visiting; different distribution of rescuing radius has some contact with locations of visits. Conclusion： Pre - hospital emergency medical personnel can specifically train, and make scientific and rational arrangement of fist - aid time in order to improve efficiency according to classification and spectrum of diseases