汶川地震转院患者的流行病学调查

Epidemiological investigation on trauma patients in Wenchuan earthquake

目的探讨地震灾害创伤的流行病学特征和影响因素。方法采用描述性流行病学方法对汶川"5.12"地震(2008年5月12日至5月21日)第三军医大学大坪医院及重庆急救中心收治的196例创伤患者进行调查。对地震伤亡与时间的关系进行分析。结果本组地震创伤患者以60岁以上最多,占31.63%,职业以农民最多,占54.08%,受伤部位以多部位伤最多,占35.71%,其次为下肢伤,占33.67%,城镇与农村创伤严重度评分比较,差异无统计学意义(P>0.05)。结论地震创伤的救治与多因素有关,应特别重视受伤前5 d和高危人群的救治。

Objective To study epidemiological characteristics and influential factors of hospitalization trauma patients in Wenchuan earthquake disaster.Methods Retrospective analysis was made in 196 patients with trauma from the Wenchuan earthquake by description epidemiological method.The clinical data of 196 cases were collected from 2 hospitals.Results It was first 5 d after the earthquake that 28 881 people were killed accounting for 42.40%,193 347 injured accounting for 54.41%.The majority of the patients with earthquake injury were over 60 years old accounting for 31.63%,peasants accounting for 54.08%,multiple trauma accounting for 35.71%,lower limbs injury accounting for 33.67%.There was no any difference between city and rural area on injury severity score（P〉0.05）.Conclusion The earthquake injury is influenced by many factors.More attention should be paid to first 5 d and rescue of high risk population after earthquake injury.