西宁市城东区1471例院前急救患者流行病学分析

Epidemiological analysis of 1471 cases in pre-hospital medical care for Chengdong district in Xining city

目的调查西宁市城东区院前急救患者流行病学情况,探讨院前急救病例特点。方法从青海省医疗紧急救援中心系统数据库中导出2008年度西宁市城东区全部数据进行统计分析。结果①院前急救患者的调度时间、到达时间、现场时间分别为（2.53±1.02）分钟（、9.15±4.38）分钟（、12.65±5.84）分钟,院前死亡患者分别为（2.45±1.03）分钟（、8.85±4.29）分钟（、27.31±12.62）分钟,院前心脏性猝死患者分别为（2.36±0.95）分钟（、9.47±4.53）分钟（、26.83±13.15）分钟,三者在调度时间、到达时间的差异均无统计学意义（P〉0.05）,但院前急救患者的现场时间明显少于院前死亡及院前心脏性猝死患者（P〈0.01）。②院前急救、院前死亡及院前心脏性猝死患者分别以第四季度、第三季度、第三季度为最多。③在1 471例院前急救患者中,创伤类是院前急救中最多的,年龄以21~50岁青壮年阶段最多;其次是其他类;再次分别是神经系统、循环系统、呼吸系统、消化系统类,且均以51岁（尤其是70岁）以上的中老年阶段最多。④循环系统、神经系统、呼吸系统类的死亡分别位居第一、第二、第四,均以51岁（尤其是70岁）以上的中老年阶段最多,其中心脏性猝死又是循环系统类的死亡中最多的;创伤类的死亡位居第三,年龄以21~50岁青壮年阶段最多。⑤男性院前急救的数量、总死亡量及院前心脏性猝死均明显高于女性。结论创伤和心脏性猝死分别以青壮年、中老年阶段为高发,并分别成为院前急救、院前死亡的最主要原因。

Objective To investigate the epidemiological information of patients in pre-hospital medical care for Chengdong district in Xining city and probe the patients＇ characteristics.Methods The data of Chengdong district in 2008 were exported from the computer database of Qinghai province emergency medical center.Results ①The scheduling time,running time and rescue time of patients in the pre-hospital medical care group were（2.53±1.02） min,（9.15±4.38） min,（12.65±5.84） min,and the above parameters of patients in the death group were（2.45±1.03） min,（8.85±4.29） min,（27.31±12.62） min,and the above parameters of patients in the sudden cardiac death group were（2.36±0.95） min,（9.47±4.53） min,（26.83±13.15） min respectively.Although the scheduling time and the running time did not have significant difference among the three groups（P0.05）,the rescue time in the pre-hospital medical care group was less than that in the death group and the sudden cardiac death group respectively（P0.01）.②The patients＇ number,the death number and the sudden cardiac death number in pre-hospital medical care were at most in the fourth quarter,the third quarter and the third quarter respectively.③In 1 471 cases of pre-hospital medical care,the patients＇ number of trauma was at most,whose age grade was by far among 21-50 years old,and but for the other group,the patients＇ number in sequence was nervous system,circulatory system,respiratory system and digestive system respectively,whose age grade was by far above 51 years old,especially above 70 years old.④The death number of circulatory system,nervous system and respiratory system ranked at the 1st,2nd,4th place respectively,whose age grade was by far above 51 years old,especially above 70 years old,and the number of sudden cardiac death was at most in the death number of circulatory system.The death number of trauma ranked at the 3rd place,whose age grade was by far among 21-50 years old.⑤The total number,the death number and the sudden cardiac death number of male patients were more than those of female patients.Conclusion The trauma and the sudden cardiac death were at most in the youth and the old grade respectively,and would be the most cause in the pre-hospital medical care and in the pre-hospital death.