上海世博会试运行期间园区内就诊情况回顾性分析

Retrospective Analysis on Clinic Visit Data within Expo Sites during Trial Run of Expo 2010 Shanghai China

[目的]分析中国2010年上海世博会(简称"上海世博会")试运行期间的园区就诊情况,探讨上海世博会医疗服务特点,为更好地开展大型活动的保障工作积累经验。[方法]收集2010年4月20日至21日、23日至26日上海世博会试运行期间园区内所有5个医疗站的就诊数据,应用描述流行病学方法对上述资料进行统计分析。[结果]6场试运行期间园区5个医疗站累计接诊777例就诊患者,转诊患者58人;平均就诊率为0.71‰,平均转诊率为7.46%。就诊人数居前三位的诊断病种分别是伤害、上呼吸道感染和急性肠胃炎。就诊患者主要集中在浦东片区,以C片区最多。[结论]世博会试运行期间就诊率和转诊率低于国外有关文献报道的大型活动。试运行期间伤害病例占多数,因此开园初期应加强伤害的预防。世博会期间浦东片区尤其是C片区将面临较大的就诊压力,应做好充分的医疗资源配备。

[ Objective ] To analyze the clinic visits in the Expo sites during trial run to identify the characteristics of Expo medical care service and to accumulate experience for future mass gathering security work. [ Methods ] Data were collected from 5 medical stations within the Expo sites during the trail run period, namely April 20th to 21st and 23ra to 26th. Descriptive epidemiological methods were used to analyze the data. [ Results ] There were 777 patient-visits in 5 medical stations during 6 trial runs and 58 patients were tranfered to designated hospitals. The patient presentation rate（ PPR ）was 0.71%o and the transfer to hospital rate was 7.46%. The most common diagnosis were injury, upper respiratory tract infection and acute gastroenteritis. Most of patients visited to Pndong area, especially in C zone. [ Conclusion ] The PPR and transfer rate were lower comparing with other reported mass gatherings events. Injury accounted for most of the clinic visits during trial runs and the injury prevention should be emphasized. Medical resources need be allocated concerning high workload in Pudong area, especially C zone.