包头市院前急救救治危重病人与发病时间聚集性的调查研究

Baotou Research Pre-hospital Emergency Treatment of Critically Ill Patients With Onset of Aggregation

目的分析包头市院前急救救治危重病人的发病时间聚集性。方法对2011年至2013年包头市急救医疗指挥中心系统数据库中所有院前急救患者的资料进行分析,观察急救出车的时间分布情况,患者性别、年龄、疾病谱和死亡原因等。结果 2011年至2013年间,1、7、8月份是出车急救的高峰,包头市区院前急救患者81 328例,前3位疾病依次为创伤类27 879例、循环系统急症13 467例、神经系统急症11 735例。结论提高创伤院前急救的技术水平,建立绿色通道;对有猝死高危因素的患者启动快速现场急救反应,是提高生存率的关键;根据呼叫出车密度和疾病谱,科学合理的安排院前急救工作。

Objective To determine the epidemiological characteristics of patients who received pre - hospital first aid in Baotou. Methods We analyzed the profiles of patients who received pre - hospital first aid in central districts of Baotou from 2011- 2013, including gender, age, disease spectrum, the cause of death and time of departure fou ambulance cars, from Baotou Emergency Medical Center. Results A peak departure rate was recorded in January, July, and August from 2011 to 2013, with the rush hours of between 6：00 and 9：00 and between 21： 00 and 23： 00, Of 81328 patients who received pre - hospital first aid, the male to female ratio of 1. 32： 1 was reported. Patients aged 20 - 30 years （16. 28 %）, 31- 40 years （15. 71 %） and〉 70 years （25. 56%） were the predominant population. The major causes of emergency were cardiovascular emergency （16. 56%） ,trauma （34.28%） ,emergence of nervous system （14.43%） respectively. Conclusions There is an urgent call for improving the professional skills of pre - hospital first aid and establishing an easy access It is critical to improve the survival rate vis initiation of rapid scenario emergency in those who are at ride of sudden death, Pre - hospital emergency should be scientifically and reasonably managed on the frequency of emergency calls and disease spectrum.