COVID-19疫情期间江苏省某三甲综合医院急诊救治疾病谱与2019年同期比较分析

Disease spectrum of emergency treatment in a third-class hospital of Jiangsu province during COVID-19 period and the same period in 2019:a comparative analysis

目的分析江苏省南通市某三甲综合医院2020年1至7月急诊救治患者的疾病谱构成情况,并与2019年同期进行比较分析,为当地政府及医疗部门提供疾病防控的方向和常态化疫情管控期间的管理策略。方法选取该医院2019年及2020年1至7月急诊收治的101443例患者为研究对象,其中男性52025例,女性49418例;年龄1~97岁,平均(46.37±5.31)岁。采用SPSS 23.0对资料进行整理分析,分别对两年同期急诊患者疾病谱构成情况、年龄分布及性别构成情况进行比较。结果(1)共调查了急诊收治患者101443例,疾病顺位前8位分别是呼吸系统疾病、发热、创伤、消化系统疾病、神经系统疾病、循环系统疾病、泌尿系统疾病和妇产科疾病。(2)2年同期呼吸系统疾病始终排在第一位,2020年呼吸系统疾病、发热患者占比有所上升,创伤患者占比减少,(P<0.01)。(3)2020年17岁及以下患者有明显增加,由2019年23.74%上升至2020年的34.09%,(P<0.01)。(4)急诊救治患者男性稍多于女性,(P<0.05)。结论在COVID-19疫情期间,呼吸系统疾病、发热、创伤是主要救治病种,呼吸系统疾病居首位,积极完善相关制度与流程,加强急诊队伍相应专业的业务水平与急救能力建设,确保疾病谱前三位的患者得到专业、及时、有效的救治。

Objective To analyze the composition of the disease spectrum of emergency treatment patients in a Third-class hospital of Nantong,Jiangsu Province from January 2020 to July 2020,which makes a comparative analysis with the same period in 2019,so as to provide the management strategy for the local government and medical departments.Methods A total of 101443 patients in the emergency department of the hospital in 2019 and from January to July 2020 were selected as the research objects,including 52025 males and 49418 females;The age ranged from 1 to 97 years,with an average of(46.37±5.31)years.SPSS 23.0 was used to collect and analyze the data,and the disease spectrum composition,age distribution and gender composition of emergency patients in the same period of two years were compared.Results In this study,the top 8 diseases were respiratory system diseases,fever,trauma,digestive system diseases,nervous system diseases,circulatory system diseases,urinary system diseases and gynecological and obstetric diseases.In the past two years,respiratory diseasesalways ranked first.In 2020,the proportion of patients with respiratory and fever increased;in addition,the proportion of patients with trauma decreased,of which difference was statistically significant(P<0.01),According to the age characteristics,the number of patients aged 17 years and below increased significantly in 2020,from 23.74%in 2019 to 34.09%in 2020,of which difference was statistically significant(P<0.01),According to the analysis of gender characteristics,the number of men in emergency treatment was slightly more than that of women,of which difference was statistically significant(P<0.05).Conclusion During the COVID-19 epidemic,respiratory system diseases,fever and trauma are the main treatment diseases,and respiratory system diseases rank first.We should actively improve relevant systems and processes,strengthen the professional level and first aid ability construction of emergency teams,and ensure that the top three patients in the disease spectrum receive professional,timely and effective treatment.