湖北省汉川市院前急救流行病学调查

Epidemiological investigation of prehospital care in Hanchuan city of Hubei province

目的:探讨院前急救疾病谱构成特点,为拟定更适合急救事业发展的规划,制定更符合社会需求的急救医疗服务模式提供科学依据。方法:对3 869例急救患者的救治资料进行回顾性分析。结果:男女之比2.161:1,21~50岁57.1%;院前急救前5位病种依次是创伤、脑血管病、心血管病、中毒、消化系疾病;院前死因前4位是创伤、心血管病、脑血管病、中毒;大型事件中以重大交通事故伤、坠落伤、群体中毒为多见。结论:加强急诊医疗服务体系的建设,建立专业化、专职化的急救队伍,不断提高院前急救水平,才能适应新形势下院前急救工作的需要。

Objective:To investigate the characteristics of disease spectrum of prehospital emergency,in order to provide scientific basis for drawing up development planning more suitable for first aid career,and for constituting more emergency medical service mode of social needs.Methods:We retrospectively analyzed the treatment data of 3869 emergency patients.Results:The gender ratio of male and female was 2.161:1,21~50 years old accounted for 57.1%;the top five disease in prehospital emergency were trauma,cerebrovascular disease,cardiovascular disease,poisoning,digestive diseases;the top four causes of death in prehospital were trauma,cardiovascular disease,cerebrovascular disease,poisoning;traffic accident,falling injury and toxicosis were common in mass-events.Conclusion:Only through strengthening the construction of emergency medical service system,establishing the professional,full-time emergency team,and improving the level of first aid can adapt the needs of new situation of emergency work.