摘要
目的 调查广州市院前急救患者流行病学情况,探讨院前急救病例特点.方法 从广州市急救医疗指挥中心系统数据库中导出2008年度全部数据进行统计分析.结果 ①在969 410次呼叫量中,日时间分布以16：00-18：00为最高（114 224次、占11.78%）,以04：00-06：00为最低（23 237次、占2.40%）.②在109 682次出车中,白云区出车量最多（29 364次、占26.77%）,其次是海珠区（20 069次、占18.30%）、天河区（19 962次、占18.20%）.③在97 823例院前急救患者中,男性的比例与死亡率均明显高于女性[比例：57.65%（56 394）比38.48%（37 641）,死亡率：59.17%（3 269）比33.95%（1 876）].④在97 823例院前急救患者中,创伤类是院前急救中最多的,占34.57%（33 820）,尤其是交通意外,占11.56%（11 307）;且以21～50岁青壮年者最多;其次分别是神经系统、循环系统、呼吸系统、消化系统急症,且均以51岁（尤其是70岁）以上的中老年者最多.⑤在97 823例院前急救患者中,共死亡5 525例,占5.65%.循环系统急症死亡（尤其是猝死）居首位（1 827例、占33.07%）,其次分别为其他系统急症死亡（1 646例、占29.79%）、创伤类死亡（866例、占15.67%）、呼吸系统急症死亡（413例、占7.48%）、神经系统急症死亡（329例、占5.95%）;其中循环系统、呼吸系统、神经系统急症死亡均以51岁（尤其是70岁）以上的中老年者最多,其他系统急症死亡以61岁以上的老年者最多,创伤类死亡以21～40岁中青年者最多.结论 ①加强心脑血管疾病和呼吸系统疾病防治,提高中老年患者的常见急危重症早期识别与院前急救水平对降低死亡有重要意义.②加强安全生产、遵守交通法规、强化法制意识是降低创伤,尤其是交通意外发生及其死亡的有力手段.
Objective To investigate the epidemiological information of patients in pre-hospital medical care in Guangzhou city, and to explore the characteristics of the patients. Methods The data in the year of 2008 were retrieved from the computer database of Guangzhou Emergency Medical Rescue Command Center. Results ①In a total of 969 410 calls received, the time of distribution was found to be mainly between 16：00 and 18：00 [11.78% （114 224）], and least frequently between 04：00 and 06：00 [2.40% （23 237）]. ②Among 109 682 dispatches of ambulances, Baiyun district received the most [26.77% （29 364）], and followed by Haizhu district [18.30% （20 069）], Tianhe district [18.20% （19 962）], respectively. ③Among 97 823 cases of pre-hospital medical care, death rate of the male patients was higher than the female [amount： 57.65% （56 394） vs. 38.48% （37 641）, mortality： 59.17% （3 269） vs. 33.95% （1 876）]. ④In 9 7823 cases of pre-hospital medical care, trauma constituted the highest rate [34.57% （33 820）], especially traffic accidents [11.56% （11 307）], and the age of most of the patients ranged between 21 and 50. Disease of the nervous system ranged the second, followed by diseases of circulatory system, respiratory system and digestive system, and most of them were over 51 years old, and most frequently above 70. ⑤In 97 823 cases of pre-hospital medical care, there were 5 525 deaths （5.65%）, in whom the circulatory system diseases ranged first （especially sudden death） [33.07% （1 827）], followed by unclassified diseases [29.79% （1 646）], trauma [15.67% （866）], respiratory diseases [7.48% （413）], and neurological emergency illnesses [5.95% （329）]. The age of deceased was far older than 51, particularly 70. The age of most of the deceased was above 61, and age of traumatic death was 2140. Conclusion ①It is very important to reduce the death rate of the middle-old aged patients by strengthening prevention and timely treatment of cardiovascular and cerebrovascular diseases, and improve the medical strategies in emergency care, in order to lower the death rate during emergency. ②It is very important to emphasize safely in production lines and to strengthen traffic regulations in order to reduce the incidence of trauma, thus it is especially traffic accident, expect that the death rate of trauma could be lowered.
出处
《中国危重病急救医学》
CAS
CSCD
北大核心
2011年第2期99-103,共5页
Chinese Critical Care Medicine
基金
卫生部临床重点项目
关键词
流行病学
院前急救
调查
Epidemiology
Pre-hospital medical care
Investigation
