摘要
目的:研究2010-2014年四川资阳及川南经济区院前急救创伤患者流行病学特征,为预防创伤发生及提高救治率提供依据。方法:分析116 088例院前急救患者的性别、年龄、出诊地区、时间、致伤原因及死亡患者病例资料。结果:创伤患者中男性占60.09%,高于女性的39.91%(P<0.05)。25～44岁年龄段患者最多(25.13%),15～24岁最少(8.17%)(P<0.05)。出诊地区以雁江区分布最多(60.64%),出诊时间7月份人数最多(9.23%)(P<0.05),一天的3个高峰期为9:00～9:59(5.92%)、16:00～16:59(5.93%)和20:00～21:00(6.31%)(P<0.05),主要致伤原因为车祸伤(34.03%)。死亡患者共1134例(0.98%),其中588例(48.15%)现场死亡,男性(55.56%)多于女性(44.44%)(P<0.05),45～59岁年龄段人数最多(27.78%)(P<0.05),主要致死原因为车祸伤(31.48%)(P<0.05)。结论:四川资阳及川南经济区创伤高发,创伤所致死亡率为48.15%,好发人群为青壮年男性,车祸伤是主要致伤致死原因,且高发时间每年的7月份及每天的20:00～21:00点,雁江区为高发地。针对高危地区和人群采取相关措施,从各种层面减少创伤的发生。
Objective:To investigate the epidemiological characteristics of prehospital trauma patientsin Ziyang and Southern Sichuan economic zone from 2010 to 2014 providing scientific basis for preventing the occurrence of trauma and improving the treatment rate.Methods:The data of sex,age,visiting area,time,cause of injury and case of death in 116088 cases of prehospital care were analyzed statistically.Results:60.09% of the trauma patients were male which was higher than that of women(39.91% ).The majority of patients aged 25~44 years(25.13% )and 15~24 years old were the least(8.17% ).The area was most distributed in the area of Yanjiang District(60.64% )(P<0.05),and the number of trauma in July per year was the most(9.23% )(P<0.05).The peak period of one day was 9:00~9:59(5.92% ),16:00~16:59(5.93% ),and 20:00~21:00(6.31% ).The main cause of injury was accident injury(34.03% ).The number of death patients was 1134(0.98% ),588(48.15% )of which died at the scene,males(55.56% )were more than women(44.44% ),the 45-59 age group was the largest(27.78% )(P<0.05),and the main cause of death was accident injury(31.48% )(P<0.05).Conclusion:Ziyang and Southern Sichuan economic zone has high incidence of trauma,most of which more occur in young male adults.The traffic accident is the main cause of death,The time of high incidence is July and 20:00~21:00.The Yanjiang district is the high incidence place.Therefore,It is necessary to strengthen the traffic control in this period,strengthen the manpower and materials of first aid,reducing the incidence and mortality of trauma.
作者
张远军
张长风
朱建军
何静
汪建
ZHANG Yuanjun;ZHANG Changfeng;ZHU Jianjun(Ziyang First People’s Hospital Emergency Medicine Division(Ziyang 641300))
出处
《陕西医学杂志》
CAS
2019年第5期667-670,共4页
Shaanxi Medical Journal
基金
四川省医学科研课题(S15085)
