• 自貢市第四人民醫(yī)院急診科（四川自貢，643000）;

【摘要】　目的　 研究自貢市急救中心院前急救流行病學特征。　方法　 回顧性分析2009年度自貢市急救中心出診的院前急救數(shù)據(jù)，研究院前急救疾病譜及性別、年齡構成，并分析時刻及季節(jié)分布特點，描述院前急救轉(zhuǎn)歸。　結(jié)果　 2009年度自貢市急救中心院前急救共4 588例，排前6位疾病依次為損傷、中毒和外因的某些其他后果（45.6%），循環(huán)系統(tǒng)疾?。?5.0%），呼吸系統(tǒng)疾?。?.3%），神經(jīng)系統(tǒng)疾?。?.0%），精神和行為障礙（5.6%），消化系統(tǒng)疾?。?.9%）；性別構成男性多于女性（P lt;0.05）；年齡構成以中老年較多，青少年兒童較少（P lt;0.05）；時刻分布規(guī)律高峰點為15點40分（P lt;0.05），季節(jié)分布以冬季較多（P lt;0.05）；患者轉(zhuǎn)歸以住院、留院觀察為主，院前死亡人數(shù)占比例為3.8%。　結(jié)論　 根據(jù)院前急救流行病學規(guī)律，可以合理配置急診資源，增強應急救援能力，滿足民眾不斷增加的醫(yī)療需求。
【Abstract】　Objective　 To research on the epidemiological characteristics of the prehospital cases in Zigong emergency rescue center.　Methods　 We retrospectively analyzed the database of prehospital cases in Zigong emergency rescue center in 2009, and reviewed the prehospital disease spectrum, gender composition, age structure, the circadian and seasonal distribution, and the outcomes of these cases.　Results　 A total of 4 588 prehospital victims in Zigong emergency rescue center were enrolled. In the study, six leading diseases were injury, poisoning and certain other consequences due to external causes (45.6%), diseases of the circulatory system (15.0%), diseases of the respiratory system (6.3%), diseases of the nervous system (6.0%), mental and behavioral disorders (5.6%), and diseases of the digestive system (4.9%). Male patients were more than female patients (P lt;0.05). The proportion of the aged and the middle-aged was significantly larger than that of young population in the same districts (P lt;0.05), and the occurrence of prehospital care usually peaked at 15:40 (P lt;0.05). Prehospital care had a higher incidence in winter (P lt;0.05), and the outcome of prehospital cases was mainly in hospital and in observation ward. The proportion of deaths was 3.8%.　Conclusion　 We can allocate emergency resources reasonably in prehospital care, and promote the ability of rescuing in order to meet people′s medical demands on the basis of the epidemiological study in our city.

引用本文： 徐平,曹靈紅,章成. 2009年度自貢市急救中心院前急救流行病學研究. 華西醫(yī)學, 2011, 26(11): 1649-1652. doi: 復制

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1. 　李金年. 我國院前急救事業(yè)的現(xiàn)狀與展望[J]. 中國危重病急救醫(yī)學, 2002, 12(5): 259-261.
2. 　Hughes C. ICD-9 Update 2011: Approaching the Change to ICD-10[J]. Fam Pract Manag, 2010, 17(5): 15-16.
3. 　徐平, 武濤, 曹靈紅, 等. 院前急救電子病歷的設計與試用[J]. 重慶醫(yī)學, 2011, 40(17): 1759-1760.
4. 　車在前, 郭榮峰, 王東升, 等. 上海市2003-2007年道路交通傷院前急救流行病學調(diào)查[J]. 中國急救醫(yī)學, 2010, 30(2): 174-176.
5. 　Li GN, Hoffman-Kim D. Evaluation of neurite outgrowth anisotropy using a novel application of circular analysis[J]. J Neurosci Methods, 2008, 174(2): 202-214.
6. 　Bjrkstén KS, Kripke DF, Bjerregaard P. Accentuation of suicides but not homicides with rising latitudes of Greenland in the sunny months[J]. BMC Psychiatry, 2009, 9(20): 1-10.
7. 　劉偉, 林漢生. SPSS在完全隨機設計多個樣本間多重比較Nemenyi秩和檢驗中的應用[J]. 中國衛(wèi)生統(tǒng)計, 2009, 26(2): 214-216.
8. 　周凌, 廖曉星. 我院創(chuàng)傷院前急救研究現(xiàn)狀和存在問題[J]. 中國急救醫(yī)學, 2007, 27(12): 1146-1147.
9. 　曹靈紅, 徐平, 鄒永麗, 等. 院前急救4109例ICD-10疾病譜分析[J]. 華西醫(yī)學, 2009, 24(10): 2677-2679.
10. 　郭榮峰, 車在前, 李警, 等. 上海市2007年院前急救患者流行病學調(diào)查[J]. 中華急診醫(yī)學雜志, 2008, 17(11): 1127-1130.
11. 　張玉梅, 劉桂花, 鄭亞安. 急診猝死患者尸檢的特點及診斷對比分析[J]. 中華急診醫(yī)學雜志, 2010, 19(2): 185-189.
12. 　Wang H, Lei W, Li Y, et al. The epidemiology of non-traumatic prehospital sudden death in Macau[J]. Resuscitation, 2007, 74(2): 222-226.
13. 　Alpern ER, Stanley RM, Gorelick MH, et al. Epidemiology of a pediatric emergency medicine research network: the PECARN Core Data Project[J]. Pediatr Emerg Care, 2006, 22(10): 689-699.
  1. 1. 　李金年. 我國院前急救事業(yè)的現(xiàn)狀與展望[J]. 中國危重病急救醫(yī)學, 2002, 12(5): 259-261.
  2. 2. 　Hughes C. ICD-9 Update 2011: Approaching the Change to ICD-10[J]. Fam Pract Manag, 2010, 17(5): 15-16.
  3. 3. 　徐平, 武濤, 曹靈紅, 等. 院前急救電子病歷的設計與試用[J]. 重慶醫(yī)學, 2011, 40(17): 1759-1760.
  4. 4. 　車在前, 郭榮峰, 王東升, 等. 上海市2003-2007年道路交通傷院前急救流行病學調(diào)查[J]. 中國急救醫(yī)學, 2010, 30(2): 174-176.
  5. 5. 　Li GN, Hoffman-Kim D. Evaluation of neurite outgrowth anisotropy using a novel application of circular analysis[J]. J Neurosci Methods, 2008, 174(2): 202-214.
  6. 6. 　Bjrkstén KS, Kripke DF, Bjerregaard P. Accentuation of suicides but not homicides with rising latitudes of Greenland in the sunny months[J]. BMC Psychiatry, 2009, 9(20): 1-10.
  7. 7. 　劉偉, 林漢生. SPSS在完全隨機設計多個樣本間多重比較Nemenyi秩和檢驗中的應用[J]. 中國衛(wèi)生統(tǒng)計, 2009, 26(2): 214-216.
  8. 8. 　周凌, 廖曉星. 我院創(chuàng)傷院前急救研究現(xiàn)狀和存在問題[J]. 中國急救醫(yī)學, 2007, 27(12): 1146-1147.
  9. 9. 　曹靈紅, 徐平, 鄒永麗, 等. 院前急救4109例ICD-10疾病譜分析[J]. 華西醫(yī)學, 2009, 24(10): 2677-2679.
  10. 10. 　郭榮峰, 車在前, 李警, 等. 上海市2007年院前急救患者流行病學調(diào)查[J]. 中華急診醫(yī)學雜志, 2008, 17(11): 1127-1130.
  11. 11. 　張玉梅, 劉桂花, 鄭亞安. 急診猝死患者尸檢的特點及診斷對比分析[J]. 中華急診醫(yī)學雜志, 2010, 19(2): 185-189.
  12. 12. 　Wang H, Lei W, Li Y, et al. The epidemiology of non-traumatic prehospital sudden death in Macau[J]. Resuscitation, 2007, 74(2): 222-226.
  13. 13. 　Alpern ER, Stanley RM, Gorelick MH, et al. Epidemiology of a pediatric emergency medicine research network: the PECARN Core Data Project[J]. Pediatr Emerg Care, 2006, 22(10): 689-699.