中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
2期
38-44
,共7页
吕玮%许玉娥%王金桃%李树峰
呂瑋%許玉娥%王金桃%李樹峰
려위%허옥아%왕금도%리수봉
急诊疾病%疾病谱
急診疾病%疾病譜
급진질병%질병보
Emergency diseases%Disease spectrum
目的 分析晋城矿区急诊患者的发病年龄、疾病类别、就诊时间和就诊规律,探讨急诊病谱的构成及特点,为急诊科的物资、设备、人员和技术的组织管理提供科学依据.方法 回顾性分析晋城煤业集团总医院2004年5月至2009年5月5年间23 069例急诊患者疾病谱的病历资料,按照性别、年龄、时间、系统疾病和创伤,排列出急诊疾病的构成与排位情况.将数据输入计算机中,以Excel软件对结果进行计算,并列出图表,总结急诊疾病谱规律.结果 ①急诊患者中男性多于女性,年龄主要集中在20～40岁组;②急诊科疾病谱的前四类疾病为创伤和消化系统、神经系统疾病和呼吸系统疾病,占急诊患者的78.92%;③急诊创伤中以四肢创伤为最多,占创伤的44.08%;④午夜及清晨为急诊患者来诊低谷,18-23时为高峰;⑤夏秋季节急诊患者密度略高于冬春季节,不同季节各类疾病的构成不同,各类疾病的季节构成符合疾病的发病规律;⑥各系统疾病的年龄高峰符合疾病的发病规律.结论 本研究揭示了我院急诊就诊疾病谱构成以及常见病种的时间分布特点,为急危重病的预防提供了基本资料.应根据急诊患者的疾病谱确定急诊科的技术建设重点和人才培养方向,以提高对急诊患者的诊治水平.在疾病高峰到来之前做好抢救准备可降低痛死率和致残率,提高抢救的成功率.
目的 分析晉城礦區急診患者的髮病年齡、疾病類彆、就診時間和就診規律,探討急診病譜的構成及特點,為急診科的物資、設備、人員和技術的組織管理提供科學依據.方法 迴顧性分析晉城煤業集糰總醫院2004年5月至2009年5月5年間23 069例急診患者疾病譜的病歷資料,按照性彆、年齡、時間、繫統疾病和創傷,排列齣急診疾病的構成與排位情況.將數據輸入計算機中,以Excel軟件對結果進行計算,併列齣圖錶,總結急診疾病譜規律.結果 ①急診患者中男性多于女性,年齡主要集中在20～40歲組;②急診科疾病譜的前四類疾病為創傷和消化繫統、神經繫統疾病和呼吸繫統疾病,佔急診患者的78.92%;③急診創傷中以四肢創傷為最多,佔創傷的44.08%;④午夜及清晨為急診患者來診低穀,18-23時為高峰;⑤夏鞦季節急診患者密度略高于鼕春季節,不同季節各類疾病的構成不同,各類疾病的季節構成符閤疾病的髮病規律;⑥各繫統疾病的年齡高峰符閤疾病的髮病規律.結論 本研究揭示瞭我院急診就診疾病譜構成以及常見病種的時間分佈特點,為急危重病的預防提供瞭基本資料.應根據急診患者的疾病譜確定急診科的技術建設重點和人纔培養方嚮,以提高對急診患者的診治水平.在疾病高峰到來之前做好搶救準備可降低痛死率和緻殘率,提高搶救的成功率.
목적 분석진성광구급진환자적발병년령、질병유별、취진시간화취진규률,탐토급진병보적구성급특점,위급진과적물자、설비、인원화기술적조직관리제공과학의거.방법 회고성분석진성매업집단총의원2004년5월지2009년5월5년간23 069례급진환자질병보적병력자료,안조성별、년령、시간、계통질병화창상,배렬출급진질병적구성여배위정황.장수거수입계산궤중,이Excel연건대결과진행계산,병렬출도표,총결급진질병보규률.결과 ①급진환자중남성다우녀성,년령주요집중재20～40세조;②급진과질병보적전사류질병위창상화소화계통、신경계통질병화호흡계통질병,점급진환자적78.92%;③급진창상중이사지창상위최다,점창상적44.08%;④오야급청신위급진환자래진저곡,18-23시위고봉;⑤하추계절급진환자밀도략고우동춘계절,불동계절각류질병적구성불동,각류질병적계절구성부합질병적발병규률;⑥각계통질병적년령고봉부합질병적발병규률.결론 본연구게시료아원급진취진질병보구성이급상견병충적시간분포특점,위급위중병적예방제공료기본자료.응근거급진환자적질병보학정급진과적기술건설중점화인재배양방향,이제고대급진환자적진치수평.재질병고봉도래지전주호창구준비가강저통사솔화치잔솔,제고창구적성공솔.
Objective To analyse age, disease category, time and regularity of visiting doctors in order to investigate composition and characteristics of disease spectrum in emergency department of Jincheng mining area. To provide a scientific basis for organization and management of materials, equipments,personnels and techniques in emergency departments. Methods Retrospective analysis of 23 069 cases information about disease spectrum in emergency department from our hospital between May 2004 and May 2009. According to gender, age, time, system diseases and injury, to list composition and sequence both emergency diseases by retrospective analysis, and to draw the graph according to the results calculated by Excel software. Results Among the emergency patients, more men than women and the high incidence age groups are 21 -40. ②Injury and digestive system diseases, nervous system diseases and respitatory diseases were the leading four kinds of diseases in emergency department, accounting for 78. 92% of emergency patients. ③Limb injury was the most common emergency injury, accounting for 44. 08% of injury. ④The frequency of emergency visits is the lowest at midnight and in the early morning and the highest was from 18 to 23 hours. ⑤The density of emergency visits was a little higher in autumn and summer than that in winter and spring, ompositions of diseases differed in different seasons, the season compositions of diseases were in accordance with disease onset regulation. ⑥The system diseases in the peak age of onset comply with the law of the incidence of the disease. Conclusions Composition of emergency disease spectrum and characteristics of time distribution is beneficial to prevention of critical illness. Focus of technical construction and direction of personnel training of emergency department should be decided according to the disease spectrum to improve diagnosis and treatment of emergency diseases.
