CAJ | 학술논문

目的探讨上海市2007年院前急救患者的流行病学特征.方法以上海市急救中心2007年院前急救患者数据库和同期全市人口数据为基础,对其中记录完整者进行统计分析.构成比之间比较采用y2检验和确切概率法,对时间、日期和月份使用圆形分布的统计方法 .结果 2007年本市中心城区实施的院前急救患者中,有完整数据记录者86 815人,男女比为3.89:1,老年人占84.95%.其主要疾病依次分别为创伤.脑血管病、心脏病、昏迷、高热、肿瘤急症、急腹症、妇产科急症和上消化道出血.一天中,院前急救的高峰时点为12:15,高峰时段为05:43至17:45,不同疾病的院前急救均有其高峰时点和时段;一年中,院前急救无明显高峰期,但高热、急腹症和上消化道出血的院前急救均有其高峰期.结论上海市中心城区院前急救患者有其自身的流行病学特点,因此不断完善院前急救系统建设,加强从业人员的业务培训,以适应新形势下的院前急救需求,是提高危急重患者院前急救成功率的根本保证.
목적 탐토상해시2007년원전급구환자적류행병학특정.방법 이상해시급구중심2007년원전급구환자수거고화동기전시인구수거위기출,대기중기록완정자진행통계분석.구성비지간비교채용y2검험화학절개솔법,대시간、일기화월빈사용원형분포적통계방법 .결과 2007년본시중심성구실시적원전급구환자중,유완정수거기록자86 815인,남녀비위3.89:1,노년인점84.95%.기주요질병의차분별위창상.뇌혈관병、심장병、혼미、고열、종류급증、급복증、부산과급증화상소화도출혈.일천중,원전급구적고봉시점위12:15,고봉시단위05:43지17:45,불동질병적원전급구균유기고봉시점화시단;일년중,원전급구무명현고봉기,단고열、급복증화상소화도출혈적원전급구균유기고봉기.결론 상해시중심성구원전급구환자유기자신적류행병학특점,인차불단완선원전급구계통건설,가강종업인원적업무배훈,이괄응신형세하적원전급구수구,시제고위급중환자원전급구성공솔적근본보증.
Objective To analyze the epidemiologieal characteristics of the pre-hospital care cases in Shanghai in the year 2007. Method Based the demographic records in the year 2007, the cases which from the database of Shanghai pre-hospital care center with full items were analyzed. Chi-square test and exact probabilities were used to compete the consfituent ratio; and the method of circular distribution was used to calculate the peak time, date and month. Results There were 86 815 patients with pre-hospital care well documented from the ur-ban districts of Shanghai. The ratio of male to female was 3.89: 1. The senile patients accounted for 84.95% of all the pre-hospital care ones. The major causes of disease in patients with pre-hospital care were trauma, eere-brovascular disease,cardiac diseases, coma, high fever, tumor emergency, acute abodomen emergency,OB/GYN emergency and upper G1 tract bleeding in turn. During the daytime, the occurrence of those emergency patients with pre-hospital care usually peaked at 2:15 o' clock with the high frequency in the period of 5:45 to 17:45 o' clock.The top nine diseases had their own peak time and high frequency period, respectively. Within a year, no peak date occurrence of patients with prehospital care, in tolal, was found. Howerer, the occurrence of patients with high fever, acute abdomen and upper GI bleeding had specific peak dates within a year, respectively. Conclusioes The pre-hospital care eases in the urban of Shanghai have own epidemiologieal characteristics. Perfect the construc-tion of pre-hospital emergency care system, improving the professional training, and thereby meeting the require-ments are factors in the fundamental guarantee of improving the rescue full success rate of severe patients.