CAJ | 학술논문

目的：了解乌鲁木齐市2011—2012年由120院前急救中心救治的创伤的流行病学特点，分析其致伤因素，为制定预防和控制措施、合理优化院前急救资源并加强院前急救提供理论依据。方法从乌鲁木齐市120院前急救中心调取院前急救数据，选择信息记录完整的创伤患者资料进行回顾性分析。结果（1）乌鲁木齐市120院前急救中心2011—2012年接到22103例院前创伤患者的呼叫，排除信息记录不全者63例，有效信息记录者共22040例。22040例创伤患者中男15333例、女6707例，男女比例为2,29：1。（2）汉族患者17458例（79,21%），其次为维吾尔族患者2777例（12,60%）。（3）平均年龄（41,0±18,3）岁，21~30岁、31~40岁、41~50岁年龄段患者所占比例均>20,00%。（4）一年中4~10月份创伤高发；一天中02：00~08：59发生较少，其余时间分布较为平均。（5）平均急救半径为（10,4±13,2）km，院前急救反应时间为（20,8±26,4）min。（6）死亡患者共420例，其中男327例、女93例。死亡患者院前急救反应时间较非死亡患者长〔（28,1±25,7）min 与（20,7±26,4）min，t =5,679，P=0,000〕。死亡患者主要致伤原因依次为交通伤232例（55,24%）、坠落伤106例（25,24%）。结论创伤的发生具有季节及时间特性，且死亡患者的急救反应时间较长，其中交通伤和坠落伤是最主要的致伤原因。目前我市创伤院前急救半径及急救时间水平均低于国内平均水平，因此需要合理优化院前急救资源，提高院前创伤救治。
목적：료해오로목제시2011—2012년유120원전급구중심구치적창상적류행병학특점，분석기치상인소，위제정예방화공제조시、합리우화원전급구자원병가강원전급구제공이론의거。방법종오로목제시120원전급구중심조취원전급구수거，선택신식기록완정적창상환자자료진행회고성분석。결과（1）오로목제시120원전급구중심2011—2012년접도22103례원전창상환자적호규，배제신식기록불전자63례，유효신식기록자공22040례。22040례창상환자중남15333례、녀6707례，남녀비례위2,29：1。（2）한족환자17458례（79,21%），기차위유오이족환자2777례（12,60%）。（3）평균년령（41,0±18,3）세，21~30세、31~40세、41~50세년령단환자소점비례균>20,00%。（4）일년중4~10월빈창상고발；일천중02：00~08：59발생교소，기여시간분포교위평균。（5）평균급구반경위（10,4±13,2）km，원전급구반응시간위（20,8±26,4）min。（6）사망환자공420례，기중남327례、녀93례。사망환자원전급구반응시간교비사망환자장〔（28,1±25,7）min 여（20,7±26,4）min，t =5,679，P=0,000〕。사망환자주요치상원인의차위교통상232례（55,24%）、추락상106례（25,24%）。결론창상적발생구유계절급시간특성，차사망환자적급구반응시간교장，기중교통상화추락상시최주요적치상원인。목전아시창상원전급구반경급급구시간수평균저우국내평균수평，인차수요합리우화원전급구자원，제고원전창상구치。
Objective To understand the epidemiological characteristics of 120 pre - hospital emergency for trauma in Urumqi from 2011 to 2012,to provide a base for formulation of prevention and control measures,rational optimization of pre -hospital emergency resources,strengthening pre - hospital emergency, Methods Data were taken from 120 pre - hospital emer-gency center to perform retrospective analysis, Results The center received 22 103 calls from 120 pre - hospital trauma pa-tients, Excluding 63 incomplete information records,22 040 cases had effective information,15 333 males,6 707 females,male to female ratio:2, 29: 1, Han patients ranked first(17 458,79, 21% ),followed by Uygur patients(2 777,12, 60% ), The average age was(41, 0 ± 18, 3)years old,each of age groups of 21 - 30,31 - 40,41 - 50 accounted for more than 20, 00%Accidents occurred most frequently from April to October in a year,fewer from 02:00 to 08:59 in a day,and distributed aver-agely in the other months or at the other time, The average rescuing radius was(10, 4 ± 13, 2)km,the first - aid reaction time was(20, 8 ± 26, 4)min, A total of 420 patients died,including 327 males,93 females, The first - aid reaction time was longer for patients who died than those who did not die〔(28, 1 ± 25, 7)min vs, (20, 7 ± 26, 4)min,t = 5, 679,P = 0, 000〕, The main causes of injuries were,in proper order,traffic trauma(232,55, 24% ),fall injuries(106,25, 24% ), Conclusion Trauma accidents are of season and time characteristics,the emergency reaction time of the patients who die is longer,traffic and fall injuries are the main reasons for trauma, The level of Urumqi is lower than the domestic average level in pre - hospital rescuing radius and time, So pre - hospital emergency resources needs to be optimized rationally to improve pre - hospital trauma rescue.