【摘要】 目的探索季节和节假日对心脑血管病患者急诊的影响。方法对我院2003年8月—2008年7月收治的16856例心脑血管病急诊患者的临床资料进行回顾性调查分析。结果日均心脑血管病急诊患者数为(9.1±3.9)人次/d,日均就诊人数在6～9月份较低,为(7.7±3.4)人次/d;在3月份和10月份较高,为(10.6±3.7)人次/d。周三就诊人数较少,为(8.2±3.9)人次/d。3个7d长假(春节、五一和十一)中急诊量明显增多,日均就诊人数为(11.2±4.7)人次/d。7d长假中第二天的日均就诊人数较少,为(7.8±1.9)人次/d。高血压患者在6～9月份就诊较少,在3月份和10月份较多;冠心病患者在12月份和1月份较多,在6～8月份较少;急性脑卒中患者的急诊高峰多集中在3～6月份;心律失常患者急诊就诊的季节性不强。结论心脑血管病患者的急诊具有一定的季节及节假日规律性。更多还原

【Abstract】 Objective To examine impact of seasons and holidays on emergency visit in patients with cardio-cerebro vascular diseases.Methods Patients with cardiovascular and/or neurological diseases were retrospective examined and analyzed.Data were collected from consecutive patients from the Department of Emergency of a large-scale general hospital,Beijing University Third Hospital,Beijing,from August,2003 to July,2008.Diseases were classified by the 10th version of International Classification of Diseases.Results 16 856 patients were enrolled in the study with an average cases per day of 9.1±3.9.Emergency visits of patients with cardiovascular and/or neurological diseases were lest frequent in June to September(7.7±3.4 visits /day)and most frequent in March and in October(10.6±3.7 visits /day).Hypertensives had a similar rhythm.Patients with coronary heart disease peaked in coldest December and January.Patients with acute stroke focused at spring.Weekly,patients visited with a madir on Wednesday(8.2±3.9 visits /day)and a peak on Sunday(9.5±4.3 visits /day).In the 3 Chinese annul 7-day long vacations,patients visited more frequently(11.2±4.7 visits /day)and demonstrated a nadir at second day(7.8±1.9 visits /day)and a peak at sixth day(14.9±7.6 visits /day).Conclusion A rule was observed in emergency visit in patients with cardio-and cerebro-vascular diseases,which is important to facilities and work force arrangement.更多还原