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上海市某城区近5年来院前急救患者疾病谱及流行病学变化分析

Analysis of disease spectrum and epidemiological changes of Shanghai pre-hospital emergency in the past 5 years

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【作者】 杜晶蒋超徐中杰张鹭鹭

【Author】 DU Jing;JIANG Chao;XU Zhongjie;ZHANG Lulu;Department of Military Health Service Management,College of Health Service,Second Military Medical University;Shanghai Minhang District Emergency Center;

【通讯作者】 张鹭鹭;

【机构】 中国人民解放军第二军医大学卫勤系上海市闵行区急救中心

【摘要】 目的:分析上海市院前急救患者疾病谱变化和流行病学特点。方法:回顾性分析2013-01-01—2017-12-31期间上海市闵行区236 723例院前急救患者病例资料,收集患者的性别、年龄、出诊时间、疾病类型等进行统计分析。结果:近5年来上海市闵行区院前急救病例数呈逐年上升趋势,男女比例为1.33∶1,其中20~29岁和80~89岁分别为两个发病小高峰。在疾病谱排名方面,创伤一直居于首位,且呈逐年增加的趋势。在院前急救呼救时间分布方面,院前急救患者的呼救小高峰期为8:00~11:00,其中8:00~9:00为最高峰。结论:通过对院前急救疾病谱的分析,有助于以疾病谱为依据,对急救资源和人员配备进行调整和加强,做到有备无患,全面提高应急能力。

【Abstract】 Objective:To analyze the distribution of disease spectrum and epidemiological characteristics of prehospital emergency in Shanghai.Method:A retrospective analysis of 236,723 cases of pre-hospital emergency patients in Minhang District,Shanghai from January 1,2013 to December 31,2017.The patients’ gender,age,time of onset,and type of disease were collected and retrospectively analyzed.Result:In the past five years,the number of pre-hospital emergency cases in Minhang District of Shanghai has been increased year by year.The ratio of male to female is 1.33∶1,and 20—29 years and 80—89 years are two small peaks.In terms of disease spectrum ranking,trauma has always been in the first place,and has been increased year by year.In the pre-hospital first aid call for help time distribution,the pre-hospital emergency patientscrying peak period is from 8:00 to 11:00,of which 8:00 to 9:00 is the highest peak.Conclusion:Through the analysis of the pre-hospital emergency disease spectrum,it is helpful to adjust and strengthen the emergency resources and to improve the emergency response capability based on the disease spectrum.

【关键词】 院前急救疾病谱流行病学
【Key words】 pre-hospital first aiddisease spectrumepidemiology
【基金】 国家自然科学基金(No:71233008;No:71774167);上海市卫计委重点项目(No:2013ZYJB0006);上海市卫计委课题(No:20164Y0109);军队计划重大项目(No:AWS12J002);军事医学创新工程立项(No:17CXZ001);国防科技创新特区项目(No:003004);第二军医大学青年启动基金(No:2016QN21);第二军医大学军事医学研究课题(No:2017JS21)
  • 【文献出处】 临床急诊杂志 ,Journal of Clinical Emergency , 编辑部邮箱 ,2018年12期
  • 【分类号】R459.7;R181.3
  • 【被引频次】12
  • 【下载频次】244
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