摘要
目的：针对新疆石河子市三级甲等医院2011年-2013年急诊患者流行病学进行调查分析,为急诊医学专业发展方向、资源规划、科研和教学提供数据和决策证据,并促进急诊医学向专业化、规范化和标准化的方向发展。方法：通过医院电子统计系统收集2011年-2013年急诊患者就诊的基本信息以及诊治资料进行流行病分析。结果：2011年-2013年急诊就诊患者共计117 366例,资料采纳完整114 627例,18岁～45岁患者是急诊外科主要人群,主要就诊原因为创伤,男、女之比1.7﹕1,就诊、留观及抢救高峰期为5～8月份;急诊内科就诊患者68.49%均为70岁以上患者,就诊、留观及抢救高峰期集中在11、12、1、2月份;全天高峰期集中在17：00～凌晨2：00,72.36%患者来自本市及周边团场,3年由急诊就诊收住住院人数为62.76%;六大重点病种中急性心力衰竭患者占比例最高,共3 856例,占33.22%;脑卒中、留急诊时间均〈1.5小时,而心力衰竭患者滞留急诊时间均〉1.5小时。结论：通过对急诊患者流行病学特征分析,了解了本院急诊就诊主要疾病谱,患者就诊时间与高峰段、属地人群分布等特征,为学科建设规划、资源管理、人才培养和科研教学提供数据和决策证据。
Objective： To obtain the epidemiological investigation analysis in tertiary level 1st class hospital of xinjiang shihezi city, emergency department patients from 2011 to 2013. To Provide the evidence for the development direction of emergency medicine professional, resource planning, scientific research,teaching and decision-making, and promote the emergency medicine to develop in the direction of specialization,standardization; Methods：Make a epidemic analyze based on the basic information of the 2011-2013 emergency patients and treatment data, collected from the hospital electronic statistical system; Results：A total of 1 17 366 patients with emergency department from 2011 to 2013 and the ratio of male and female was 1.7：1.18 to 45 years old patients were the major emergency surgery group, accounted for trauma treatment, under observation and rescue, occurrence peak at April, May June, July every year. Emergency Internal medicine, 78.49% of patients were over the age of 70 and the seeing a doctor, under observation and rescue belonged to the occurrence peak at November,December, January and February contained. Also throughout the peak concentration at 17：00-at 2：00 in the morning. What ＇s more, 54.77% of patients from the city and city herd;the number of emergency department were admitted in the hospital was 62.76% during recent five years; Six key diseases in patients with acute heart failure accounted for the highest percentage, a total of 3 856 cases,accounting for 33.22%;Stroke, emergency treatment time was 〈1.5 hours, and patients with heart failure were stranded emergency time all 〉1.5 hours.Conclusion：Through the analysis epidemiology relies on character of emergency patients, analyzed the main disease in our hospital emergency department, patients＇ clinical time and occurrence peak, population distribution, was helpful to provide data and decision-making evidence in subject construction planning, resource management, personnel training and scientific research and teaching.
作者
张静
朱美意
ZHANG Jing ZHU Mei-yi(Emergency Department,The First Affiliated Hospital of Shihezi University School of Medicine, Xinjiang Shihezi, 83200)
出处
《农垦医学》
2016年第6期543-547,共5页
Journal of Nongken Medicine
关键词
急诊医学
患者
流行病学
构成比
Emergency medicine
Patients
Epidemiology
Composition
