摘要
目的通过了解急诊患者流行病学特征,为急诊科人员配置、抢救器材的准备提供依据,提高救治成功率。方法采用描述性方法对我院2014年急诊科抢救室患者的性别、年龄、就诊时间、就诊月份、抢救室滞留时间、疾病谱等资料进行流行病学调查分析。结果随着急诊患者增多抢救室患者也同步增多,尤其是6,7,8月是急诊患者高峰;抢救室接诊患者人数与滞留时间呈显著正相关;急诊入抢救室人数随年龄增高比例逐渐增多,90岁以上组入抢救室比例达43.49%;60岁以下患者滞留时间中位数无差异,60岁以上随着年龄的增长,滞留时间延长;晚期肿瘤患者滞留时间较非晚期者时间长;多发伤患者滞留时间明显长于非多发伤患者;抢救室疾病谱分析前5位分别是神经系统、消化系统、创伤、心血管系统、呼吸系统。结论急诊医学专业应根据急诊主要人群、高发年龄、不同就诊时间、主要疾病谱、滞留时间较长的疾病等因素合理安排急诊人员配备,进行重点培训,保持急诊工作有序安全进行。
Objective to understand the epidemiological characteristics of emergency patients in our hospital in January 1,2014 December 31st-2014 years,to provide clinical data about,through investigation and research results provide the basis for emergency department personnel,rescue equipment preparation,so as to improve the success rate of treatment and also save health resources. Methods descriptive epidemiological analysis method in Xiamen city in 2014,the emergency department patients in the resuscitation room of a hospital＇s gender and age,treatment time,treatment month,patients in the resuscitation room,retention time,disease spectrum data. Results At the same time,with the increase of 6,7 and 8,especially in three months,three months is the peak of emergency patients; resuscitation room admissions number of patients was positively correlated with the retention time of entering the resuscitation room;above 90 years old group into the resuscitation room amounted to 43.49%; patients under 60 years old median retention time no differences over the age of 60 with the increase of age,the residence time is prolonged; the retention time of patients with advanced tumors than non late time long; multiple trauma patients with retention time was significantly longer than non trauma patients; analysis of the top five are the nervous system,digestive system,spectrum of diseases in resuscitation room Injury,cardiovascular system,respiratory system. Conclusion Emergency medical professionals should arrange emergency personnel rationally according to the main factors of emergency population,age,different treatment time,spectrum,long retention time of disease,equipped with focus on training,reasonable arrangements for the patients to keep the emergency work busy but not chaotic,safety and orderly.
出处
《基层医学论坛》
2017年第32期4445-4447,共3页
The Medical Forum
关键词
急诊抢救室
流行病学
调查
分析
Resuscitation room Epidemiology Disease spectrum Analysis
