摘要
目的了解昆明市院前急救患者流行病学特点,分析其特征,为优化院前急救资源配置提供依据。方法收集云南省急救中心2020年1~12月院前救治的患者资料,并进行现况调查研究。结果80169例院前急救患者中,男性47723例(59.5%),女性32446例(40.5%);年龄分布在0.2~110岁,以14~44岁多见,28313例(35.3%)。院前急救患者疾病谱前3位分别为:损伤和中毒类疾病28786例(35.9%),症状和体征类疾病占25618例(32.0%),循环系统疾病8129例(10.1%)。对症状、体征类疾病进行亚组分析,结果显示,疾病谱前5位主要为:神经系统症状、发热和乏力等无法按系统分类为主诉的症状、死亡为主诉的症状、消化系统以及呼吸系统症状。院前急救患者以秋季最多22571例(28.2%),其次为夏季21129例(26.4%),春季最少17747例(22.1%),1 d中,出诊高峰期主要集中在每日上午9:00~11:00和中午12:00~13:00,不同疾病的高发月份不同。结论昆明市院前急救患者男性多于女性,年龄主要集中在14~44岁,疾病谱以损伤和中毒类疾病、症状和体征类疾病以及循环系统疾病为主。秋季是出诊高峰季节,每日出诊高峰主要集中在上午9:00-11:00和中午12:00-13:00。
Objective To understand and analyze the epidemiological characteristics of pre-hospital emergency patients in Kunming,so as to provide basis for optimizing the allocation of pre-hospital emergency resources.Methods Data of patients in Yunnan Emergency Center from January to December 2020 were collected,and an investigation was conducted.Results Among 80169 pre-hospital emergency patients,47723(59.5%)were male and 32446(40.5%)were female.The age distribution ranged from 0.2 to 110 years,and most of them were 14 to 44 years,accounting for 28313 cases(35.3%).The top three disease spectrums were injury and poisoning diseases(28786 cases,35.9%),symptoms and signs diseases(25,618 cases,32.0%)and circulatory system diseases(8129 cases,10.1%).The subgroup analysis of diseases with symptoms and signs showed that the top five diseases were neurological symptoms,fever and fatigue symptoms that could not be classified,death symptoms,digestive system and respiratory system symptoms.The number of patients was 22,571 in autumn(28.2%),followed by 21,129 in summer(26.4%),and 17,747 in spring(22.1%).In a day,most calls were made from 9:00 to11:00 and 12:00 to13:00,and the high incidence of different diseases was different in different months.Conclusions In Kunming,there were more males than females in pre-hospital emergency patients,and the ages of patients were mainly 14-44 years old.The disease spectrum mainly includes injury and poisoning diseases,symptoms and signs diseases and circulatory system diseases.Autumn is the peak season of outpatient visits,and the peak of daily outpatient visits mainly concentrates on 9:00-11:00 a.m.and 12:00-13:00 noon.
作者
张杰
孙卉
木丽华
杨德兴
钱传云
ZHANG Jie;SUN Hui;MU Lihua;YANG Dexing;QIAN Chuanyun(Dept,of Emergency,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032;Medical Education Department of Yunnan Emergency Center,Kunming Yunnan,650106;Dept,of Emergency,Yunnan 1st People's Hospital,Kunming Yunnan 650032,China)
出处
《昆明医科大学学报》
CAS
2022年第3期108-112,共5页
Journal of Kunming Medical University
基金
昆明市科技计划项目(2020-1-H-011)。
关键词
院前急救
流行病学
疾病谱
Pre-hospital emergency
Epidemiology
Spectrum of disease
