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余益民, 姚志彬, 陈俊虎, 宛云英, 乔莉, 张海燕. 院前急救创伤患者流行病学特征分析[J]. 中国公共卫生, 2017, 33(4): 658-662. DOI: 10.11847/zgggws2017-33-04-36
引用本文: 余益民, 姚志彬, 陈俊虎, 宛云英, 乔莉, 张海燕. 院前急救创伤患者流行病学特征分析[J]. 中国公共卫生, 2017, 33(4): 658-662. DOI: 10.11847/zgggws2017-33-04-36
YU Yi-min, YAO Zhi-bin, CHEN Jun-hu.et al, . Epidemiological characteristics of 79 480 prehospital trauma patients in Shenzhen city, 2011-2015[J]. Chinese Journal of Public Health, 2017, 33(4): 658-662. DOI: 10.11847/zgggws2017-33-04-36
Citation: YU Yi-min, YAO Zhi-bin, CHEN Jun-hu.et al, . Epidemiological characteristics of 79 480 prehospital trauma patients in Shenzhen city, 2011-2015[J]. Chinese Journal of Public Health, 2017, 33(4): 658-662. DOI: 10.11847/zgggws2017-33-04-36

院前急救创伤患者流行病学特征分析

Epidemiological characteristics of 79 480 prehospital trauma patients in Shenzhen city, 2011-2015

  • 摘要: 目的 分析深圳市院前急救创伤患者的流行病学特征,为制定科学的创伤防控措施提供依据。方法 收集深圳市急救中心 2011—2015年所有创伤患者调度出车及院前电子病历数据,导入SPSS 19.0进行描述性统计分析。结果 5年间院前创伤患者逐年增加,在纳入的79 480例创伤患者中,20~49岁青壮年占76.5%;一年中,以10—12月份创伤患者较多,二月份最少;每日就诊,以夜间20:00—22:00较多,凌晨4:00—6:00较少;急救反应时间分布呈非正态分布,救护车到达现场时间中位数为9.12 min,救护车到达医院时间中位数为23.31 min;各区急救反应时间不均衡;致伤原因前3位为交通伤、斗殴伤、跌倒伤,交通伤占42.74%,55岁之前的致伤原因前3位均为交通伤、斗殴伤、跌倒,56岁之后顺位改变为跌倒、交通伤和斗殴伤,跌倒居首位,占39.51%;下肢和脊柱受伤比例随年龄增长而增高;重伤原因以交通伤、高处坠落伤、刀砍刺伤、斗殴伤、酗酒致伤为主。结论 深圳院前创伤患者的流行病学特点与其移民城市的性质密切相关,深圳市急救资源的配置依然不均衡,老龄人创伤的流行病学分布不同于其他人群,值得重视。

     

    Abstract: Objective To analyze epidemiological features of prehospital trauma patients in Shenzhen city and to provide evidences for making effective measures on trauma prevention and control.Methods Data on all ambulance dispatches and electrical medical prehospital records for trauma patients from 2011 through 2015 were collected in Shenzhen Municipal Emergency Center and analyzed with SPSS 19.0.Results The number of trauma patients increased yearly during the 5-year period.Of the 79 480 trauma patients enrolled,76.5% were the young and middle-aged persons at ages of 20 to 49 years.More traumas occurred between October and December and less occurred during February in a year;while in a day,more traumas took place between 8 to 10 o'clock post meridiem and less between 4 to 6 o'clock ante meridiem.The distribution of prehospital response time showed a non-normal distribution,with a median of 9.12 minutes from an emergency call to ambulance arrival on a site of accident and a median of 23.31 minutes from a call to ambulance arrival on an emergency department;the prehospital response time for traumas differed among different administrative districts.The top three causes for all the traumas were traffic accident,fighting,and falling and 42.74% of the traumas were caused by traffic accident.Among the trauma patients aged ≤ 55 years,the top three causes were traffic accident,fighting,and falling;whereas among those > 55 years old,the top three were falling,traffic accident,and fighting,respectively,and 39.51% of the traumas were caused by falling.The proportion of lower-limb injury and spine injury increased with the age of the trauma patients.Injuries induced by traffic accidents,falling from high places,knife-cut,fighting,and excessive alcohol drinking were among the top 5 types of severe trauma.Conclusion The epidemiological features of prehospital traumas in Shenzhen city are associated with the trait of immigrant city,the unbalanced allocation of medical resources,and different causes of the traumas among elderly citizens,which deserve special concerns.

     

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