院前急救4109例ICD-10疾病谱分析

目的：通过分析地市级急救中心院前急救资料,探讨ICD-10疾病分类方法在院前急救中的实用性。方法：回顾性分析2007年1～12月份自贡市急救中心出诊的全部有效急救患者的急诊诊断以及随访诊断,使用ICD-10编码进行归类,比较疾病性别构成比。结果：全年院前急救4109例,排5位的疾病分别为损伤、中毒和外因的某些其他后果（48.4%）、循环系统疾病（17.0%）、消化系统疾病（8.1%）、呼吸系统疾病（6.4%）、精神和行为障碍（5.2%）,损伤、中毒和外因的某些其他后果、循环系统疾病以及消化系统疾病出诊量男性多于女性（P〈0.05）,耳和乳突疾病以及妊娠、分娩和产褥期疾病出诊量女性多于男性（P〈0.05）。结论：采用ICD-10标准对院前急救病谱分类有进一步探讨的价值。

An Analysis of 4109 Cases in Pre-hospital Care by ICD-10

Objective：To investigate the value of ICD-10 in pre-hospital care by the analysis of cases in Zigong Urgent Rescue Center.Methods：All cases of pre-hospital care during the year of 2007 were studied,whose emergency Diagnoses and follow-up diagnoses were recorded,and they were classified by international classification of diseases 10th revision （ICD-10）.The gender composition ratio of diseases was analyzed.Results：Four thousand one hundred and nine cases of pre-hospital care in 2007 were included.Top-five diseases were injury,poisoning and certain other consequences of external causes （48.4%）,diseases of the circulatory system （17.0%）,diseases of the digestive system （8.1%）,diseases of the respiratory system （6.4%）,and mental and behavioral disorders （5.2%） respectively.The amout of the male pre-hospital cases was more that of than the female＇s in the diseases of injury,poisoning and certain other consequences of external causes,diseases of the circulatory system,diseases of the digestive system （P〈0.05）;the amount of the female pre-hospital cases was more than that of the male＇s in the diseases of the ear and mastoid process,pregnancy,childbirth and the puerperium （P〈0.05）.Conclusion：Further research on the spectrum of diseases classified by ICD-10 is valuable.