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昆明市院前急救患者流行病学的调查
作者姓名:张杰  孙卉  木丽华  杨德兴  钱传云
作者单位:1.昆明医科大学第一附属医院急诊医学科,云南 昆明 650032
基金项目:昆明市科技计划项目(2020-1-H-011)
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,2...

关 键 词:院前急救  流行病学  疾病谱
收稿时间:2020-01-01

Epidemiological investigation and Analysis of Pre-hospital Emergency Patients in Kunming
Institution:1.Dept. of Emergency,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 6500322.Medical Education Department of Yunnan Emergency Center,Kunming Yunnan,6501063.Dept. of Emergency,Yunnan 1st People’s Hospital, Kunming Yunnan 650032,China
Abstract:  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.
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