自贡市急救中心出诊病例分析

目的分析院前急救各类疾病以及出诊量与时间因素的相关关系。方法回顾性分析自贡市2007年1-12月急救中心出诊的全部有效急救患者4109例,按照目前国内急诊科一般专业设置将其分类为内外科及其他疾病,分析急诊出诊与季节、月份、工作日以及24小时各时点的关系。结果(1)春夏秋冬内科与外科出诊量无显著差异(p=0.051),但春季出诊量多于其他季节(p=0.035),见表1。(2)院前急救出诊量月份分布,见图1,内科出诊量以3月及12月较多,外科出诊量以2月明显较多。(3)内外科出诊量非工作日与工作日无显著差异(p=0.285),见表3。(4)24小时出诊时点分布状况,见图2,凌晨1-6时时段内外科出诊少于全天其他时段出诊量。(5)疾病谱分析表明,4109例病人疾病谱排前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%),其他疾病(14.9%)。结论根据院前急救疾病谱的变化规律与时间因素特点,合理调节急救资源。

Analysis on Cases of Pre-hospital Emergency Care in Zigong City

Objective To analyze the relationship between the quantity of the cases and the time-related factors in pre-hospital emergency care. Methods All eases of pre-hospital emergency care during the year of 2007 were studied, all diseases were classified by the pro- fessional settings in emergency department. The seasons, the months, the workdays and the time points were analyzed. Results （ 1 ） The quantity of internal medieine eases was no difference between of the quantity of surgical eases （p = 0. 051 ） ,The quantity of eases in spring seasons was more than that of others （p = 0. 035 ） ; （2）The quantity of internal medicine eases in March and December was more than that of others, the quantity of surgical eases in February was more than that of others ; （3） The quantity of the eases in non- working days was no difference between of working days（ P = 0. 285 ） ; （4） The timeframe of I am to 6 am was less than that of others ; （5） Top five factors were injury, poisoning and certain other consequences of external causes（48.4% ）, diseases of the circulatory sys- tem（ 17.0% ） , diseases of the digestive system（8.1% ） , diseases of the respiratory system（6. 4% ） , mental and behavioral disorders （5.2%） respectively. Conclusion It was reasonable to assume that the allocation of emergency resource was regulated by the spectrum of diseases and the time-related factors.