杭州市2000-2009年院外急救患者流行病学分析

目的了解杭州市2000～2009年院外急救患者流行病学特点，为院外急救的预警机制提供理论依据。方法以杭州市急救中心2000～2009年的急救档案数据为基础，对疾病种类、患病人数、年龄、性别分布进行统计分析，研究发病规律特点。结果杭州市急救中心2000～2009年，救治病患有完整记录为311889人次，患病人数呈逐年递增趋势，2004年较2000年递增153．3％，2009年较2000年递增416％；以老年、中年、青壮年为主，占总数的90．25％。前10位的疾病依次为：创伤、脑血管疾病、心血管疾病、中毒、消化系统疾病、呼吸系统疾病、肿瘤、妇产科疾病、高热、泌尿系统疾病；其中创伤居多（31％）。前10位疾病总数（除妇产科外）男：女比例为1．49：1。结论杭州市院外急救患病人数逐年递增，以创伤为主的外科疾病居多。要加强院外急救系统建设，加大外科医师配置，普及急救技能培训，以满足不断增长的急救需求：

Analysis of Epidemiological Characteristics of Pre-hospital Emergency Patients in Hangzhou from in 2000 thru 2009

Objective To investigate the epidemiological characteristics of patients with pre-hospital emergency treatment in the past decade in Hangzhou. Methods An analysis was conducted based on the record in Hangzhou Emergency Center from 2000-2009, X2 test was used in the eompare of composition ratio, and exact probability was used when data did not meet the condition of X2 test.P〈O.05 was considered statistically significant. Line graph and bar graph were generated in data analysis. Results During the period of 2000-2009, 311,889 patients were received in Hangzhou Emergency Center with complete records. The annual number of patients was 11219, 12381, 15015, 21806, 28417, 34022, 37286, 42473, 51380, and 57890, respectively. The number of patients received in the fifth year increased 153.3% compared with in 2000, while the number of patients received in the tenth year increased 416% compared with in 2000. The e!derly, middle-aged and young patients made up the main part of the pro-hospital emergency patients, accounting for 90.25%, and most of which were chiefly and young patients. The top 10 diseases with the highest incidence were： trauma, eerebrovaseular disease, cardiovascular disease, poisoning, digestive diseases, respiratory diseases, oncology, obstetrics and gynecology diseases, high fever, and urinary system diseases. More male patients were received in the top 10 diseases （except for Obstetrics and Gynecology diseases）, and the male to female ratio was 1.49：1.Conclusion The epidemiological characteristics of pre-hospital emergency patients in Hangzhou, which was not nearly the same as those reported in other regions, has its own characteristics under the influence of weather, local economic and other factors. Therefore, the pre-hospital emergency system construction should be improved continuously, the overall ability of first-aid team need to be strengthened, in order to meet the growing needs of first-aid treatment in Hangzhou, and improve the success rate of pre-hospital rescue for critically ill patients.