2010年保定市院前急救死亡病例流行病学分析.doc

2010年保定市院前急救死亡病例流行病学分析[摘要] 目的：分析保定市院前急救死亡病例的特点和规律，为提高院前急救水平，降低院前急救死亡率提供参考依据。方法：对保定市区2010年1~12月拨打“120”电话进行院前急救死亡的病例进行回顾性分析和总结。结果：院前急救病例死亡率为5.27%，男女比例为2.02∶1.00，死亡率最高年龄组为70~79岁组；导致院前死亡前4位死因依次为猝死及原因不明、创伤、心血管疾病、脑血管疾病；每天6∶00~10∶00为院前死亡高发时段，第一、四季度院前死亡病例明显多于二、三季度。结论：医务人员可根据院前死亡病例的特点，有针对性地加强培训，合理配置急救资源，并对易感人群进行宣教，以减少院前死亡发生率。 [关键词] 院前急救；死亡；流行病学 [中图分类号] R459.7 [文献标识码] A [文章编号] 1673-7210（2011）12（b）-146-03 Epidemiological analysis of dead cases of pre-hospital first aid in Baoding city in 2010 GUO Xing, YANG Jinlan, ZHANG Zhaoyuan, WANG Hongwei, YANG Huiling Medical Emergency Center of Baoding City, Heibei Province, Baoding 071000, China [Abstract] Objective: To analyze the characteristics and laws of dead cases of pre-hospital first aid in Baoding city, in order to provide a reference for improving the level of first aid and reducing the incidence of pre-hospital death. Methods: Death cases who were proceeded pre-hospital first aid by calling “120” from January to December 2010 of Baoding city were analyzed and summarized retrospectively. Results: The mortality rate of pre-hospital first aid was 5.27%, ratio of male to female was 2.02∶1.00, the highest mortality age group was 70-79 age group. The major causes of pre-hospital death were sudden death and unknown cause, trauma, cardiovascular disease and cerebrovascular disease. The high-risk time of pre-hospital death is 6:00-10:00 am every day. Compared with the second and third quarters, the number of pre-hospital deaths were larger in the first and fourth quarters. Conclusion: According to the characteristics of pre-hospital death cases, medical staff should enhance training level, allocate medical resources scientifically and implement publicity for the susceptible people, in order to reduce the incidence of pre-hospital death. [Key words] Pre-hospital first aid; Death; Epidemiology 为了解保定市院前死亡的特点和规律，提高院前急救水平，降低院前急救死亡率，本中心对保定市区2010年拨打“120”电话进行院前急救的死亡病例进行回顾性分析和总结，现报道如下： 1 资料与方法 1.1 一般资料 选择2010年