青浦区院前急救疾病谱变化规律剖析.docVIP

青浦区院前急救疾病谱变化规律剖析 　　[摘要] 目的 了解青浦区院前急救疾病谱变化规律，以提高院前急救水平。 方法 对2012年、2013年院前急救患者的临床资料进行回顾性分析。 结果 2013年院前急救患者较2012年增加，女性比例呈上涨趋势；男性患者均多于女性。各年度均以36～59岁患者最多，2013年中60～64岁、65岁以上患病比例较2012年明显上升。2年中均以7月份病例数最多，下半年均高于上半年，2013年第四季度发病人数明显增多。各年份均以各种创伤所致患者人数最多。 结论 院前急救工作应根据疾病谱的变化情况进行相应地调整，以提高院前急救的抢救成功率。 　　[关键词] 疾病谱；院前急救；急救医疗服务 　　[中图分类号] R459.7#8195;#8195;#8195;[文献标识码] A#8195;#8195;#8195;[文章编号] 2095-0616（2014）09-80-04 　　 　　Analysis of the change rules of first aid disease spectrums in Qingpu District 　　LI#8195;Hong 　　Medical Emergency Center of Qingpu District, Shanghai City, Shanghai 201700, China 　　[Abstract] Objective To understand the change rules of the disease spectrum of first-aid patients in the District of Qingpu, in order to improve the level of pre-hospital care. Methods The patients with pre-hospital emergency clinical data were analyzedretrospectively in 2012, 2013. Results In 2013, Pre-hospital emergency patients increased much than the last, And the proportion of women fronted the up-trend significantly; however, Men patients were more than women patients. And with 36-59 patients most each year. In 2013, patients aged from 60-64 years old, and more than 65 years old ratio was increased from 2012. The number of cases happened mostly in July, and the latter half of the year were higher than the first half, the number of patients increased obviously in the fourth quarter of 2013. A variety of trauma patients had the greatest number in each year. Conclusion First aid should be adjusted accordingly on the basis of the changes of disease spectrum, in order to improve the pre-hospital emergency rescue success rate. 　　[Key words] Disease spectrum; First-aid; Emergency medical services 　　目前，我国急诊医学进入了体系形成时期，全国县级以上医院均建立了独立的急诊科，且形成了院前急救-医院急诊-急诊重症监护室无缝连接的生命绿色通道[1]。其中，院前急救又称为现场急救，是急诊医学的重要组成部分，是医疗体系3个环节中的首要一环[2]，对抢救患者生命、防止再损伤、减轻患者痛苦、进一步诊治创造条件、降低病死率和伤残率等均具有重要意义。院前急救直接体现了医院的综合技术水平和服务水平，急救系统是否完善、急救医疗水平的高低，是衡量一个国家或地区医学科技发展水平的重要标志，是衡量社会现代化程度的重要标志之一[3]。近年来，随着社会经济的迅速发展，人们生活水平的提高及生活