摘要
目的:分析江苏省连云港市急救中心创伤患者的相关病例资料,为院前医疗急救事业的发展提供理论依据。方法:收集2017年1月—2020年12月连云港市急救中心的所有创伤患者病历资料,包括创伤患者的性别、年龄、致伤原因、损伤部位和接诊时间等信息,采用描述性研究方法对相关资料进行汇总分析。结果:15887例创伤患者中,男性8715例(54.9%),女性7172例(45.1%),2017—2020年间,交通伤患者占比与创伤患者总例数均逐年下降,差异有统计学意义(P<0.05)。2017—2020年,创伤患者总例数排名前3位的依次为5月、9月和10月,创伤患者创伤发生的时间规律基本一致,白天创伤发生率总体高于晚上,上午创伤发生率总体高于下午。15887例创伤患者中,年龄最小的1岁,最大的108岁,不同性别、年龄段创伤患者的数量差异有统计学意义(P<0.05)。结论:应进一步加强市、县(区)、乡(镇)三级院前医疗急救网络体系建设,创新急诊急救服务模式;利用区域卫生信息平台构建一体化急诊急救网络,进一步缩短创伤急救反应时间和现场救治时间,不断提升区域内创伤应急救护能力;进一步普及院前急救知识和基本急救技能,不断强化公众急救意识,优化急救支持环境。
Objective:To analyze the relevant case data of trauma patients in Lianyungang Emergency Center of Jiangsu province,and to provide theoretical basis for the development of pre-hospital medical emergency.Methods:Medical records of all trauma patients in Lianyungang Emergency Center from January 2017 to December 2020 were collected,including gender,age,cause of injury,site of injury and time of receiving treatment and other information.Descriptive research methods were used to summarize and analyze the relevant data.Results:Among 15887 trauma patients,there were 8715 males(54.9%)and 7172females(45.1%),and from 2017 to 2020,the proportion of traffic injury patients and the total number of trauma patients decreased year by year,and the difference was statistically significant(P<0.05).From 2017 to 2020,the top 3 cases of trauma patients were in May,September and October,respectively,the time regularity of trauma occurrence in trauma patients was basically the same,the incidence of trauma in daytime was generally higher than that at night,and that in the morning was generally higher than that in the afternoon.Among 15887 trauma patients,the youngest was 1 year old,and the oldest was 108 years old,and there was statistical significance in the number of trauma patients of different genders and ages(P<0.05).Conclusion:It is necessary to further strengthen the construction of the three-level pre-hospital emergency medical network system of city,county(district)and township(town),and innovate the emergency service mode;to utilize the regional health information platform to build an integrated emergency network to further shorten the trauma emergency response time and on-site treatment time,and continuously improve the trauma emergency rescue capacity in the region:to further popularize pre-hospital first aid knowledge and basic first aid skills,continuously strengthen the public’s first aid awareness,and optimize the first aid support environment.
作者
金珊
何淑通
JIN Shan;HE Shutong(School of Health Policy&Management of Nanjing Medical University,Nanjing 211166,China;Department of Nursing of Lianyungang Emergency Center,Lianyungang 222000,China)
出处
《上海医药》
CAS
2022年第24期18-21,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
院前急救
创伤
流行病学
连云港市
pre-hospital emergency
trauma
epidemiology
Lianyungang City
