摘要
目的分析天津市中心城区及环城区院前急救创伤患者的流行病学特征,为建立科学全面的创伤预防体系提供理论依据。方法收集2019年1月至2021年12月天津市急救中心接诊、救治和转送的院前创伤患者100974例相关资料,并将性别、年龄、事件时间和地点、致伤原因和受伤部位等特点进行分析和概括。结果本研究共纳入院前创伤患者100974例,创伤患者例数总体呈逐年增长趋势,其中男性占比57.12%,女性占比42.88%,男女比例为1.33:1。创伤高发年龄段为35~64岁,占总例数的43.76%。按照致伤原因分类,跌倒伤占比最高(36.80%),其次为交通事故伤(29.00%),≥65岁的人群以跌倒伤为主要致伤原因,<65岁人群以交通事故为主要致伤原因。除跌倒伤外,在各类原因所致的创伤例数中男性患者均多于女性。夏秋季创伤患者量较多,跌倒伤主要发生在秋季,交通事故伤主要发生在夏季。上午时段创伤发生例数最多,占33.17%。创伤好发地点首位为交通道路,占39.16%。创伤主要发生在头颈部和下肢部,分别占25.07%和21.28%,跌倒伤常见于下肢部,交通事故伤常见于头颈部。结论天津市中心城区及环城区院前创伤急救的发生与人群、时间及区域分布特点等因素密切相关,充分掌握创伤病例特征,对于指导院前急救资源合理配置以及建立有效的创伤预防体系具有一定的参考意义。
Objective To analyze the epidemiological characteristics of pre-hospital emergency trauma patients in the central urban area and surrounding area of Tianjin city and to provide a theoretical basis for establishing a scientific and comprehensive trauma prevention system.Methods A total of 100974 prehospital trauma cases data who admitted,treated and transferred from January 2019 to December 2021 were collected from the Tianjin Emergency Medical Center,and the characteristics of gender,age,event time and place,cause of injury and location of injury were analyzed and summarized.Results A total of 100974 prehospital trauma patients were included in this study,showing an increasing trend year by year,among whom males accounted for 57.12%and females 42.88%,and the male-to-female ratio was 1.33:1.The age group of the highest incidence amount was 35-64 years old,with a percentage of 43.76%.Classified by the cause of the injury,falls accounted for the largest proportion of 36.80%,followed by traffic accident injury,with a percentage of 29.00%.Falls were the leading cause of injury in people aged 65 and over,and traffic accidents were the leading cause of injury in people under 65 years old.Except for falls,the number of male trauma cases was higher than that of female.There were more trauma patients in summer and autumn,falls mainly occur in autumn,and traffic accidents mainly occur in summer.The number of trauma cases in the morning was the most,accounting for 33.17%.The first places where trauma occurred were on traffic roads,accounting for 39.16%.The trauma mainly occurred in the head and neck and lower limbs,accounting for 25.07%and 21.28%,respectively.Falls were common in the lower limbs,and traffic accidents were common in the head and neck.Conclusion The occurrence of prehospital emergency trauma in the central urban area and surrounding area of Tianjin is closely related to factors such as population,time,and area distribution characteristics,which has certain reference significance for guiding the rational allocation of pre-hospital emergency resources and establishing an effective trauma prevention system.
作者
刘洋
王士梅
胡楠
毕丛
LIU Yang;WANG Shimei;HU Nan;BI Cong(Tianjin First Aid Center,Tianjin 300011,China)
出处
《中国现代医生》
2023年第26期37-41,46,共6页
China Modern Doctor
基金
天津市急救中心科技项目(JJZX2021006)。
关键词
院前急救
创伤
天津市
流行病学
Prehospital emergency
Trauma
Tianjin
Epidemiological characteristics
