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目的 分析2000年和2001年院前急救患者性别、年龄、病种、出诊时间和地点分布等资料的动态变化趋势。方法 分别对我院2000年1月1日～12月31日、2001年1月1日～12月31日紧急出车抢救的全部院前急救患者的病历资料进行统计分析。结果 与2000年相比,2001年年龄组在0～9岁(占7.8％)、70～79岁(占12.7％)患者的比例增加(P<0.05);疾病病谱中神经系统急诊(占24.4％)、心血管系统急诊(占17.9％)、颅脑外伤(占17.3％)及儿科急诊(占9.0％)的比例增加(P<0.05);出诊时间在0:00～3:00之间的患者(占5.6％)比例减少,在12:00～15:00之间的患者(占14.5％)、21:00～24:00之间的患者(占16.6％)比例增加(P<0.05);出诊地点为家庭的(占23.7％)急诊患者减少,在公共场所的(占17.8％)及乡镇医院的(占34.3％)患者比例增加(P<0.05～0.01)。结论 对2000年、2001年院前急救病例动态变化趋势的分析为进一步提高院前急救医疗质量提供了依据。
Objective To analyze the dynamic changes of the data of sex, age, disease type, time of visit and location of prehospital emergency patients in 2000 and 2001. Methods Statistical analysis was conducted on the records of all prehospital emergency patients in our hospital from January 1 to December 31, 2000 and from January 1 to December 31, 2001 respectively. Results Compared with 2000, the percentage of patients in age group 0 to 9 years (7.8%) and 70 to 79 years (12.7%) in 2001 increased (P <0.05) 24.4%), cardiovascular emergency (17.9%), traumatic brain injury (17.3%) and pediatric emergency (9.0%) (P <0.05). The time of visiting was between 0:00 and 3:00 (5.6%) decreased between 12: 00-15: 00 (14.5%) and between 21: 00-24: 00 (16.6%) (P < 0.05). The number of emergency patients (23.7%) with family visits at the place of treatment decreased (17.8%) and the proportion of patients in township hospitals (34.3%) increased (P <0.05-0.01). Conclusion The analysis of the dynamic changes of pre-hospital emergency cases in 2000 and 2001 provides the basis for further improving the pre-hospital emergency medical quality.