乌鲁木齐市院前急救患者创伤流行病学分析

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (871 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze of the epidemiological characteristics of the pre-hospital firs aid trauma so as to provide the reference for the pre-hospital first aid plan and resource allocation.Methods ICD-10 was used to codify the disease. We used Chi-square test and Fisher’s exact test to compare the incidence, relative risk (RR) and proportion of the trauma.Results Totally 12 582 trauma cases, occupying 25.2%, were registered in the system and the trauma incidence rate was 478.5/one hundred thousand. The period 16:00-18:00 of a day was the peak, occupying 11.9%, and a number of 7376 trauma cases, occupying 58.6% were found in summer and autumn. There was significant difference between the incidence of male 653.8/one hundred thousand and female 290.5/105(χ²=1819.128,P<0.001), and RR was 2.25. The population aged 18-60,occupied the greatest proportion of 80.1% (10 078 cases) among the age groups (χ²=1141.29,P<0.001). The top cause of trauma was road accident(28.5%)and the first site of trauma was head(32.6%). The causes of trauma were significantly different between genders (χ²=350.151,P<0.001) and age groups (χ²=3696.133,P<0.001),respectively.Conclusions There is high incidence of trauma in Urumqi with the characteristics of high level of male, summer and autumn and young population. Road accidents and head injury are the main causes and trauma sites. Some measures should be taken to improve the trauma medication. These Results provide the reference for the scientific allocation of the emergency medical resources and emergency medical plan.

Key words： Pre-hospital disease spectrum Medical Emergency Trauma Epidemiological Characteristics

Received: 02 March 2016

ZTFLH:

R181.39

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Tingting
	ZHANG Yuan
	LIU Wensheng
	FENG Yanling
	HE Chunlian
	YIN Yuping
	and LI Shulin

Cite this article:

ZHANG Tingting,ZHANG Yuan,LIU Wensheng等. Epidemiological analysis of Urumqi pre-hospital first aid trauma[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(8): 787-791.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2016/V27/I8/787

[1]	姚元章,张连阳.简明创伤救治学[M].重庆出版社,2008:1-5.
[2]	Schluter P J,Nathens A,Neal M L,et al.Trauma and injury severity score(TRISS) coefficients 2009 revision[J].J Trauma,2010,68(4):761-770.
[3]	王旭东,袁华,彭璐,等.院前急救病例分析[J].现代医药卫生,2012,28(17):2568-2572.
[4]	乌鲁木齐市统计局.乌鲁木齐市2014年统计年鉴.北京:中国统计局出版社,2014:103.
[5]	Vaartjes I,Hendrix A,Hertogh E M,et al.Sudden death in persons younger than 40 years of age:incidence and causes[J].Eur J Cardiovasc Prev Rehabil, 2009, 16 (5):592-596.
[6]	程学明,陈维庭.介绍创伤评分的最新版AIS-90[J].中华创伤杂志,1992,8(2):122-123.
[7]	葛魏巍,杨琍琦.8378例急诊创伤患者流行病学分析[J].安徽医学,2013, 34(10): 1549- 1551.
[8]	乌鲁木齐市统计局.乌鲁木齐市2014年统计年鉴[M].北京:中国统计局出版社,2014:125.
[9]	曹珍珠.创伤的急救与护理[J].实用医技杂志,2008,15(16):2145-2146.
[10]	李虹彦.中国创伤急救10年研究现状回顾及分析[J].创伤外科杂志,2012,14(2): 104-107.
[11]	周继红.完善创伤数据库、深化创伤评分和创伤结局研究[J].中华创伤杂志,2012,28(7):577-579.
[12]	马宏飞,肖开提·依布拉音.乌鲁木齐市2011-2012年院前急救创伤流行病学分析[J].中国全科医学,2014, 17(12):1380-1383.
[13]	Ifesanya A O,Afuwape D,Okoje V N,et al.Unintentional injury outcomes secondary to pedestrian traffic crashes:a descriptive analysis from a major medical center [J].Prehosp Disaster Med, 2009, 24(5): 443-446.
[14]	Mogaka E O,Ng’ang’a Z,Oundo J,et al.Factors associated with severity of road traffic injuries, Thika,Kenya [J].Pan Afr Med J,2011,8:20.
[15]	李意.宜昌市城区东部院前急救创伤患者的流行病学调查与分析[J].海南医学,2015,26(2): 286-289.
[16]	姜钰,吴新宝.我国创伤流行病学的现状与未来[J].中华创伤骨科杂志,2014,16(2):165-168.
[17]	蔡平军,周月琴.重庆市主城区120院前创伤急救情况调查[J].创伤外科杂志,2012,14(4):303-306.
[18]	陈丽冰,于海玲.2010年北京120呼救病种中创伤呼救的特点及救治研究[J].中国全科医学,2012,15(5B):1645-1646.
[19]	邓卓超,朱立柏.1728例意外创伤事件的流行病学特点[J].中华灾害救援医学,2015,3(4):186-188.
[20]	周未林,谢凯.台州市急诊创伤患者临床特点与流行病学分析[J].中国急救医学,2015,35(7):67-69.
[21]	林骊仪,陈晓辉,江慧琳,等.广州市2001年至20l0年突发群体事件院前急救分析[J].中华急诊医学杂志,2012, 2(6):661-664.
[22]	张在其,孟庆华,孙文会,等.海口市9729例院前急救患者流行病学分析[J].中国急救医学,2010, 30(11):1042-1045.
[23]	张国忠,史连国,雷高峰.厦门市2008年院外急救患者流行病学调查[J].中国急救复苏与灾害医学杂志,2010, 5 (6):536-538.
[24]	Rasouli M R,Saadat S,Haddadi M,et al.Epidemiology of injuries and poisonings in emergency departments in Iran [J].Public Health,2011,125(10):727-733.
[25]	张连阳.中国大陆交通事故伤救治体系现状[J].交通医学,2011,25(3):217-219.
[26]	李辉.浙江省创伤流行病学特征及救治现状分析[D].浙江大学硕士学位论文,2012.
[27]	王正国.多发伤的救治[J].中华创伤杂志,2004,20(1):1-3.
[28]	都定元.院前创伤急救进展:新研究带来的机遇与挑战[J].创伤外科杂志,2012,14(4):292-296.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(9): 800-801.