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目的:调查青海省院前急救患者流行病学情况,探讨院前急救病例特点。方法:从青海省120急救指挥中心数据库中调出2010年度全部数据进行统计分析。结果:①在一年的呼叫量(41 750次)中,日时间分布以18:00～21:00为最高(8 219次、占19.67%),以03:00～06:00为最低(2 129次、占5.11%);②在院前有效急救12 480例患者中,男性比例高于女性,比例为59.63%(7 443):40.36%(5 037);③在12 480例院前急救患者中,神经系统急症是院前急救中最多的,占26.83%(3 348);④在12 480例院前急救患者中,共死亡3 285例,占2.63%,心源性猝死居首位。结论:①加强心脑血管疾病和呼吸系统疾病防治,提高中老年患者对急危重症早期识别及院前急救水平对降低死亡率有重要意义;②加强安全生产、遵守交通法规、强化法制意识是降低交通意外发生及其死亡率的最有效手段。
Objective: To investigate the epidemiological situation of prehospital emergency patients in Qinghai Province and explore the characteristics of prehospital emergency cases. Methods: From the 120 emergency command center in Qinghai Province, the database transferred all the data for statistical analysis of 2010. Results: (1) Among the 41 750 times a year, the daily time distribution was the highest (8 219 times or 19.67%) from 18:00 to 21:00 and the lowest from 03:00 to 06:00 ( 2 129 times, accounting for 5.11%); ② Among 12 480 effective pre-hospital emergency services, the proportion of males was higher than that of females, accounting for 59.63% (7 443): 40.36% (5037); ③ Among 12 480 pre-hospital Among the first-aid patients, the emergency of nervous system was the most pre-hospital emergency, accounting for 26.83% (3 348). ④ Of the 12 480 pre-hospital emergency patients, 3 285 were deaths, accounting for 2.63% Bit. Conclusion: ①It is important to strengthen the prevention and cure of cardiovascular and cerebrovascular diseases and respiratory diseases, and to improve the early identification of acute and critically ill patients in middle-aged and elderly patients and the level of pre-hospital emergency care to reduce mortality. ②Improve the safety in production, abide by the traffic regulations and strengthen the consciousness of legal system The most effective means of reducing traffic accidents and their fatalities.