【摘要】　目的　 研究自貢市急救中心院前急救流行病學特征。　方法　 回顧性分析2009年度自貢市急救中心出診的院前急救數據，研究院前急救疾病譜及性別、年齡構成，并分析時刻及季節分布特點，描述院前急救轉歸。　結果　 2009年度自貢市急救中心院前急救共4 588例，排前6位疾病依次為損傷、中毒和外因的某些其他后果（45.6%），循環系統疾病（15.0%），呼吸系統疾病（6.3%），神經系統疾病（6.0%），精神和行為障礙（5.6%），消化系統疾病（4.9%）；性別構成男性多于女性（P lt;0.05）；年齡構成以中老年較多，青少年兒童較少（P lt;0.05）；時刻分布規律高峰點為15點40分（P lt;0.05），季節分布以冬季較多（P lt;0.05）；患者轉歸以住院、留院觀察為主，院前死亡人數占比例為3.8%。　結論　 根據院前急救流行病學規律，可以合理配置急診資源，增強應急救援能力，滿足民眾不斷增加的醫療需求。
【Abstract】　Objective　 To research on the epidemiological characteristics of the prehospital cases in Zigong emergency rescue center.　Methods　 We retrospectively analyzed the database of prehospital cases in Zigong emergency rescue center in 2009, and reviewed the prehospital disease spectrum, gender composition, age structure, the circadian and seasonal distribution, and the outcomes of these cases.　Results　 A total of 4 588 prehospital victims in Zigong emergency rescue center were enrolled. In the study, six leading diseases were injury, poisoning and certain other consequences due to external causes (45.6%), diseases of the circulatory system (15.0%), diseases of the respiratory system (6.3%), diseases of the nervous system (6.0%), mental and behavioral disorders (5.6%), and diseases of the digestive system (4.9%). Male patients were more than female patients (P lt;0.05). The proportion of the aged and the middle-aged was significantly larger than that of young population in the same districts (P lt;0.05), and the occurrence of prehospital care usually peaked at 15:40 (P lt;0.05). Prehospital care had a higher incidence in winter (P lt;0.05), and the outcome of prehospital cases was mainly in hospital and in observation ward. The proportion of deaths was 3.8%.　Conclusion　 We can allocate emergency resources reasonably in prehospital care, and promote the ability of rescuing in order to meet people′s medical demands on the basis of the epidemiological study in our city.

引用本文： 徐平,曹靈紅,章成. 2009年度自貢市急救中心院前急救流行病學研究. 華西醫學, 2011, 26(11): 1649-1652. doi: 復制