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宜昌市某三甲医院急诊重点病种流行病学分析 预览

Epidemiological Analysis of Severe Diseases in Emergency Department of a Certain Grade-Three General Hospital in Yichang City
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摘要 目的:研究宜昌市某三甲医院急诊重点病种流行病学特点,为急诊资源的合理调配、急诊救治研究方向的确立及医务人员的培训提供依据。方法:采用回顾性研究方法,收集2017年8月1日至2018年7月31日期间在宜昌市某三甲医院急诊科就诊的重点病种患者信息。采用Predictive Analytics Software(25.0版本)进行描述性分析、χ~2检验、方差分析及秩和检验。结果:重点病种患者男性多于女性(P=0.003),年龄中位数是63岁。全年患者共1 325人,以16:00~24:00时就诊量最多,全年累计平均(76.14±15.18)例/天;0:00至8:00就诊量最少,全年累计平均(24.67±10.42)例/天。四季就诊量差异无统计学意义(P>0.05)。患者主要来自市区,共779人(58.79%),其次为市所属周边县市,共417人(31.47%);其中1 059人(79.93%)是自行来院,266人(20.07%)由救护车转运。六大病种绿色通道停留时间中位数是48min,其中急性心力衰竭与急性颅脑损伤、急性心肌梗死患者绿色通道停留时间差异有统计学意义(均P<0.05)。结论:本研究揭示了宜昌市某三甲医院急诊重点病种患者的分布特点,为预防疾病、提升急诊科救治能力及改善急诊医疗护理质量提供了客观依据。 Objective:To investigate the epidemiological characteristics of emergency critical diseases in a certain grade-three general hospital of Yichang city,and provide certain basis for the rational deployment of emergency resources,establishment of the research direction of emergency treatment and staff training.Methods:The information of cases diagnosed with emergency critical diseases in this certain grade-three general hospital of Yichang city from August 1,2017 to July 31,2018 were collected and analyzed.Predictive Analytics Software 25.0 was used for descriptive analysis,χ~2 test,variance analysis and Kruskal-Wallis H test.Results:The patients were mainly male adults(P=0.003),and the median age was 63 years old.There were 1 325 patients in the whole year.The most medical consultations were at 16:00-24:00,and the annual cumulative average was 76.14±15.18 cases each day.The fewest consultations were from 0:00 to 8:00,and the annual cumulative average was 24.67±10.42 cases each day.There was no significant difference of the patient consultation number in four seasons(P>0.05).The patients were mainly from the urban area,with a total of 779 cases(58.79%),followed by the surrounding counties of the city,with a total of 417 cases(31.47%).There were 1 059 patients(79.93%)came to the hospital by themselves,and 266 patients(20.07%)were transferred by ambulance.The median of green channel retention time was 48 min.A statistical difference was found either in patients with acute heart failure and acute craniocerebral injury,or in patients with acute heart failure and acute myocardial infarction(both P<0.05).Conclusion:The study reveals the distribution characteristics of emergency critical diseases in a certain grade-three general hospital of Yichang city,which provides an objective evidence for preventing diseases,improving emergency treatment ability and medical care quality.
作者 刘娜 郭庆 田飞 胡娟 张蓉 刘静兰 朱红玲 尹娜 Liu Na;Guo Qing;Tian Fei;Hu Juan;Zhang Rong;Liu Jinglan;Zhu Hongling;Yin Na(Department of Emergency,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Nursing,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Interventional&Pediatric Surgery,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Respiratory Medicine,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)
出处 《巴楚医学》 2019年第1期69-74,共6页 Bachu Medical Journal
基金 宜昌市社科联(No:ysk18kt101).
关键词 急诊重点病种 流行病学 疾病谱 emergency critical disease epidemiology disease spectrum
作者简介 刘娜,女,土家族,硕士,主管护师,主要从事急诊护理和社区护理的研究。E-mail:463319208@qq.com;通讯作者:郭庆,女,主管护师,主要从事急诊护理的研究。E-mail:183119111@qq.com
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