汶川地震住院患者多中心回顾性对比分析
|
摘要
目的探讨综合医院住院地震伤病员的特点和疾病谱。方法收集整理三所医院收治汶川地震伤病员的诊疗信息。对比三所医院收治伤病员入院时间、基本情况和诊疗信息的差异。结果全部住院伤病员男性730人(56.5%),女性562人(43.5%)。三所医院住院患者性别、年龄组、民族、婚姻状况、手术与否和治疗结果构成差异具有统计学意义(P<0.05);震区一线医院住院天数的中位数低于西京和唐都医院(P<0.001)。按照出院第一诊断,损伤或中毒住院伤病员占81.5%。结论地震等灾害后应尽早(灾后3-5天)开展伤病员转运。地震第一阶段医疗救援完成后,医疗救援重点应转向内科和慢性疾病,应提前做好应医疗准备。地震医疗救援应按照伤病员疾病谱,配置医护人员、器材、药品等,避免浪费。
Objective To investigate the characteristics and disease spectrum of the inpatients in the general hospital.Methods The clinical information of Wenchuan earthquake inpatients in the three hospitals was searched and collected.The admission times,the basic and clinical information were compared among the three hospitals.Results There were 730 males,accounting for 56.5%,and 562 females,accounting for 43.5%,in all patients.The proportions of the gender,age group,nationality,marital status,surgery or not,and treatment outcomes of the patients were significantly difference among the three hospitals(P<0.05).The median of the days in hospital of the patients in the front-line hospital was lower than that in Xijing and Tangdu Hospital(P<0.001).The proportion of the patients with injury and poisoning diagnosis was 81.5% in all patients.Conclusions The patients transportation should carry out as soon as possible(3-5 days after the disaster),after the earthquake or other disaster.Upon the completion of the first phase of medical rescue in the earthquake,the medical rescue focus should be shifted to the internal medicine and chronic disease,and the medical preparation should be done in advance.The medical staff,equipment and drugs in the medical rescue should be set in accordance to the disease spectrum of the sick and wounded.
Objective To investigate the characteristics and disease spectrum of the inpatients in the general hospital.Methods The clinical information of Wenchuan earthquake inpatients in the three hospitals was searched and collected.The admission times,the basic and clinical information were compared among the three hospitals.Results There were 730 males,accounting for 56.5%,and 562 females,accounting for 43.5%,in all patients.The proportions of the gender,age group,nationality,marital status,surgery or not,and treatment outcomes of the patients were significantly difference among the three hospitals(P<0.05).The median of the days in hospital of the patients in the front-line hospital was lower than that in Xijing and Tangdu Hospital(P<0.001).The proportion of the patients with injury and poisoning diagnosis was 81.5% in all patients.Conclusions The patients transportation should carry out as soon as possible(3-5 days after the disaster),after the earthquake or other disaster.Upon the completion of the first phase of medical rescue in the earthquake,the medical rescue focus should be shifted to the internal medicine and chronic disease,and the medical preparation should be done in advance.The medical staff,equipment and drugs in the medical rescue should be set in accordance to the disease spectrum of the sick and wounded.
引文
[1]中国地震局-震情灾情[EB/OL].http://www.cea.gov.cn/manage/html/8a8587881632fa5c0116674a018300cf/zqzq/index.html.
[2]历史地震信息查询[DB/OL].中国地震台网中心.http://www.ceic.ac.cn/adv search.jsp.
[3]历史大地震回顾[DB/OL].中国地震信息网.http://www.csi.ac.cn/manage/html/4028861611c5c2ba0111c5c558b00001/lsd-dzhg/index.html.
[4]李勇,杨前程,杨波,等.担当主力重任用大爱谱写生命救治赞歌—成都军区总医院抗震救灾纪实[J].解放军医院管理杂志,2008,15(9):901.
[5]第四军医大学卫生防疫队.四川青川灾区纪实[DB/OL].http://news.sina.com.cn/c/2008-06-07/155513985484s.shtml.
[6]刘海一.疾病诊断和手术操作名称与代码标准应用指南[M].北京:人民军医出版社,1999.
[7]List of ICD-9 codes[DB/OL].http://en.wikipedia.org/wiki/List of ICD-9 codes.
[8]王彤.医学统计学与SPSS软件应用[M].北京:北京大学医学出版社.2008.
[9]联合国经社理事会关于国际减灾十年后续安排的1999/63号决议[M].联合国国际减轻自然灾害十年论文精选本论文集,2004.
[10]河北省卫生厅.唐山地震抗震救灾医疗卫生经验资料选编[M].1984.
[11]Bayard D.Haiti earthquake relief,phase two--long-termneeds and local resources[J].N Engl J Med,2010,362(20):1858-61.
[12]李运明,顾建文,杨波,等.海地地震医疗救援中若干问题及其启示[J].中华医院管理杂志,2011,27(5):353-354.
[2]历史地震信息查询[DB/OL].中国地震台网中心.http://www.ceic.ac.cn/adv search.jsp.
[3]历史大地震回顾[DB/OL].中国地震信息网.http://www.csi.ac.cn/manage/html/4028861611c5c2ba0111c5c558b00001/lsd-dzhg/index.html.
[4]李勇,杨前程,杨波,等.担当主力重任用大爱谱写生命救治赞歌—成都军区总医院抗震救灾纪实[J].解放军医院管理杂志,2008,15(9):901.
[5]第四军医大学卫生防疫队.四川青川灾区纪实[DB/OL].http://news.sina.com.cn/c/2008-06-07/155513985484s.shtml.
[6]刘海一.疾病诊断和手术操作名称与代码标准应用指南[M].北京:人民军医出版社,1999.
[7]List of ICD-9 codes[DB/OL].http://en.wikipedia.org/wiki/List of ICD-9 codes.
[8]王彤.医学统计学与SPSS软件应用[M].北京:北京大学医学出版社.2008.
[9]联合国经社理事会关于国际减灾十年后续安排的1999/63号决议[M].联合国国际减轻自然灾害十年论文精选本论文集,2004.
[10]河北省卫生厅.唐山地震抗震救灾医疗卫生经验资料选编[M].1984.
[11]Bayard D.Haiti earthquake relief,phase two--long-termneeds and local resources[J].N Engl J Med,2010,362(20):1858-61.
[12]李运明,顾建文,杨波,等.海地地震医疗救援中若干问题及其启示[J].中华医院管理杂志,2011,27(5):353-354.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心