玉树灾区地震住院伤员特征分析
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摘要
目的分析459例玉树灾区地震住院伤员特征,为今后建立自然灾害医疗救援应急体系提供决策参考。方法收集四川省各医院收治玉树灾区伤员信息,按性别分类分别分析伤员年龄、震后入院时间、住院天数、民族等特征。统计分析采用x±s、M、Fisher’s确切概率法、t检验、Wilcoxon秩和检验等方法。所有数据运用SPSS13.0软件处理。结果本研究的地震伤员中男性255例(55.56%),女性204例(44.44%)。伤员平均年龄(33.43±14.03)岁,男性和女性年龄差异无统计学意义(t=0.630,P=0.529)。入院时间集中在震后1周内(占85.84%)。男性震后入院时间晚于女性(WilcoxonW=39646.500,Z=-5.368,P=0.000)。男性平均住院天数(17.03±15.52)d,女性平均住院天数(24.83±18.36)d,男性住院时间少于女性(t=-4.932,P=0.000)。伤员中藏族人数最多为338人(73.64%),其次为汉族115人(25.05%)。不同性别伤员民族构成存在差异(Fisher’s确切概率=76.378,P=0.000)。结论在面对地震灾害时应尽快建立医疗救援应急预案,结合伤员的性别、年龄、民族等特征,合理安排医务人员,充分利用医药物资,使各类医疗资源得到充分利用,以利于更及时有效的救治患者。
OBJECTIVE To analyze traumatic condition characteristics of 459 wounded inpatients after the Yushu Earthquake,so as to provide references for the institution of emergency plans. METHODS The data of wounded inpatients were collected from many hospitals in Sichuan Province to analyze their age,hospitalization time after the earthquake,hospital days,ethnic and other characteristics between male and female. The data were analyzed by,M,Fisher’s exact test,t test and Wilcoxon rank sum test,and all analysis was used SPSS 13.0 software. RESULTS 255 male patients(55.56%)and 204 female patients(44.44%)participated in this study. Wounded inpatients’ mean age was(33.43±14.03)years. There was no significant difference on age between male and female(t = 0.630,P = 0.529). Most patients were sent to the hospital within the first week after the earthquake(85.84%). Males admitted to hospital were later than females after the earthquake(Wilcoxon W=39 646.500,Z = -5.368,P = 0.000). Males average length of hospital stay were(17.03 ± 15.52)days and females were(24.83 ± 18.36)days. Males hospital stay were shorter than females(t = -4.932,P = 0.000). 338(73.64%)Tibetan were the maximum number of wounded inpatients,and 115(25.05%)Han people was followed. There was significant difference on ethnic between male and female(Fisher’s exact probability=76.378,P = 0.000). CONCLUSION In the face of the earthquake disaster,medical assistance emergency plans should be established as soon as possible. Medical staff and medical supplies should be arranged reasonably according to the wounded gender,age,ethnic and other characteristics,so that all types of medical resources were fully utilized to treat patients timely and effectively.
OBJECTIVE To analyze traumatic condition characteristics of 459 wounded inpatients after the Yushu Earthquake,so as to provide references for the institution of emergency plans. METHODS The data of wounded inpatients were collected from many hospitals in Sichuan Province to analyze their age,hospitalization time after the earthquake,hospital days,ethnic and other characteristics between male and female. The data were analyzed by,M,Fisher’s exact test,t test and Wilcoxon rank sum test,and all analysis was used SPSS 13.0 software. RESULTS 255 male patients(55.56%)and 204 female patients(44.44%)participated in this study. Wounded inpatients’ mean age was(33.43±14.03)years. There was no significant difference on age between male and female(t = 0.630,P = 0.529). Most patients were sent to the hospital within the first week after the earthquake(85.84%). Males admitted to hospital were later than females after the earthquake(Wilcoxon W=39 646.500,Z = -5.368,P = 0.000). Males average length of hospital stay were(17.03 ± 15.52)days and females were(24.83 ± 18.36)days. Males hospital stay were shorter than females(t = -4.932,P = 0.000). 338(73.64%)Tibetan were the maximum number of wounded inpatients,and 115(25.05%)Han people was followed. There was significant difference on ethnic between male and female(Fisher’s exact probability=76.378,P = 0.000). CONCLUSION In the face of the earthquake disaster,medical assistance emergency plans should be established as soon as possible. Medical staff and medical supplies should be arranged reasonably according to the wounded gender,age,ethnic and other characteristics,so that all types of medical resources were fully utilized to treat patients timely and effectively.
引文
[1]石应康,郑尚维,邓绍林.从汶川经验到玉树医疗救援[J].中国循证医学杂志,2010,10(4):373-375.
[2]姜洁,李幼平,王觅也,等.玉树与汶川地震医疗救援比较研究[J].中国循证医学杂志,2010,10(5):550-554.
[3]徐家相.地震灾害的紧急医疗救援[J].中华急诊医学杂志,2005,l4(7):557-558.
[4]田伟,马娟.1604例汶川地震住院伤员救治分析[J].中国病案,2009,10(6):44-45.
[5]谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析[J].中国循证医学杂志,2008,8(8):591-596.
[2]姜洁,李幼平,王觅也,等.玉树与汶川地震医疗救援比较研究[J].中国循证医学杂志,2010,10(5):550-554.
[3]徐家相.地震灾害的紧急医疗救援[J].中华急诊医学杂志,2005,l4(7):557-558.
[4]田伟,马娟.1604例汶川地震住院伤员救治分析[J].中国病案,2009,10(6):44-45.
[5]谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析[J].中国循证医学杂志,2008,8(8):591-596.
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