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广州某三甲医院急诊科经120救护车来诊患者特点分析

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目的 探讨急诊科经 120 救护车来诊患者的特点,为明确急诊科救治重点、合理分配急诊医疗资源及优化急诊就诊流程提供依据.方法 收集广州医科大学附属第二医院急诊科 2022 年 1-12 月经广州 120 救护车来诊患者的数据,对患者的性别、年龄、疾病谱、病情分诊级别、来诊高峰等资料进行分析.结果 共收集患者 4 370 例,其中男性患者 2 287 例(占 52.3%),女性患者 2 083 例(占 47.7%);患者年龄 0.1~106.0 岁,其中以 66 岁以上年龄段患者居多,占比62.5%;疾病谱排名前 3 位的为神经系统疾病(1 529 例,占比 35.0%)、创伤(797 例,占比 18.2%)、呼吸系统疾病(555例,占比 12.7%);预检分诊级别为Ⅰ级患者 300 例(占 6.9%),Ⅱ级 1 248 例(占 28.6%)、Ⅲ级 2 806 例(占 64.2%)、Ⅳ级16 例(占 0.4%);来诊的高峰时段为 9:00-12:00,779 例,占比 17.8%.结论 急诊医护人员应根据经 120 来诊患者特征,合理调配急诊医疗资源,进一步优化接诊流程,提高急诊救治能力,保证患者安全.
Analysis on the Characteristics of Patients Treated by 120 Ambulances in Emergency Department of a 3A Hospital in Guangzhou
Objective To investigate the characteristics of patients sent by emergency department via 120 ambulances,and to provide a foundation for clarifying emergency department treatment priorities,rationally allocating emergency medical resources,and optimising emergency procedures.Methods Patients'gender,age,disease spectrum,triage level,and peak attendance were analysed for patients who arrived at the emergency department of The Second Affiliated Hospital of Guangzhou Medical University during January to December 2022 via Guangzhou 120 ambulance.Results There were 4 370 patients in total,with 2 287 males(52.3%)and 2 083 females(47.7%).The patients'ages ranged from 0.1 to 106.0 years old,with the majority(62.5%)being over 66.Nervous system diseases(1 529 cases,accounting for 35.0%),trauma(797 cases,accounting for 18.2%),and respiratory system diseases(555 cases,accounting for 12.7%)were the top three diseases.300 patients(6.9%)were graded as Ⅰ,1 248 patients(28.6%)as Ⅱ,2 806 patients(64.2%)as Ⅲ,and 16 patients(0.4%)as Ⅳ.The peak period for consultation was from 9:00 to 12:00,with 779 cases accounting for 17.8%of all cases.Conclusion Emergency medical personnel should rationally allocate emergency medical resources based on the characteristics of patients treated by 120 doctors,further optimise the consultation process,improve emergency treatment capability,and ensure patient safety.

emergency departmentpre-hospital care120 ambulanceepidemiologydisease spectrumpre-test triage

张秀芝、黄清平、张镜开

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广州医科大学附属第二医院急诊科,广东 广州 510260

急诊科 院前急救 120救护车 流行病学 疾病谱 预检分诊

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(1)
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