玉树与汶川地震伤病员特征比较分析
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摘要
目的分析玉树与汶川地震伤病员信息特征,并对两地区伤员、不同性别玉树地震伤员病种构成情况进行比较。方法本次研究采用自行设计的问卷,由经过统一培训的调查员分别查阅地震伤病员病案并填写调查表。运用χ2检验等统计方法分析数据。所有数据运用SPSS13.0软件处理。结果玉树伤员截肢率0.76%(3/393),瘫痪率1.53%(6/393),高原反应占收治伤病员人数的14.38%(66/459);汶川伤员截肢率1.96%(34/1739),瘫痪率0.69%(12/1739),无高原反应。骨折患者玉树占收治伤员人数的49.36%(194/393);汶川占49.86%(867/1739)。其中,玉树和汶川地震伤员均以四肢骨折人数居多。玉树与汶川地震伤员病种构成(排除高原反应患者影响)差异有统计学意义(χ2=185.921,P=0.000)。不同性别玉树地震伤员病种构成(排除高原反应患者影响)差异无统计学意义(χ2=18.537,P=0.236)。结论根据灾区自然、地理等条件及时制定有效的应急预案,做好人员和物资储备,做到医疗资源的合理配置,以保证医疗救援的时效性、科学性和有效性。
Objective To analyze characteristics and comparison of Yushu Earthquake and Wenchuan Earthquake in traumatic condition of wounded inpatients,and comparison traumatic condition of different gender after Yushu Earthquake.Methods The study used questionnaires designed by ourselves and the questionnaires were written by the uniform trained investigators.The data was analyzed by χ2 test and all analysis was used SPSS 13.0 software.Results The amputation rate was 0.76%(3/393),the paralysis rate was 1.53%(6/393) and the altitude sickness accounted for 14.38%(66/459) in Yushu wounded inpatients.Meanwhile,the amputation rate was 1.96%(34/1739),the paralysis rate was 0.69%(12/1739) and no altitude sickness in Wenchuan wounded inpatients.The fracture patients accounted for 49.36%(194/393) in Yushu wounded inpatients and 49.86%(867/1739) in Wenchuan wounded inpatients.The number of fracture patients was mostly fractures on four limbs in the two regions.There were differences on traumatic condition of wounded inpatients(excluding altitude sickness patients) among Yushu Earthquake and Wenchuan Earthquake(χ2=185.921,P=0.000) and there were no differences(excluding altitude sickness patients) on different gender(χ2=18.537,P=0.236).Conclusions An effective emergency plan should be instituted according to the natural,geographical and other conditions.The rational allocation and application of healthcare resources ensure the timeliness,scientific and effective of medical assistance.
Objective To analyze characteristics and comparison of Yushu Earthquake and Wenchuan Earthquake in traumatic condition of wounded inpatients,and comparison traumatic condition of different gender after Yushu Earthquake.Methods The study used questionnaires designed by ourselves and the questionnaires were written by the uniform trained investigators.The data was analyzed by χ2 test and all analysis was used SPSS 13.0 software.Results The amputation rate was 0.76%(3/393),the paralysis rate was 1.53%(6/393) and the altitude sickness accounted for 14.38%(66/459) in Yushu wounded inpatients.Meanwhile,the amputation rate was 1.96%(34/1739),the paralysis rate was 0.69%(12/1739) and no altitude sickness in Wenchuan wounded inpatients.The fracture patients accounted for 49.36%(194/393) in Yushu wounded inpatients and 49.86%(867/1739) in Wenchuan wounded inpatients.The number of fracture patients was mostly fractures on four limbs in the two regions.There were differences on traumatic condition of wounded inpatients(excluding altitude sickness patients) among Yushu Earthquake and Wenchuan Earthquake(χ2=185.921,P=0.000) and there were no differences(excluding altitude sickness patients) on different gender(χ2=18.537,P=0.236).Conclusions An effective emergency plan should be instituted according to the natural,geographical and other conditions.The rational allocation and application of healthcare resources ensure the timeliness,scientific and effective of medical assistance.
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,邓绍林,等.玉树汶川震后3月医疗救援比较研究[J].中国循证医学杂志,2010,10(7):784-790.
[3]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.
[4]唐甫斌,浦金辉,张璧,等.地震伤员的处理原则[J].创伤外科杂志,2007,9(3):210.
[5]Bulut M,Fedakar R,Akkose S,et al.Medical experience of a u-niversity hospital in Turkey after the 1999 Marmara earthquake[J].Emerg Med J,2005,22:494-498.
[6]Peek-Asa C,Kraus JF,Bourque LB,et al.Fatal and hospitalizedinjuries resulting from the 1994 Northridge earthquake[J].Inter-national Journal of Epidemiology,1998,27:459-465.
[7]田伟,马娟.汶川地震住院伤员伤情及住院费用影响因素分析[J].中华医院管理杂志,2010,26(3):198-201.
[2]姜洁,李幼平,邓绍林,等.玉树汶川震后3月医疗救援比较研究[J].中国循证医学杂志,2010,10(7):784-790.
[3]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.
[4]唐甫斌,浦金辉,张璧,等.地震伤员的处理原则[J].创伤外科杂志,2007,9(3):210.
[5]Bulut M,Fedakar R,Akkose S,et al.Medical experience of a u-niversity hospital in Turkey after the 1999 Marmara earthquake[J].Emerg Med J,2005,22:494-498.
[6]Peek-Asa C,Kraus JF,Bourque LB,et al.Fatal and hospitalizedinjuries resulting from the 1994 Northridge earthquake[J].Inter-national Journal of Epidemiology,1998,27:459-465.
[7]田伟,马娟.汶川地震住院伤员伤情及住院费用影响因素分析[J].中华医院管理杂志,2010,26(3):198-201.
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