目的:研究乌鲁木齐市(简称:乌市)院前急救心脑血管疾病患者流行病学特征,为预防控制疾病、提高现场急救水平、规范急救流程提供参考。方法:对全年心脑血管疾病患者数据进行ICD-10编码,对各指标进行统计学分析。结果:全年心脑血管疾病患者共9630例,占总人数19.3%,发病率为366.3/10万;一天中10:00-12:00为高峰时段,占12.7%;春冬季发病达5061例,占53.1%。男性发病率为414.9/10万高于女性314.1/10万,男女比为1.4:1,RR为1.32(χ-2=182.979,P〈0.001),41岁及以上年龄组心脑血管疾病患者达8776例,占91.1%。结论:乌市院前急救心脑血管疾病发病率高,呈现男性高于女性,春冬季以及41岁以上年龄组人群持续高发的特点,相关部门应积极制订预防措施,控制危险因素,提高医护人员现场救治水平。
Objective: To analyze the epidemiological characteristics of cardiovascular and cerebrovascular diseases(CACD) in prehospital emergency, which would provide the reference for control and prevention of disease, improving first-aid and the plan of medical emergency service. Methods: The medical records were extracted from the Urumqi red cross first-aid guidance system. The diseases were codified according to ICD-10. Results: There were totally 9630 CACD cases recorded in the system, occupied 19.3%. The incidence of CACD was 336.3/10-5. The period of 12:00-14:00(12.7%) and spring(5061 cases, 53.1%) were the peak time of a day and a year respectively. Incidence of CACD was a significantly difference(χ-2=182.979,P0.001) between male (414.9/10-5) and female(314.1/10-5). The ratio between the male and female was 1.4:1, RR was 1.32. There were 8776 cases(91.1%) in people aged more than 41 years. Conclusions: There is high incidence of CACD in pre-hospital emergency of Urumqi, which is higher in male, summer and spring and people aged more than 41 years. Some measures should be taken to control risk factors and improve the level of CACD medication.