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目的分析975例芦山地震手术伤员特征,为今后建立自然灾害医疗救援应急预案提供决策参考。方法收集四川省各医院收治芦山地震手术伤员信息,统计手术伤员年龄与性别构成、不同地区震后手术时间分布、不同性别震后手术时间分布。统计分析采用(xs、M、Wilcoxon秩和检验等方法。所有数据分析运用SPSS13.0软件处理。结果全省收治手术地震伤员平均年龄(40.4120.03)岁,男性586例(占60.10%),女性389例(占39.90%)。男性2029岁的手术人数最多,其次是4049岁,分别占男性手术伤员数的23.21%和22.87%;女性4049岁的患者人数最多,占女性手术伤员数的20.31%。地震伤员震后手术时间的中位数为2 d。各地区开展手术治疗时间总体呈现由多到少的变化趋势。收治手术伤员例数最多的地区是雅安市,占全部手术伤员数的39.49%,其次是省直、卫生部驻川医疗机构,占手术伤员数的30.97%。从震后手术时间分布来看,开展手术例数总体呈现逐渐减少的趋势。地震当天伤员开展手术例数最多,占手术患者人数的29.44%,前3 d、前5 d和前7 d分别占手术伤员数的53.85%、75.90%和89.13%。男性和女性震后手术时间差异无统计学意义(Wilcoxon W=185 619.000,Z0.701,P0.483)。结论在面对地震灾害时应尽快建立医疗应急救援机制和预案。地震伤员的手术时间集中在震后1周内,相关手术科室的医务人员应预留床位,及时储备手术所需相关药品、血液和医疗器械,以保障伤员手术救治的及时性和有效性。
Objective To analyze the characteristics of 975 cases of surgical wounded in Lushan earthquake and provide reference for the future emergency rescue plan of natural disasters. Methods The information of surgical wounded in Lushan earthquake collected in hospitals in Sichuan Province was collected. The age and sex composition of the operative wounded were collected. The distribution of the operation time after the earthquake in different regions and the distribution of the operation time after the different gender quake were collected. The statistical analysis used (xs, M, Wilcoxon rank sum test and other methods.All data analysis using SPSS13.0 software.Results The average age of surgical wounded in the province (40.4120.03) years, 586 male patients (60.10%), Female 389 cases (39.90%). Male 2029-year-old surgery the largest number, followed by 4049 years old, accounting for 23.21% and 22.87% of the number of male surgical wounded; women 4049 years old the largest number of patients, accounting for female surgical injuries 20.31 %. The median duration of postoperative earthquake casualties was 2 days. The time for surgical treatment in all regions showed a tendency of more or less. The area with the highest number of surgical injuries was Ya’an City, accounting for the total number of surgical wounded 39.49%, followed by the province straight, the Ministry of Health in Sichuan medical institutions, accounting for 30.97% of the number of surgical wounded from the postoperative distribution of surgery point of view, the overall number of cases of surgery showed a trend of decreasing gradually. Accounting for 29.44% of the total number of patients, accounting for 53.85%, 75.90% and 89.13% respectively of the first 3 days, the first 5 days and the first 7 days. There was no significant difference in postoperative operative time between men and women (Wilcoxon W = 185 619.00 0, Z0.701, P0.483) .Conclusion The medical emergency rescue mechanism and plan should be established as soon as possible in the face of earthquake disasters.The operation time of earthquake wounded people should be concentrated within 1 week after the earthquake, and the medical personnel of the relevant surgical departments should reserve Bed, timely storage of the necessary surgical drugs, blood and medical equipment to ensure the timely and effective surgical treatment of the wounded.