武警部队处置突发事件因伤减员官兵救治、后送模式研究

Medical aid and evacuation of armed police wounded in unexpected events

目的分析武警部队处置突发事件时因伤减员官兵不同情况下经过不同救治梯次的依据,确定设置不同救治梯次时各级救治机构的救治范围。方法采取回顾性调查方法,利用SAS统计分析软件对调查结果进行统计学处理。结果因伤减员官兵的2周治愈率、致残率及伤口感染率与负伤后得到第1次救治的时间和救治人员种类、处突地点距专科医院的距离、后送运力的型号及后送途中交通状况等因素有直接关系。结论应根据不同情况合理设置救治梯次,确定各级救治机构的救治范围。要靠前配置救治力量,配齐一线医务干部。

Objective To study the different scopes of medical care of armed police wounded in unexpected action at different levels of medical units.Methods In the retrospective study from October 2002 to July 2003, the number of personnel attrition （ n = 934 ）, the type, position and degree of injuries and the related factors were investigated. The obtained data were analysed using SAS software. Results The within-2-week cure rote,disability rate,and wound infection rate correlated directly with the time of first-aid after getting wonnded, category of medical aid personnel,distance from first-aid place to specialized hospital,means for evacuation,and traffic condition on the way of evacuation. Conclusions In coping with unexpected events, appropriate medical care echelons should he established according to different conditions, and scopes of medical care at different levels should he determined. Medical aid personnel with full strength should he placed forward.