专业化和“两栖型”院前急救模式的对比研究

Comparison of Pre-hospital Emergency Service Models between Specialization and Concurrent

目的:研究专业化和“两栖型”院前急救模式对急救救治效果的影响。方法:选取本院2003年1月至10月由急诊科兼院前(两栖型)急救出车的1301例“两栖型”院前急救病例作为对照组,2004年1月至10月由专职院前科出诊的1574例专业化院前急救病例作为研究组。比较和分析两组间救治效果间的差异。结果:研究组和对照组间的平均急救半径,病情分级无显著差异(P<0.01);院前死亡率、并发症发生率研究组较对照组低(P<0.05);现场处置率、救治有效率研究组明显高于对照组(P<0.01)。结论:院前急救模式对患者的救治效果有明显的影响,专业化院前急救救治效果明显优于“两栖型”,专业化院前急救模式也是院前急救发展的方向。

Objective：To study the influence of pre-hospital emergency service models on service effectiveness. Methods：The control group included 1301 cases in which emergence services were delivered by healthcare workers working for both the hospital emergency services and the pre-hospital emergency services （＂Amphibian＂ model） from Jan. to Oct,2003. The experimental group included 1574 cases in which emergency services were delivered by pre-hospital emergency professionals from Jan. to Oct.2004. The service effectiveness of these two groups were compared and analyzed. Results：There were no significant differences in the average service radius and the patient＇s condition level between the two groups （P 〉 0.05） ; the inner hospital response time in the experimental group was significantly shorter than in the control group; the pre-hospital mortality and the complications occurrence rate was lower in the experimental group than that in the control group （P 〈 0.05） ;the local treatment rate and the service effectiveness rate in the experimental group was significantly higher than that in the control group（P 〈 0.01）. Conclusion： pre-hospital emergency service models can significantly influence service effectiveness, The service effectiveness of professional pre-hospital emergency service model is significantly better than that of ＂Amphibian＂ model. Professionalism should be the direction of pre-hospital emergency services.