脑卒中急救医疗服务的临床观察

Clinical observation on emergency medical services of stroke

目的 观察评价云南省急救中心昆明医学院第二附属医院120急救站脑卒中患者的急救医疗服务（emergency medical services,EMS）流程现状.方法 记录院前EMS启动、EMS反应、EMS现场救治和EMS转运四个阶段过程.结果.71.84%的患者在发病后3 h内到达医院.63.11%的急救车行驶时间在15 min之内.91.26%的EMS现场时间在15 min之内.53.40%的EMS转运时间在15 min之内,95.44%的EMS存在延误（主要原因为堵车）.提前通知医疗机构接诊的患者为62.14%.66.02%的患者及家属不了解任何脑卒中症状.结论.EMS可以明显缩短脑卒中患者入院时间.加强EMS人员和医疗机构的沟通和配合,可以完善脑卒中EMS.公众普遍缺乏脑卒中方面的知识,对大众进行脑卒中方面的健康教育势在必行.

Objective To observe and assess process of emergency medical services（EMS） of stroke in 120 first - aid station of the second affiliated hospital of Kumning medical college of the emergency medical center of Yummn. Methods The four stages, EMS starls, EMS response, EMS on - site treatment and EMS transport, of Pre - hospital EMS process would be recorded. Results 71. 84% patients arrived at the hospital in no more 3 hours after onset. Travel time of 63. 11% of the emergency vehicle was no more than 15 minutes. Scene time of 91.26% was no more lhan 15 minutes. Transportation time of 53.40% was no more than 15 minutes, the primary cause of 95.44% EMS delay was traffic jams. 62.14% of the patients were informed medical establishment ahead of time. 66.02% of the patients and their members didn＇t know any apoplexy symptom. Conclusion The EMS can significantly shorten the hospitalization time of patients, The traffick jams are primaly factor affected transport ettlicieney of Pre - hospital stroke EMS. To strengthen comnumieation and coordination between EMS personnel and medical institutions can improve stroke EMS. Public lack generally knowledge of stroke. The health education for stroke is imperative.