应急医学救援前沿外科手术队组建方案的研究

Establishment of surgical team at the frontline of emergency medical relief

目的根据非战争军事行动卫勤保障的特点和需要,遴选最优化的应急医学救援前沿外科手术队组建方案,为未来我军前沿外科手术队的建设提供理论参考和决策依据。方法本研究提出新建(P1)、专科手术队整合(P2)、野战医疗所抽组(P3)、野战医疗队基础上改建(P4)4种前沿外科手术队的组建方案,并运用层次分析法系统分析影响组建前沿外科手术队的各种相关因素指标,构建层次结构模型,组成判断矩阵,根据专家打分计算其指标权重及其方案的综合权重。结果判断矩阵的一致性检验结果 CR<0.10,方案的综合权重分值:P1=0.213 8,P2=0.242 0,P3=0.205 4,P4=0.338 8。结论运用层次分析法在前沿外科手术队组建方案选优工作中可获得满意的结果,前沿外科手术队最佳组建方案应采取野战医疗队基础上改建为主的建设模式(P4)。

Objective To select the best plan for establishing frontline surgical team（FST） for emergency medical relief based on the characteristics of health service for non-battle military missions,hoping to provide theoretical reference and evidence for establishing FST.Methods This study proposed 4 options to setup FST,including establishing a new one（P1）,integration of professional operation teams（P2）,selected group from field medical unit（P3）,and modification of existing field medical team（P4）.The analytic hierarchy process（AHP） was used to analyze the relevant factors influencing the establishment of FST,in an effort to build a hierarchical model diagram and to form a judgment matrix score of four scenarios;the four programs was evaluated by consulting experts and calculating the index weights and general weights.Results The consistency of matrix test results was judged as CR〈0.10,with the weights of the program scores being P1 = 0.213 8,P2 = 0.242 0,P3 = 0.205 4,and P4 = 0.338 8.Conclusion Application of AHP can achieve satisfactory result in selecting optimal plan for establishing FST;the optimal option to establish FST is to convert the existing field medical team（P4）.