2010年北京市院外急救现状调查及模式探讨

2010 Prehospital First aid present situation investigation and models discussion

目的对院外急救救治率进行调查，以及院外急救模式进行探讨。方法通过对2010年北京急救中心全年出车病例进行回顾性分析，与1992年-1999年院外急救调查进行对比，现场救治率和院外救治率进行分析。结果2010年院外急诊人数较1992年-1999年有大幅提高，现场救治率26．9％，院外救治率为18．2％，2010年现场救治率与1992年。1999年现场救治率比较差异无统计学意义（P〉0．05），院外救治率与2010年现场救治率和1992年-1999年现场救治率比较，差异有统计学意义（P〈0．05）。结论院救治率在20％左右，院外急救单元工作内容混乱，非急救用车普遍存在，对院业务进行整合，将院急救和院外服务区分开来，建立救助员制度，优化目前模式，使院外急救医生的定位清晰。

Objective To investigate the rate of pre-hospital treatment, prehospital emergency medical care as well as to explore mode. Methods by 2010 Beijing emergency medical center of runs for the whole year retrospective analysis of cases, to contrast the prehospital emergency medical care and 1992-1999 survey, on-site treatment and pre-hospital treatment rates for analysis. Results before 2010 at the hospital emergency room more 1992-1999 to have a large increase in the number, site where rate of 26.9%, pre-hospital treatment rate of 18.2%, site 2010 rate of spot treatment with 1992-1999 treatment rates compare the difference was not statistically significant （P〉0.05）, pre-hospital treatment rate and 2010 on-site treatment and 1992-1999 scene where rates comparison, differences are statistically significant （P〈0.05）. Conclusion pre-hospital treatment rate is around 20%, first aid unit work content clutter, prevailing in non-emergency vehicles, on the first business to consolidate, to distinguish between first aid and pre-hospital services, establish relief system, optimization of current models, pre-hospital emergency doetor＇s position clear.