吴江地区基层医院院前急救现状调查

Investigation of pre-hospital emergency in basic level hospitals of Wujiang area

目的分析吴江地区基层医院的院前急救现状,发现院前急救存在的问题,提出合理化对策,以期为吴江地区院前急救的发展提供参考。方法通过对吴江地区8家基层医院2012年12月至2014年12月的13 819例院前急救的病例资料进行分析,从急救病种,伤员伤情,现场处理,院前急救反应时间等方面,分析基层医院影响院前急救的因素,发现存在的问题,提出解决方法。结果在本组院前急救的病例中,中青年人所占比例最高,且男性比例高于女性。研究院前急救的病种分布,发现创伤所占的比例最高,占66.8%;其次是脑血管疾病,占12.8%。但死亡率最高的是中毒,占13.0%。在这13 819例患者中,院前急救的死亡率是7.3%,其中85%是现场死亡。研究还证明,院前急救反应时间越短,死亡率越低。结论进一步加强应急装备、人才队伍建设,提升应急救援能力,开发远程移动医疗软件,确保城市公共与卫生安全,是基层医院院前急救的主要任务。

Objective Object to analyze the current situation of pre-hospital emergency in the basic level hospitals of Wujiang area,find out the existing problems of pre-hospital emergency,put forward the reasonable countermeasures,and provide some reference for the future development of pre-hospital emergency in the region of Wujiang.Methods To research the 13 819 cases of pre-hospital emergency from December 2012 to December 2014 from eight basic level hospitals of Wujiang area,based on disease sort,the wounded from injure,on-site treatment measures and pre-hospital emergency response time,analyze the effect of the basic hospital on pre-hospital emergency,find out the existing problems and put the corresponding solutions. Results This group of case of pre-hospital emergency findings showed the proportion of young and middle-aged patients was the highest and the male proportion was higher than women.While researching disease distribution of pre-hospital emergency,the percentage of trauma was the highest,about 66.8%.Secondly, cerebrovascular disease had share of 12.8%.However,the highest of mortality rate was poisoning,about 13.0%.In 13819 patients,the death rate of pre-hospital emergency was 7.3%,of which 85% of patients died at the scene.The study also proved that the shorter pre-hospital emergency response time was,the lower mortality rate was.Conclusion To further strengthen emergency equipment and building of talent team, improve ability of emergency rescue,develop remote mobile medical softwares and ensure urban public and health security were primary mission of pre-hospital emergency in the basic level hospitals.