长春市院前急救特点的调查研究

Survey Research on Pre-hospital Care Features in Changchun

目的调查分析长春急救中心院前急救疾病谱、院前诊断及救治情况,旨在更好地指导出诊协调能力及应急能力。方法调查分析资料来自长春急救中心2014年1月1日—2015年1月1日院前急救出诊的49 568例急救病历统计数据。结果 1院前急救出车呼叫原因以要求转运患者居多,占33.31%,创伤、昏迷、抽搐列呼叫原因的前三位;2院前出诊的疾病分类情况以神经系统居多、外科创伤及循环系统疾病次之;3院前急救病例救治情况以未处置居多(47.19%),给予吸氧(42.29%)及开放静脉通路用药(36.31%)次之;4急救转归情况中给予治疗措施后显效及有效患者达48.58%。结论正确处理转运与院前急救任务的关系,合理使用有限的院前急救资源;加强急救车组与调度和患者家属的信息交流,缩短急救反应时间,实施有效的现场救治;根据院前急救疾病谱,做好院前急救医疗队伍的培训工作,建立健全专业化的急救队伍;注重急救车型的实用性,合理添置急救器械和设备,为应对突发事件做好必要的物资准备。

Objective To survey and analyze the pre-hospital care disease spectrum, pre-hospital diagnosis and emergency condition in Chang emergency center in order to better guide the visiting coordination ability and emergency capability.Methods The emergency medical record statistical data of 49568 cases of patients with pre-hospital care in the Changchun emergency center from January 1, 2014 to January 1, 2015 were selected as the survey analysis data. Results 1Transport accounted for the most in the pre-hospital care calling causes with 33.31%, and the top three calling causes were trauma,coma, convulsion; 2 In the pre-hospital care diseases, nervous system was the most and surgical trauma and circulation system diseases were the second; 3In the pre-hospital care conditions, no disposal was the most（47.19%）,oxygen uptake（42.29%） and open venous access medication（36.31%） were the second; 4 The markedly effective and effective patients reached 48.58% after the treatment measures were given in the emergency transformation condition. Conclusion We should accurately handle the correlation between transport and pre-hospital task, rationally use limited pre-hospital emergency resources, enhance the information communication between the ambulance group, dispatch and patient＇s family, shorten the emergency reaction time, implement the effective spot treatment, do a good job in the pre-hospital emergency medical team training according to the pre-hospital emergency disease spectrum, establish and improve the professional emergency team,pay attention to the practicability of emergency vehicle models, rationally add the emergency devices and equipment and make essential material preparations for coping with the emergencies.