公众急救自救知识与健康保障的关系

The Relationship between the Public First Aid Knowledge and Health Guarantee

目的了解现场前获得公众初步急救患者的预后,为提高公众急救自救能力,降低院前死亡率提供依据。方法追踪上海市急救中心接诊病例1,590例,将救护车到达现场前获得公众初步急救的300例患者的预后进行比较。结果 300名调查对象中,有男性患者130例(43.3%)和女性患者170例(56.7%)。低血糖100例,稳定率100%;脑卒中80例,稳定率73.7%;心肺复苏50例,稳定率12%;心血管系统70例,稳定率68.6%。结论在现场"第一目击者"能够立即实施正确、基本的紧急救护,不仅可以降低患者的死亡率,还可为患者赢得宝贵的抢救时间,提高抢救成功率。了解现场前获得公众初步急救患者的预后,为提高公众急救自救能力。

Objective To understand the prognosis of cases who accepted self-care and first aid, so as to provide evidence for improving the ability of public emergency self-care and reducing pre-hospital mortality. Methods In 1,590 cases received in the emergency center, of which 300 cases who accepted self-care and first aid were compared in terms of the prognosis rate. Results Male patients had 130 cases(43.3%), and female patients had 170 cases(56.7%). The patients with hypoglycemia had 100 cases, and the rate of stable condition was 100%. The patients with stroke had 80 cases, and the rate of stable condition was 73.7%. The patients who need cardiopulmonary resuscitation(CPR) had 50 cases, and the rate of stable condition was 12%. The patients with cardiovascular disease had 70 cases, and the rate of stable condition was 68.6%. Many of them got better after the self-care and first aid. Conclusion The correct first aid and basic emergency care immediately carried out by the first witnesses, not only can reduce the mortality of patients, but also obtained extra rescue time for patients, thus improving the success rate of rescue.