摘要
目的分析天津市某地区社区居民对急诊出诊的需求现状,研究城市急救网络中社区卫生服务出诊急救的建设和发展对策。方法对2003～2006年天津市某地区496例次急诊出诊记录进行系统回顾,采用Utstein模式对复苏资料进行分析。结果该社区居民呼叫社区卫生服务急诊出诊的主要症状以胸痛最多(26.41%),心血管疾病占急诊疾病构成的首位(33.67%)。其中57例需复苏救治患者的平均呼叫-到达间期为(6.8±2.3)min,其复苏存活出院率为26.32%。446例非院前死亡患者中,后期转院者占40.13%。结论(1)社区急诊出诊服务以其地域优势,可以缩短呼叫-到达的时间,提高院前复苏存活率,成为城市院前急救体系的有力补充。(2)社区急诊出诊服务能够缓解综合性医院和专科医院的门、急诊和住院压力。(3)应根据服务需求,有重点地加强社区医护人员的临床急救技能培训与考核,改善急诊出诊设备,提高医护人员急诊出诊救治水平。
Objective To investigate out - call emergency care needing of residents living in Jiayuanli community of Tianjin, and to develop appropriate community out- call emergency medical services and measures in the urban emergency care network.. Methods 496 out - call emergency cases in Jiayuanli community from 2003 to 2006 were reviewed systematically, and the data of pre - hospital resuscitation was analyzed with Utstein model. Results The most frequent cardinal symptom of 496 out- call emergency cases was chest pain （26.41%）, and cardiovascular disease toped the list of emergent diseases （33.67%）. The average call - arrival interval of community out - call emergencies of 57 cases in need of cardiopulmonary resuscitation was 6. 8 ±2. 3 min, and the survival and hospital discharge rate was 26. 32%. The cases which were sent to a general or specialized hospital later in 446 pre - hospital non - death cases were 179 （40. 13% ）. Conclusion （ 1 ） Community out - call Emergency care has been a significant supplement to urban emergency medical service system with its advantage of vicinage, shorter call - arrival interval, and higher resuscitation success rate （ P 〈 0. 05）. （2） Community out - call emergency medical service is helpful for relieving the pressure on the emergency department, the out - patient department and the in - patient department of general hospitals and Specialized Hospitals. （3） We should further strengthen the training and examination of clinical emer- gency - treating skills of the community health personnel, upgrade ambulance equipments, and improve out - call emergency care ability according to community out - call emergency needs.
出处
《中国全科医学》
CAS
CSCD
2007年第10期825-827,共3页
Chinese General Practice
关键词
急救医疗服务
社区卫生服务
急诊处理
Emergency medical serrices
Community health service
Emergency treatment
