摘要
目的：分析2008-2013年襄阳市＂120＂院前医疗急救的供需关系,为院前医疗急救管理提供科学依据。方法：采用回顾性资料收集的方法,对2008-2013年襄阳市＂120＂受理的出诊信息资料建立数据库,进行统计分析。结果：急救派车逐年增加,派车率每年都在10%以上,而且逐年增长;取消派车的量也逐年增加,基本占年度派车量的12%~14%,空诊率由第1年的5.65%,逐年下降,最低为2.20%;骚扰电话每年明显减少,骚扰率由第1年的42.92%降低到最低的13.35%。急救反应时间3~20min,逐年增长,前3年数据比较差异无统计学意义,后3年数据比较差异有统计学意义（P〈0.05）。急救病例年例数逐年增加,院前医疗急救主要病种依次分别为外伤、车祸伤、神经系统疾病、心脑血管疾病病例明显上升。现场急救患者比例30.5%~33.5%。结论：我市医疗急救供需存在不平衡,急救需求比例较大。合理调配急救资源与减少浪费、提高院前医疗急救能力与普及急救常识,既有利于提高院前医疗急救效率又有利于提高院前医疗急救质量。
Objective：To analyze the relations between supply and demand of the pre-hospital first aid from2008 to 2013in order to provide the scientific basis for improving the level of pre-hospital first aid of Xiangyang medical emergency center.Method：Retrospective collection of patients received by Xiangyang medical emergency center from 2008 to 2013.The data were included into a database of information and analyzed statistically.Result：The sending of emergency vehicles increased every year with a rate of more than 10% each year,and it was growing every year.The cancel of sending also increased year by year,accounting for 12%-14% of total annual sending.The empty diagnosis rate declined from 5.65%in the first year to 2.20%.The harassing phone calls reduced from the first year of 42.92%to a minimum of 13.35%.Patients of internal medicine increased significantly.Patients of trauma and cardiovascular and cerebrovascular increased significantly.The first three causes of emergency call were traffic accident,trauma,cardio-cerebrovascular diseases.The patients of first aid accounted for 30.5%-33.5% of all patients.The emergency response time was 3~20minutes and increased year by year.There was no statistical significance of emergency response time before three years.There was statistically significant difference for the data（P〈0.05）after three years.Conclusion：There was imbalance in our city for emergency medical supply and demand.There was higher percentage of pre-hospital emergency needs.Deployment of emergency resources rationally,raise the level of pre-hospital emergency,reduce waste,popularization of emergency rescue,improve the efficiency of emergency was conducive to improve the quality of pre-hospital first aid.
出处
《临床急诊杂志》
CAS
2015年第3期220-223,共4页
Journal of Clinical Emergency
关键词
院前医疗急救
急救反应时间
流行病学
供需关系
pre-hospital first aid
emergency response time
epidemiology
supply-demand relation
