论文部分内容阅读
目的:了解常州地区院前急救接诊情况,为完善院前急救提供科学依据。方法:选用常州市医疗急救中心院前急救数据库中2011—2015年急救资料进行统计分析。结果:(1)常州市医疗急救中心自2011年1月1日—2015年12月31日接警台共接到电话1 427 975次,调度及时派车156 272次,救治患者149 213人次,未接到患者(空车)8158次,欠费20 827人次,具体接诊电话、有效电话、出车次数、救治患者数、欠费人数、未接到患者数、空车率及欠费率均呈逐年上升趋势,而出车率基本保持相对稳定的状态。(2)2011年1月1日—2015年12月31日,在救治149 213例中,普通内科(25.03%)、普通外科(23.86%)、心脑血管(18.86%)、车祸致伤(16.63%),占急救患者总数84.38%,且呈逐年上升趋势,尤其是车祸致伤及普通外科患者,呈显著上升趋势,其他统计病种仅占到急救患者总数的15.62%,而且5年内每年接诊患者数均处于相对平稳状态。结论:加强社会基本常识教育,增强公民的道德观是提高有效电话率的保障,加大公民的道德教育及素质培养,严格驾驶员的培养,完善驾驶员的年检及道路标志的合理设置是降低车祸发生的有效措施,同时呼吁加大院前急救的人力、物力、财力投入。
Objective: To understand the situation of pre-hospital emergency treatment in Changzhou and to provide a scientific basis for improving pre-hospital emergency care. Methods: First-aid data of Changzhou Emergency Medical Center from 2011 to 2015 were selected for statistical analysis. Results: (1) Changzhou Medical Emergency Center received 1 427 975 calls from the January 1, 2011 to December 31, 2015. The dispatching dispatched 156 272 times in a timely manner and treated 149 213 people without treatment. Received 8,158 patients (empty car), arrears of 20,827 passengers, the specific telephone, effective telephone, the number of trips, the number of patients treated, the number of arrears, did not receive the number of patients, empty car rates and arrears rate It showed an upward trend year by year while the exit rate remained relatively stable. (2) From January 1, 2011 to December 31, 2015, 149 213 cases were treated and treated by General Internal Medicine (25.03%), General Surgery (23.86%), Cardiovascular and Cerebrovascular Diseases (18.86% 16.63%), accounting for 84.38% of the total number of emergency patients, and showed a rising trend year by year, especially in car accidents and general surgery patients, showing a significant upward trend, other statistical diseases accounted for only 15.62% of the total number of emergency patients, and 5 years Admissions patients are in a relatively stable state. Conclusion: Strengthening education on basic social common sense and enhancing citizen’s morality are the measures to improve the effective telephone rate, enhance citizens’ moral education and quality training, improve the training of drivers, and improve the driver’s annual inspection and road signs. At the same time, we call for more manpower, material and financial resources for pre-hospital emergency services.