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目的探讨儿童急救网络建设对危重患儿急救的治疗效果。方法选取实施院前急救网络转运的危重患儿800例作为研究组,选取同期非网络院前转运危重患儿800例作为对照组。对院前急救网络转运患儿的基本情况、救治覆盖半径以及疾病构成情况进行分析,并且将观察组患儿的救治情况与对照组患儿的救治情况进行对比分析,以此来分析儿童急救网络建设对危重患儿急救的治疗效果。结果近18个月时间内共出车800次,平均每月出车44.4次,覆盖半径100 km。800例院前转运的急救患儿中,其疾病种类前10位,按照从高到低的顺序依次为早产儿、重症肺炎、新生儿窒息、急腹症、惊厥、新生儿胎粪吸入综合征、新生儿肺出血及重症哮喘。研究组患儿的24 h内病死率显著低于对照组,差异有统计学意义(P<0.05);研究组患儿24 h后病死率及痊愈率与对照组相当,差异无统计学意义(P>0.05)。结论儿童急救网络的建设对于降低危重疾病患儿的致死率和致残率具有非常重要的意义。
Objective To explore the treatment effect of first aid network in children on emergency treatment of critically ill children. Methods A total of 800 critically ill children undergoing prenuptial emergency network transportation were selected as the research group. 800 critically ill children were enrolled in the study. Analysis of the basic situation, the radius of treatment coverage and the composition of the disease in children with prenatal emergency network transport, and comparative analysis of the treatment of children in the observation group and the treatment of children in the control group, in order to analyze the first aid network Construction of emergency treatment of critically ill children. The results of a total of 800 times during the past 18 months time, an average of 44.4 trips per month, covering a radius of 100 km. 800 cases of pre-hospital delivery of emergency children, the type of disease in the top 10, according to the order of descending order of premature children, severe pneumonia, neonatal asphyxia, acute abdomen, convulsions, neonatal meconium aspiration syndrome , Neonatal pulmonary hemorrhage and severe asthma. The case-fatality rate in study group was significantly lower than that in control group within 24 h (P <0.05). The mortality and recovery rate in study group were similar to those in control group after 24 h, with no significant difference P> 0.05). Conclusion The construction of children first aid network is very important for reducing the lethality and morbidity of children with critical illness.