专业化和"两栖型"院前急救模式的对比研究

目的:研究专业化和“两栖型”院前急救模式对急救救治效果的影响。方法:选取本院2003年1月至10月由急诊科兼院前(两栖型)急救出车的1301例“两栖型”院前急救病例作为对照组,2004年1月至10月由专职院前科出诊的1574例专业化院前急救病例作为研究组。比较和分析两组间救治效果间的差异。结果:研究组和对照组间的平均急救半径,病情分级无显著差异(P<0.01);院前死亡率、并发症发生率研究组较对照组低(P<0.05);现场处置率、救治有效率研究组明显高于对照组(P<0.01)。结论:院前急救模式对患者的救治效果有明显的影响,专业化院前急救救治效果明显优于“两栖型”,专业化院前急救模式也是院前急救发展的方向。

Comparison of Pre-hospital Emergency Service Models between Specialization and Concurrent

Objective:To study the influence of pre-hospital emergency service models on service effectiveness. Methods:The control group included 1301 cases in which emergence services were delivered by healthcare workers working for both the hospital emergency services and the pre-hospital emergency services ("Amphibian" model) from Jan. to Oct.2003. The experimental group included 1574 cases in which emergency services were delivered by pre-hospital emergency professionals from Jan. to Oct.2004. The service effectiveness of these two groups were compared and analyzed. Results:There were no significant differences in the average service radius and the patient's condition level between the two groups(P > 0.05); the inner hospital response time in the experimental group was significantly shorter than in the control group; the pre-hospital mortality and the complications occurrence rate was lower in the experimental group than that in the control group(P < 0.05);the local treatment rate and the service effectiveness rate in the experimental group was significantly higher than that in the control group(P < 0.01). Conclusion:pre-hospital emergency service models can significantly influence service effectiveness. The service effectiveness of professional pre-hospital emergency service model is significantly better than that of "Amphibian" model. Professionalism should be the direction of pre-hospital emergency services.