院前急救模式的对比研究

目的:研究院前急救模式对急救救治效果的影响。方法:2003年1~10月由急诊科兼院前(两栖型)急救出车的1 301例病例作为"两栖型"院前急救的对照组;2004年1~10月由专职院前科出诊的1 574例作为专业化院前急救的急救组。比较和分析两组间救治效果。结果:急救组和对照组间的平均急救半径,病情分级无显著性差异(P>0.05);院内反应时间急救组较对照组明显短(P<0.01);院前死亡率急救组较对照组低(P<0.05);现场处置率、救治有效率急救组较对照组明显高(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。

Comparative study of pre-hospital emergency service models

Objective:To study the influence of pre-hospital emergency service models on service effectiveness.Methods:The control group included 1 301 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 January to October 2003.The experimental group included 1 574 cases in which emergency services were delivered by pre-hospital emergency professionals from January.to October 2004.The service effectiveness of these two groups were compared and analyzed.Results:There was no significant difference 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 that in the control group(P<0.01).The pre-hospital mortality 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.