医院船医疗队海上职责及救护流程训练的研究  

Research on the roles and working procedures of medical teams aboard the hospital ship

作　　者：周赤龙 谢培增 郑良成 朱红胜 向尚富 胡金明 王湘林 许辉 

机构地区：[1]解放军第四二二医院,广东省湛江524005

出　　处：《中华航海医学与高气压医学杂志》2009年第1期10-12,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

基　　金：全军医学科学技术“十一五”课题（06MB174）;广州军区卫勤课题（2001A12）

摘　　要：目的探讨医院船医疗队海上职责及救护流程。方法船员375人次分为5批，每批75人次。根据海战伤的特点，由船员扮演不同类型的海战伤伤员。医院船医疗队成员50人，分成指挥组、分类组、手术组、治疗组、医疗组（2个）和后勤保障组。通过医院船海上卫勤训练，分析医院船海战时救护特点和人员状况，将医院船的救治岗位进行合理分配，对各级救护人员职责及救护流程进行描述性分析研究。结果医院船医疗队成员工作质量优秀率，从第1次至第5次分别为22％、46％、58％、82％和94％；5次模拟伤员救护质量优秀率，从第1次至第5次分别为23％、35％、64％、76％和91％，与其他次比较第5次最好（P〈0．01）。结论医院船医疗队通过海上职责及救护流程训练，可提高海上救护的快速反应能力、整体配合能力和救治水平。Objective To investigate the roles and working procedures of medical teams aboard the hospital ship. Methods Three hundred and seventy five sailors were divided into five batches, each consisting of 75 sailors. In accordance with the basic features of combat casualties at sea, the sailors acted as mock casualties sustaining various injuries. The medical teams of the hospital ship were made up of 50 people, who were divided into 7 teams, i.e. the command team, the triage team, the surgical team, the treatment team, the medical care teams （2 teams） and the logistical team. Through practical training on medical support aboard the hospital ship, an analysis was made on casualties sustained during war at sea and medical people available aboard the hospital ship. Proper distribution of combat medical posts, roles and working procedures of medical personnel at various levels were also described and analyzed. Results Analysis showed that quality of medical care aboard the hospital ship varied considerably, with a good quality rate ranging in a numeric order from 22% , 46% , 58% , 82% and 94% respectively for the 5 medical trainings at sea. Conclusions Through training on the roles and working procedures, medical teams aboard the hospital ship substantially improved their capability in emergency response, overall coordination and quality of medical care at various levels.

关 键 词：医疗船 医疗队 海上救护 救护流程 

分 类 号：R686[医药卫生—骨科学]