专职化和非专职化院外急救模式的对比研究  

Comparison of effects between pre-hospital emergency service model and unprofessional emergency service model

作　　者：宋因力[1] 付卫林[1] 

机构地区：[1]浙江省杭州市急救中心急救科,310006

出　　处：《中国急救复苏与灾害医学杂志》2010年第12期1139-1141,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的研究专职化和非专职化院外急救模式对急救救治效果的影响。方法随机选取本中心2008年11月～2009年11月6384例院外急救病例，分为A、B两组，即将A组由非专职化急救小组救治的3020例作为对照组。将B组由专职化院外急救小组救治的3364例作为研究组。比较和分析两组间救治效果的差异。结果专职组现场救治有效率71．90％，显著高于非专职组（40．25％，χ^2=32．78，P〈0．01）。专职组3分钟内的急诊出车、20min内到达现场情况，与非专职组比较有明显改善（均P〈0．01）。结论专职化院外急救救治效果明显优于非专职化。Objective To compare the effects of professional pre-hospital emergency rescue model and unprofessional pre-hospital emergency rescue model in practice. Methods 6 384 patients undergoing pre-hospital emergency service were randomly assigned to 2 groups to be treated by unprofessional pre-hospital emergency team （Group A, n=3 020） or treated by professional pre-hospital emergency team （Group B, n=3 364）. The service effectiveness was compared. Results The efficiency rate of emergency care of Group B was 71.90%, significantly higher than that of Group A （40.25 %, P〈 0.01）. Compared with Group A, the hospital response and time of arrival of Group B were shorter, and on-the-field rescue measures adopted of Group B were more. Conclusion Professional pre-hospital emergency service model is significantly more effective than the unprofessional model.

关 键 词：院外急救 模式 效果 对比研究 

分 类 号：R459.7[医药卫生—急诊医学]