苏州地区一级医院急救技术开展现状调研  

Investigation of the current situation on resuscitation skills of the primary hospitals in Suzhou

作　　者：王洪飞[1] 殷桂霞[2] 刘励军[1] 熊玉宝[1] 徐波[1] 

机构地区：[1]苏州大学附属第二医院急诊医学科,江苏215004 [2]苏州市卫生局医政处

出　　处：《中国急救医学》2011年第6期559-562,共4页Chinese Journal of Critical Care Medicine

基　　金：江苏省社会发展项目（No.BE2009605）

摘　　要：目的调研苏州地区一级医院急救技术开展现状，为今后医疗资源的整合、管理策略的制订及急救技术的培训提供基本资料。方法采用普查方法对一级医院既往二年开展的各项急救技术、具体实施人员、常用急救物品和药物年度消耗情况进行问卷调查。调研表由课题组、苏州市急诊急救质量控制中心设计制定，并借助行政途径下发至被调研单位。调研内容互为印证以评估被调研单位填报信息的真实性。结果①调研表的实际回执率和合格率分别为69．5％、97％；②与创伤急救技术的开展相比，一级医院高级别的循环与呼吸支持急救技术的开展较为薄弱；③在建立人工气道方面，90．2％气管插管由麻醉师实施，50％气管切开由五官科医师实施，另外50％气管切开的实施则要依赖于各外科专科。结论苏州地区一级医院需进一步加强急诊科（室）的建设和高级别急救技术的开展，尤其是高级循环和呼吸支持急救技术的开展。Objective To investigate the current situation of resuscitation skills of the primary hospitals in Suzhou in order to provide basic data for the integration of medical resources and the decision of management strategies, as well as the resuscitation skills＇training. Methods By means of the census method, the development of each resuscitation skill, the implementation personnel, the consumption of medical stuff and medicines commonly used for resuscitation in the primary hospitals in the past two years were investigated. The survey form was designed by the research group and the quality - control center of emergency medicine in the city of Suzhou and was issued to the units that were surveyed through administrative channels. Mutual cross - checks among the contents of the research were used to evaluatethe credibility of the information that was reported hy the surveyed units. Results （~）The survey forms＂ actual receipt rate and pass rate was 69.5% and 97% respectively. （~）In the comparison with the resuscitation skills of trauma life support, the resuscitation skills of circulation and respiratory support at high level of the primary hospitals were relatively weak. （~） At the aspect of advanced airway establishment, 90. 2% of endotracheal intubations were carried out by the anesthetists, 50% of tracheotomies were carried out by the ophthalmology ＆ otorhinolaryngology physician, another 50% of tracheotomies relied on surgical specialists. Conclusion The primary hospitals in Suzhou should further accelerate the construction of emergency department and strengthen the development of resuscitation skills at high level, especially in the circulation and respiratory support.

关 键 词：一级医院 急救技术 现状调研 

分 类 号：R459.7[医药卫生—急诊医学]