芦山地震震后2周应急医学救援时效与绩效评估  

Effectiveness and Performance Evaluation of Medical Rescue during 2 Weeks after Lushan Earthquake

作　　者：姜洁[1] 李幼平[2] 程永忠[1] 李鸿浩[3] 杨宗霞[2] 唐雪莉[2] 余淳[1] 陆惠[1] 唐绍军[1] 张楠[1] 黄保菡[1] 

机构地区：[1]四川大学华西医院,成都610041 [2]四川大学华西医院中国循证医学中心,成都610041 [3]四川大学华西医院医院管理研究所,成都610041

出　　处：《中国循证医学杂志》2013年第5期501-506,共6页Chinese Journal of Evidence-based Medicine

基　　金：四川省卫生厅特大地震应急医学救援绩效评估体系研究;美国中华医学基金会(CMB)西部卫生政策循证研究中心"卫生政策与体系专题研究注册系统与数据共享平台建设"资助项目

摘　　要：目的评价震后1～14天芦山地震应急医学救援的时效与绩效,验证和完善汶川经验,为全球类似地震应急医学救援提供有益参考。方法收集整理震后14天内官方信息通报、公开文件资料、新闻发布、网站信息等数据,并检索国内外地震医学救援相关文献,系统回顾、描述性分析芦山地震应急医学救援的时效和绩效。结果基于汶川经验,芦山地震应急医学救援的特点为:①科学评估灾情与伤情,合理调度人力、资金与物资,以省内区域力量救援为主;②"四集中"治疗危重伤员,创造了震后14天集中治疗0死亡的新记录;③检验、丰富和完善汶川、玉树与彝良地震应急医学救援经验,为全球地震医学救援提供循证决策的一手证据。Objective We evaluated effectiveness and performance of medical rescue after Lushan earthquake dur- ing 2 weeks, and enriched Wenchuan lessons to provide useful references for emergency medical rescue （EMR） after simi- lar earthquake worldwide. Methods We collected and analyzed official information, public documents, news release, and relevant information from websites, and then we systematically reviewed and descriptively analyzed all included lit- erature of EMR after earthquake （domestic and foreign）. Results Learned from Wenchuan earthquake, EMR for Lushan earthquake were characterized as： a） Assess the situations of quake damage and injuries were scientifically assessed; hu- man resources, funds and materials were reasonably distributed; and the EMR relied mainly on regional rescue power of Sichuan province, b） Patients＇ with critical injuries were treated using ＂Four concentration treatment principles＂, which resulted in a new medical record of zero death, 14 days after the earthquake, c） ＂fhe experience of EMR after Lushan earth- quake verified, enriched and improved lessons from Wenchuan, Yushu and Yiliang earthquake, which provided first-hand references of evidence-based decision making for earthquake EMR worldwide.

关 键 词：芦山地震 医学救援 绩效 

分 类 号：R459.7[医药卫生—急诊医学]