航空急救转运危重患者的效果分析  

The effectiveness evaluation of helicopter emergency medical services on transporting critical patients

作　　者：黄伟平[1] 黄林强[1] 朱高峰[1] 黄澄[1] 邓医宇[1] 曾文新[1] 江稳强[1] 方明[1] 李洪义[1] 甄享凡[1] 陈剑[1] 蒋文新[1] 曾红科[1] 

机构地区：[1]广东省人民医院(广东省医学科学院)急危重症医学部,广州510080

出　　处：《中华急诊医学杂志》2016年第7期932-936,共5页Chinese Journal of Emergency Medicine

基　　金：广东省医学科学技术研究基金（A2013020）;国家临床重点专科建设项目（2012-649）

摘　　要：目的 探讨南方城市航空急救体系在危重患者长途转运中的优缺点。方法 选取2004年8月至2014年12月期间所有接受过广东省人民医院航空急救转运的患者30例为观察组，情况基本匹配的经地面急救转运的患者30例为对照组，采集两种转运方式患者的病情、转运距离、运输时间、转运费用以及途中并发症等数据，根据数据类型，采用χ2检验以及成组t检验或相应的非参数方法进行统计分析。结果 两种转运方式的转运距离（km）［578.0（313.0,707.5）vs.214.5（101.5,313.5）, P〈0.05］、准备时间（min）［95.7（56.7,133.4）vs.10.7（6.8,15.7）, P〈0.05］、转运时间（min）［112.3（64.3,152.4）vs.146.8（67.8, 217.5）, P〈0.05］，费用（元）［14 378.5（9887.0,16 348.5）vs.557.0（356.5,787.5）, P〈0.05］及距离/总时间值［2.8（1.3,4.8）vs.1.4（0.8,2.8）, P〈0.05］比较差异有统计学意义；两组患者在转运途中并发症发生率差异无统计学意义（χ2=0.058，P=0.834〉0.05）。结论 航空急救转运能够缩短危重患者的长途转运时间，提高急救效率。但我国航空急救系统仍存在一定的不足，需进一步完善。Objective To explore the advantages and disadvantages of helicopter emergency medical services of South China in the long-distance transport for critical patients. Methods A total of 30 patients who received helicopter emergency medical services by Guangdong Generral Hospital from August 21304 to December 2014 were selected as the observation group, and the other 30 patients with similar conditions who received ground emergency medical services were selected as the control group. To analyses the difference between the two groups in the disease, transport distance, transportation time, costs and compliction by x2-test, t-test and nonparametric test according types of data. Results There were significantly difference between two groups in transport distances （km） [578.0 （313.0, 707.5） vs. 214.5 （101.5, 313.5）, P〈0.05], set-up time （rain） [95.7 （56.7, 133.4） vs. 10.7 （6.8, 15.7）, P 〈0.05] , transportation time （min） [112.3 （64.3, 152.4） vs. 146.8 （67.8, 217.5）, P〈0.05], costs （yuan/h） [14378.5 （9887.0, 16348. 5） vs. 557.0 （356.5, 787.5）, P〈0.05] and the distance/total time value [2.8 （1.3, 4.8） vs.l.4 （0.8, 2.8）, P 〈0.05] . There was no significantly difference in the incidence of complications between two groups （ x2 = 0. 058, P 〉 0. 05） . Conclusions Helicopter emergency medical services could shorten the transportation time of critical patients on long distance transportation, and improve the efficiency of first-aid. However, there were many disadvantages that need to be improved in the helicopter emergency medical service of China.

关 键 词：航空急救 地面急救 转运 危重症 转运距离 运输时间 费用 

分 类 号：R459.7[医药卫生—急诊医学]