基于急诊伤害监测急救体系的建立及临床效果分析  

Establishment of emergency aid system based on emergency injury monitoring and its clinical effect

作　　者：洪海斌[1] 陈宇明[1] 范木耿 高丽君[1] 林丽珊[1] 崔秀平[1] 

机构地区：[1]广东省中山市博爱医院急诊科,广东中山528403

出　　处：《广州医科大学学报》2017年第3期57-59,共3页Academic Journal of Guangzhou Medical University

摘　　要：目的:在急诊开展伤害监测,了解急诊服务区域内伤害发生的规律,为急诊构建急救体系提供依据。方法:采用前瞻性前后对照研究,分析急诊体系构建后新的年度急救体系质量控制评价指标,以此来评价医疗急救体系改进后效果。结果:急诊新构建的急救体系,能缩短伤害事件中院前急救反应时间[(4±2)min vs(8±3)min]、降低急诊抢救室患者死亡率(3.3%vs 12.5%)和绿色通道停留时间[(25±5)min vs(30±9)min]。结论:新构建的急救体系的急诊临床急救评估效果好,并从根本上发现伤害的原因,对伤害的高危人群采取干预措施,按其原因制定相应预防措施,消除隐患。Objective：To carry out the injury monitoring in the department of emergency medicine,and to determine the regularity of injury in the emergency service area,and to provide the basis for the emergency aid system. Methods：A prospective and controlled study was conducted. After the emergency aid system was established,the quality control evaluation indexes of the new annual emergency aid system were analyzed,so as to evaluate the effect of the improved medical emergency aid system. Results：The newly established annual emergency aid system could shorten the reaction time of first aid in the event of injury [ （ 4 ± 2 ） min vs （ 8 ± 3 ） min],reduce the mortality rate of emergency patients in the resuscitation room （ 3. 3%vs12. 5%） and the residence time of easy access[（25±5）min vs（30±9）min]. Conclusion：The evaluation suggests that the clinical effect of the newly established emergency aid system is good. We should find out the cause of injury,and take intervention for the population with high risk of the injury, and develop corresponding preventive measures according to their causes to avoid the potential risks.

关 键 词：急诊伤害监测 急救体系 预防措施 

分 类 号：R459.7[医药卫生—急诊医学]