急危重症患者院前院中快速联动救治平台的建立  

The establishment of pre-hospital and in-hospital first aid rapid linkage treatment platform ofemergency patients

作　　者：马新利[1] 闫明[1] 王子[1] 郭新荣[1] Ma Xinli, Yan Ming, Wang Zi, Guo Xinrong(Intensive Care Unit, the Second Hospital of Jilin University, Changchun 130041, Chin)

机构地区：[1]吉林大学第二医院ICU,长春130041

出　　处：《中国实用护理杂志》2018年第9期694-697,共4页Chinese Journal of Practical Nursing

基　　金：吉林省科技发展计划项目（20180623002TC）

摘　　要：目的建立急危重症患者院前院中快速联动救治平台，为急危重症患者提供快速抢救时机。 方法自主研发互联急救APP，联合长春市急救中心及长春市交通指挥中心共同参与急救，由长春市交通指挥中心实时调控交通信号灯，为急危重症患者提供最优交通路径，由长春市急救中心实施初步救治，同时将患者信息实时共享到医院，使院内快速分诊最适医生等待接诊。比较应用平台前后急危重症患者的救治效果。 结果实现医院、长春市急救中心、长春市交通指挥中心三方信息联动，试验组的院前急救反应时间、院内救护时间及急危重症患者抢救成功率分别为（16.28 ± 3.08）min、（17.89 ± 5.84）min、87.85%（217/247），对照组的院前急救反应时间、院内救护时间及急危重症患者抢救成功率分别为（18.29 ± 1.87）min、（24.84 ± 1.69）min、63.01%（138/219），2组比较差异均有统计学意义（t=3.783、5.745，χ2=5.404，P〈0.05）。 结论急危重症患者院前院中快速联动救治平台的建立能优化患者急救生存链，为急危重症患者争取更大的抢救机会。ObjectiveTo establish a pre-hospital and in-hospital first aid rapid linkage treatment platform in order to provide quick rescue time for emergency patients. MethodsThe interconnection first aid APP was made. The emergency center and traffic command center were combined to participate in first aid. The traffic command center controls the traffic lights in real time to provide the optimal transportation path for the emergency patients. The first aid center carries out preliminary treatment, and shares the patient information to the hospital in real time to make the most suitable doctors waiting for the consultation. The therapeutic effects of patients with acute critical disease before and after the platform applied was compared. ResultsIt has realized the tripartite information linkage between the hospital, the emergency center and the traffic command center. In the experimental group, the pre-hospital emergency response time, the hospital rescue time and the emergency success rate were （16.28±3.08） min, （17.89±5.84） min, 87.85%（217/247）, the control groups＇ pre-hospital emergency response time, the rescue time in hospital and the success rate of acute critical patients were （18.29±1.87） min, （24.84±1.69） min, 63.01% （138/219）, the data of two groups were statistically significant （t=3.783, 5.745, χ2=5.404, P〈0.05）. ConclusionsThe establishment of pre-hospital and in-hospital first aid rapid linkage treatment platform of emergency patients can optimize the patient first aid survival chain, provide greater rescue opportunities for emergency patients.

关 键 词：急危重症患者 院前院中急救 救治平台 

分 类 号：R472.2[医药卫生—急诊医学]