巴彦淖尔市直升机医疗救援案例分析  

Helicopter emergency medical services in Bayannur:case study

作　　者：刘亮[1] 宋晗 金洋[1] 杨志平[1] 高雯[1] Liu Liang;Song Han;Jin Yang;Yang Zhiping;Gao Wen(Emergency and Critical Care Center,Bayannur Hospital,Inner Mongolia 015000,China;Intelligent Aviation Laboratory,Haifeng General Aviation Technology Co.,Ltd,Beijing 100070,China)

机构地区：[1]内蒙古自治区巴彦淖尔市医院急危重症救治中心,015000 [2]海丰通航科技有限公司智慧航空实验室,北京100070

出　　处：《中华医院管理杂志》2020年第7期585-588,共4页Chinese Journal of Hospital Administration

基　　金：国家重点研发计划项目(2016YFC0802600)。

摘　　要：目的分析内蒙古巴彦淖尔市医院直升机医疗救援案例及其特点,为开展航空医疗救护体系建设、合理配置航空医疗救护资源提供依据。方法利用巴彦淖尔市医院直升机医疗救援任务数据,研究其2018年至2019年相关案例,分析患者年龄、性别、疾病种类、救护类别、救护区域、救护时间等数据的分布特征。计量资料以±s表示;计数资料以频数和构成比表示,分析采用描述性方法。结果2018年至2019年,巴彦淖尔市医院共开展178例患者的直升机医疗救援,其中2018年开展39例,2019年开展139例。所有案例中,院前急救32例(17.98%),院间转运146例(82.02%)。前三位疾病依次为损伤73例(41.01%)、心血管系统疾病44例(24.72%)、神经系统疾病23例(12.92%)。结论巴彦淖尔市医院直升机医疗救援对偏远地区的急救发挥了巨大作用,直升机医疗救援是西部地区构建立体化急救体系的必要元素。Objective To provide references for aeromedical rescue system development and rational resource allocation for such services,based on analysis of helicopter emergency medical service(HEMS)cases of Bayannur Hospital in Inner Mongolia.Methods HEMS cases of Bayannur Hospital from 2018 to 2019 were studied,covering such data as patients′age,gender,disease type,medical service modes,medical service area,and service time.Measurement data were expressed by±s,and enumeration data were expressed by case number and ratio,while descriptive approach was used for analysis.Results From 2018 to 2019,178 patients in Bayannur used HEMS,respectively 39 cases in 2018 and 139 cases in 2019,including 32 cases(17.98%)of pre-hospital emergency care and 146 cases(82.02%)of inter-hospital transfer.The top 3 diseases of the disease spectrum were 73(41.01%)traumatic diseases,44(24.72%)cardiovascular diseases,and 23(12.92%)neurological diseases.Conclusions HEMS of Bayannur Hospital has played an important role in emergency medical service for the people in remote areas,and has become an essential method for constructing the air-ground cooperation emergency medical system in West China.

关 键 词：医疗救援 航空医疗救护 直升机 院前急救 院间转运 内蒙古自治区 

分 类 号：R459.7[医药卫生—急诊医学]