北京120院前转运5338例新型冠状病毒肺炎相关任务分析  

Analysis of pre-hospital transfer characteristics for 5338 coronavirus disease 2019 related tasks by Beijing 120 EMS

作　　者：陈志[1] 张文中[1] 王勇 刘红梅[1] 陈辉[1] 刘民[2] 雷燕妮[1] 李坚韧[1] 于海玲[1] 张进军[1] 李斗[1] 郭增勋[1] 高丁[1] 彭宏伟 舒艳[1] 周慧聪 王小刚[1] 韩鹏达[1] 陈焜 陈刚 于庆艳 胡卫民[6] Chen Zhi;Zhang Wen-zhong;Wang Yong;Liu Hong-mei;Chen Hui;Liu Min;Lei Yan-ni;Li Jian-ren;Yu Hai-ling;Zhang Jin-jun;Li Dou;Guo Zeng-xun;Gao Ding;Peng Hong-wei;Shu Yan;Zhou Hui-cong;Wang Xiao-gang;Han Peng-da;Chen Kun;Chen Gang;Yu Qing-yan;Hu Wei-min(Beijing Emergency Medical Center,Beijing 100031,China)

机构地区：[1]北京急救中心,北京100031 [2]北京大学公共卫生学院流行病学与卫生统计学系,北京100191 [3]北京120朝阳区分中心北京市朝阳区紧急医疗救援中心,北京100026 [4]北京120石景山区急救分中心北京市石景山急救站,北京100043 [5]北京120怀柔区分中心,北京101400 [6]北京市房山区良乡医院急诊科北京急救中心房山分中心,北京102401

出　　处：《中国急救医学》2020年第7期664-669,共6页Chinese Journal of Critical Care Medicine

摘　　要：目的通过对北京120院前转运5338例疫情相关任务的出车数据进行研究,探讨120传染病防控转运系统在城市突发公共卫生事件疫情防控中的作用与特点.方法对2020年1月20日0时至3月15日0时期间北京120急救网络院前转运新型冠状病毒肺炎(COVID-19)疫情相关任务的出车数据进行统计和回顾性分析.结果根据类别数量和占比[n(%)]统计,转运密切接触者2925次(54.80)、口岸排查1196次(22.41)、来自武汉537次(10.06)、确诊病例338次(6.33)、疑似病例260次(4.87)、治愈82次(1.54),占同期总任务数的8.23%.不同部门执行任务数量比例为急救中心直属分中心167次(3.13),防控转运组1926次(36.08),网络分中心3245次(60.79).平均转运时间为51.34分钟.结论120传染病防控转运系统在控制传染源、切断传播途径和保护易感人群的整体防疫工作中达到了院前管理的专业目标,起到关键作用;合理的院前急救体系建设是系统有效运行的基础保障;完善工作流程,对关键环节统筹管理,可提高系统运行效率.Objective To investigate the functions and characteristics of 120 infectious disease prevention and control transfer system in the epidemic prevention and control of urban public health emergencies by studying 5338 coronavirus disease 2019(COVID-19)related cases of Bejjing 120 pre-hospital emergency medical system(EMS)pre-hospital transfer.Methods From 0 o elock on January 20 to0。iclock on March 15,2020,COVID-19 epidemic related tasks performned by Bejing 120 pre-hospital emergency medical network were statistically and retrospectively analyzed.Results According to the number of categories and proportion[n(%)],2925(54.80)cases of eclose contacts.were transferred,port quarantine 1196(22.41),537(10.06)from Wuhan,338(6.33)confirmed cases,260(4.87)suspected cases,and 82(1.54)cured cases,totally accounted for8.23%of the total number of missions in the same period.The proportion of tasks performed by different departments:167(3.13)times accomplished by sub-centers directly under the emergency center,1926(36.08)times by prevention and control transfer groups,and 3245(60.79)times by network sub-centers.The average transfer time was 51.34 minutes.Conclusion 120 infectious disease prevention and control transfer system plays a key role and reaches professional goal of pre-hospital management in the overall epidemic prevention work of controlling the source of infection,cutting off the transmission route and protecting susceptible people;Reasonable pre-hospital emergency medical system construction is the basic guarantee for the effective system operation;Improvement of worklow and overall management of crucial links can increase the system efficiency.

关 键 词：突发公共卫生事件 院前急救 急救车 新型冠状病毒肺炎(COVID-19) 

分 类 号：R563.1[医药卫生—呼吸系统]