新疆179家医院突发事件医疗救援应急物资管理现状调查  

Management status of emergency medical rescue supplies in 179 hospitals in Xinjiang

作　　者：韦艳[1] 李伟[1] WEI Yan;LI Wei(Branch of the First Affiliated Hospital of Xinjiang Medical University,Changji,Xinjiang 831100,China)

机构地区：[1]新疆医科大学第一附属医院昌吉分院,新疆昌吉831100

出　　处：《职业卫生与应急救援》2020年第4期381-384,共4页Occupational Health and Emergency Rescue

基　　金：新疆维吾尔自治区自然科学基金项目(2018D01A54)。

摘　　要：目的分析新疆各级医院应对突发事件医疗救援应急物资管理现状,为完善应急预案体系建设提供依据。方法横断面调查新疆179家二级及以上医院,调查内容包括应急资金及物资管理、急救设备配备等情况,对数据进行统计分析。结果179家医院中,制定应急资金储备计划、应急资金管理制度和设立应急资金的医院均不足40%。80%以上的医院配备了简易呼吸球囊、心电除颤仪、心电监护仪、心电图机、微量泵、吸痰器、洗胃机,70.39%的医院配备了便携式呼吸机,72.63%的医院配备了气管插管镜,35.75%的医院配备了心肺复苏机,47.49%的医院配备了喉罩,58.10%的医院配备了便携式B超机。医院能够对各类污染物进行消毒净化的比例均不超过50%。有自备供水、供氧、供电设备的医院均超过50%。三级医院在应急物资管理制度及储备和调用制度的制定率和自备供水、供氧、供电设备的配备率上优于二级医院(P<0.05)。结论新疆各级医院应急救援物资管理现状不容乐观,突发事件医疗救援应急资金储备、设备管理体系建设不完善,急救设备配备不齐全,消毒净化能力薄弱,各级医院应该进行标准化的配置。Objective To analyze the management status of emergency medical rescue materials in hospitals at all levels in Xinjiang,and to provide a basis for improving the emergency planning system.Methods A cross-sectional survey was conducted on 179 second-level and above hospitals in Xinjiang,including the management of emergency funds and materials,and the equipment of first aid,and the data were statistically analyzed.Results Among 179 hospitals,less than 40%established emergency fund,formulated emergency fund reserve plans and emergency fund management system.More than 80%of hospitals were equipped with simple breathing balloons,ECG defibrillators,ECG monitors,electrocardiographs,micro pumps,sputum aspirators,and gastric lavage machines;70.39%hospitals were equipped with portable ventilators,72.63%hospitals were equipped with endotracheal intubation mirrors,35.75%hospitals were equipped with cardiopulmonary resuscitation machines,47.49%hospitals were equipped with laryngeal masks,and 58.10%hospitals were equipped with portable B-ultrasound machines.Less than 50%hospitals could disinfect and purify all kinds of medical wastes.More than 50%hospitals had their own water supply,oxygen supply and power supply equipment.The third-level hospitals were better than second-level hospitals in establishment of emergency materials management system,reserve and transfer system and the allocation of own water supply,oxygen supply and power supply equipment(P<0.05).Conclusion The current situation of emergency rescue materials management in hospitals at all levels in Xinjiang was not optimistic.The emergency fund reserve and equipment management system of emergency medical rescue were not perfect,the first-aid equipment was not complete,and the disinfection and purification capacity were weak.It is suggested that hospitals at all levels should carry out standardized allocation.

关 键 词：突发事件 应急救援 急救设备 管理 新疆 

分 类 号：R197.61[医药卫生—卫生事业管理]