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目的的:了解常州地区院前急救接诊情况,为完善院前急救提供科学依据。方法法:选用常州市医疗急救中心院前急救数据库中2011—2015年急救资料进行统计分析。结果结果:(1)常州市医疗急救中心自2011年1月1日—2015年12月31日接警台共接到电话1 427 975次,调度及时派车156 272次,救治患者149 213人次,未接到患者(空车)8158次,欠费20 827人次,具体接诊电话、有效电话、出车次数、救治患者数、欠费人数、未接到患者数、空车率及欠费率均呈逐年上升趋势,而出车率基本保持相对稳定的状态。(2)2011年1月1日—2015年12月31日,在救治149 213例中,普通内科(25.03%)、普通外科(23.86%)、心脑血管(18.86%)、车祸致伤(16.63%),占急救患者总数84.38%,且呈逐年上升趋势,尤其是车祸致伤及普通外科患者,呈显著上升趋势,其他统计病种仅占到急救患者总数的15.62%,而且5年内每年接诊患者数均处于相对平稳状态。结论结论:加强社会基本常识教育,增强公民的道德观是提高有效电话率的保障,加大公民的道德教育及素质培养,严格驾驶员的培养,完善驾驶员的年检及道路标志的合理设置是降低车祸发生的有效措施,同时呼吁加大院前急救的人力、物力、财力投入。
Objectives: To understand the situation of pre-hospital emergency treatment in Changzhou and to provide scientific basis for improving pre-hospital emergency care. Methods: To select the first aid data of emergency rescue center in Changzhou Medical Emergency Center from 2011 to 2015 for statistical analysis. Results: (1) Changzhou Medical Emergency Center received 1 427 975 calls from the January 1, 2011 to December 31, 2015. The dispatching dispatched 156 272 vehicles in time and saved 149 213 passengers, 8,158 missed patients (empty car), 20,827 unpaid patients, the number of special calls, effective telephones, number of vehicles dispatched, the number of patients treated, the number of patients in arrears, the number of patients not received, the vacancy rate and the rate of arrears All showed a rising trend year by year, while the exit rate remained relatively stable state. (2) From January 1, 2011 to December 31, 2015, 149 213 cases were treated and treated by General Internal Medicine (25.03%), General Surgery (23.86%), Cardiovascular and Cerebrovascular Diseases (18.86% 16.63%), accounting for 84.38% of the total number of emergency patients, and showed a rising trend year by year, especially in car accidents and general surgery patients, showing a significant upward trend, other statistical diseases accounted for only 15.62% of the total number of emergency patients, and 5 years Admissions patients are in a relatively stable state. Conclusions: Strengthening the education of basic social common sense and enhancing citizens’ morality are the measures to enhance the effective telephone rate, increase the moral education and quality training of citizens, train the drivers strictly, perfect the annual inspection of drivers and set reasonable road signs Reduce the accident occurred in the effective measures, at the same time call for more pre-hospital emergency aid manpower, material and financial resources.