CAJ | 학술논문

目的通过评价深圳某医院将急救站从医院内部迁移至其社会健康服务中心后循环系统急症的急救时间和急救效果，为急救服务社区化（即"急救前移"）的深入研究提供依据。方法将已经前移至社会健康服务中心的急救分站作为试验组，同时在深圳市内选取与该急救分站服务人口数量及人口结构、急救半径、历史出车量相近的一家位于医院院内的急救分站作为对照组，比较两组于2010~2012年间循环系统急症患者的急救时间、急救转归的历史数据。结果试验组平均应急反应时间、平均急救用时比对照组缩短；非心搏骤停类循环系统急症院前急救转归中，试验组好转率为74.4%，显著比对照组23.8%高；心搏骤停患者院前急救转归中，试验组复苏成功率16.4%，明显较对照组3.6%高，到达时已死亡的比例两组均达到50%以上。结论将急救分站前移至距离患者更近的社康中心可能缩短急救时间，改善急救效果，未来需要对急救服务前移的模式和效果进行更大范围更深入的研究。
목적통과평개심수모의원장급구참종의원내부천이지기사회건강복무중심후순배계통급증적급구시간화급구효과，위급구복무사구화（즉"급구전이"）적심입연구제공의거。방법장이경전이지사회건강복무중심적급구분참작위시험조，동시재심수시내선취여해급구분참복무인구수량급인구결구、급구반경、역사출차량상근적일가위우의원원내적급구분참작위대조조，비교량조우2010~2012년간순배계통급증환자적급구시간、급구전귀적역사수거。결과시험조평균응급반응시간、평균급구용시비대조조축단；비심박취정류순배계통급증원전급구전귀중，시험조호전솔위74.4%，현저비대조조23.8%고；심박취정환자원전급구전귀중，시험조복소성공솔16.4%，명현교대조조3.6%고，도체시이사망적비례량조균체도50%이상。결론장급구분참전이지거리환자경근적사강중심가능축단급구시간，개선급구효과，미래수요대급구복무전이적모식화효과진행경대범위경심입적연구。
Objective To provide evidence for deeper research in"extending forward" Emergency Medical Services (EMS) to the community through evaluating the response time and pre-hospital service ef ectiveness of circulatory system emergencies at a Shenzhen first-aid station which were moved from the hospital to the hospital own community health center(CHC). Methods The first-aid station at CHC was regarded as the experimental group, and the other which is similar to the CHC one in terms of service population and demographic structure, service radium, average ambulance dispatches was selected as the control group. The response time indicators and EMS outcomes between 2010 and 2012 were compared. Results The average response time, and average EMS time in the experimental group was shorter than that in the control group;among the EMS outcomes for non-cardiac-arrest circulatory system emergencies, the improvement rate in the experimental group(74.4%) was significantly higher than that in the control group(23.8%);among the EMS outcomes for cardiac arrest patients, the success rate of CPR in the experimental group(16.4%) was significantly higher than that in the control group(3.6%).In addition, the death rate upon arrival was higher than 50%for cardiac arrest patients in both groups. Conclusion Moving first aid stations forward to CHC which are closer to patients might shorten emergency time and therefore improve rescue ef ectiveness. Larger scope of and deeper researches on the modes and ef ectiveness of extending forward EMS are needed in the future.