CAJ | 학술논문

背景2011年4月—2012年3月（2011—2012年度）乌鲁木齐市院前急救同时承担着非院前急救患者的转运工作，2012年4月—2013年3月（2012—2013年度）院前急救不再承担非院前急救患者的转运工作。目的了解乌鲁木齐市120院前急救中心优化转运模式后院前急救资源的节约情况，为完善及优化院前急救模式提供理论依据。方法从乌鲁木齐市120院前急救中心调取2011—2012年度和2012—2013年度的数据，了解转运模式改变后院前急救资源的节约优化情况。结果2011—2013年度共出车110092次，其中2011—2012年度共出车55322次，无效出车次6985次；2012—2013年度共出车54770次，无效出车次9451次。与2011—2012年度比较，2012—2013年度出院车次〔0,35%（192/54770）与4,19%（2318/55322）〕和转院车次〔5,69%（3118/54770）与8,07%（4466/55322）〕减少（P <0,007），出车时间〔28,38（60,63） min 与48,25（40,4） min〕和修正后出车时间〔28,37（60,58）min 与48,23（40,37）min〕均减少（P =0,000）。结论我市院前急救资源相对紧缺，非院前急救所花费时间较多，通过改变转运模式后有效节约了院前急救资源。
배경2011년4월—2012년3월（2011—2012년도）오로목제시원전급구동시승담착비원전급구환자적전운공작，2012년4월—2013년3월（2012—2013년도）원전급구불재승담비원전급구환자적전운공작。목적료해오로목제시120원전급구중심우화전운모식후원전급구자원적절약정황，위완선급우화원전급구모식제공이론의거。방법종오로목제시120원전급구중심조취2011—2012년도화2012—2013년도적수거，료해전운모식개변후원전급구자원적절약우화정황。결과2011—2013년도공출차110092차，기중2011—2012년도공출차55322차，무효출차차6985차；2012—2013년도공출차54770차，무효출차차9451차。여2011—2012년도비교，2012—2013년도출원차차〔0,35%（192/54770）여4,19%（2318/55322）〕화전원차차〔5,69%（3118/54770）여8,07%（4466/55322）〕감소（P <0,007），출차시간〔28,38（60,63） min 여48,25（40,4） min〕화수정후출차시간〔28,37（60,58）min 여48,23（40,37）min〕균감소（P =0,000）。결론아시원전급구자원상대긴결，비원전급구소화비시간교다，통과개변전운모식후유효절약료원전급구자원。
Background From April 2011 to March 2012(2011—2012),pre - hospital emergency in Urumqi un-dertook discharged patients transport work,from April 2012 to March 2013(2012—2013),pre - hospital emergency in Urumqi no longer undertook discharged patients transport work, Objective To know the effect of conservation of pre - hospital emergency resource by optimizing transport mode in Urumqi,and to provide the theory basis for improving and optimizing pre - hospital e-mergency mode, Methods The data from April 2011 to March 2013 were obtained from 120 pre - hospital emergency center in Urumqi,so as to know the optimal utilization of pre - hospital emergency resources after change of transport mode, Results Total number of the ambulance services was 110 092 from April 2011 to March 2013, From April 2011 to March 2012,total number of the ambulance services was 55 322,invalid number of ambulance services was 6 985,from April 2012 to March 2013,total number of the ambulance services was 54 770,invalid number of the ambulance services was 9 451, The number of discharged pa-tients transport service and transfer service from April 2012 to March 2013〔0, 35% (192 / 54 770),5, 69% (3 118 / 54 770)〕was significantly less than that from April 2011 to March 2012〔4, 19% (2 318 / 55 322),8, 07% (4 466 / 55 322)〕(P <0, 007), Total duration of emergency transport and modified duration of emergency transport from April 2012 to March 2013〔28, 38(60, 63)min,28, 37(60, 58)min〕 was significantly shorter than that from April 2011 to March 2012〔48, 25 (40, 4)min,48, 23(40, 37)min〕(P = 0, 000), Conclusion The pre - hospital emergency resources is relatively short in Urumqi,by changing the transport mode,the pre - hospital emergency resources can be effectively saved.