CAJ | 학술논문

目的：分析乌鲁木齐市院前急救转运的影响因素，为院前急救转运的改进提供参考。方法统计2008—2011年乌鲁木齐市120院前急救中心的总出车次、有效出车次、无效出车次、呼救到达时间、急救转运时间、出车时间及非院前急救患者的出车距离和出车时间。对院前急救转运的影响因素进行多因素 Logistic 回归分析。结果有效出车次：2010年和2011年均少于2009年，2009年少于2008年（P <0,007）；无效出车次：2010年和2011年均多于2009年，2009年多于2008年（P <0,007）。2008—2011年院前急救呼救到达时间、急救转运时间和出车时间比较，差异均有统计学意义（F =422,12、491,71、288,72，P <0,05）；其中，2010、2011年呼救到达时间、急救转运时间均长于2008、2009年（P <0,05）。2011年出车时间长于2010、2009、2008年（P <0,05），2010和2008年出车时间高于2009年（P <0,05）。院前急救车次为142729次，非院前急救车次为32017次，非院前急救组较院前急救组出车距离长（Z =5,724，P <0,05），出车时间长（Z =5,676，P <0,05）。多因素 Logistic 回归分析结果显示，急救半径、急救转运时间、非院前急救是院前急救转运的影响因素〔 OR =0,877、1,106、587,973，P <0,05〕。结论乌鲁木齐市目前的院前急救呼救到达时间、急救转运时间及出车时间有延长的趋势，且急救半径、非院前急救影响了院前急救的转运，需增加行政和财政投入，合理调度安排急救资源，整合交通、院前急救资源，积极为院前急救患者服务。
목적：분석오로목제시원전급구전운적영향인소，위원전급구전운적개진제공삼고。방법통계2008—2011년오로목제시120원전급구중심적총출차차、유효출차차、무효출차차、호구도체시간、급구전운시간、출차시간급비원전급구환자적출차거리화출차시간。대원전급구전운적영향인소진행다인소 Logistic 회귀분석。결과유효출차차：2010년화2011년균소우2009년，2009년소우2008년（P <0,007）；무효출차차：2010년화2011년균다우2009년，2009년다우2008년（P <0,007）。2008—2011년원전급구호구도체시간、급구전운시간화출차시간비교，차이균유통계학의의（F =422,12、491,71、288,72，P <0,05）；기중，2010、2011년호구도체시간、급구전운시간균장우2008、2009년（P <0,05）。2011년출차시간장우2010、2009、2008년（P <0,05），2010화2008년출차시간고우2009년（P <0,05）。원전급구차차위142729차，비원전급구차차위32017차，비원전급구조교원전급구조출차거리장（Z =5,724，P <0,05），출차시간장（Z =5,676，P <0,05）。다인소 Logistic 회귀분석결과현시，급구반경、급구전운시간、비원전급구시원전급구전운적영향인소〔 OR =0,877、1,106、587,973，P <0,05〕。결론오로목제시목전적원전급구호구도체시간、급구전운시간급출차시간유연장적추세，차급구반경、비원전급구영향료원전급구적전운，수증가행정화재정투입，합리조도안배급구자원，정합교통、원전급구자원，적겁위원전급구환자복무。
Objective To analyse the affecting factors for pre - hospital emergency transport in Urumqi city,and to provide reference for improvement of pre - hospital emergency transport, Methods Total number of the ambulance services,ef-fective number of the ambulance services,invalid number of the ambulance services,the arrived time for user's call,duration of emergency transport,the total duration of emergency and non - emergency transport,and distance of a single ambulance service of non - ambulance services from 2008 to 2011 in 120 pre - hospital emergency medical center of Urumqi were recorded, The af-fecting factors for emergency transport were analysed by a multivariable Logistic regression model, Results The effective number of the ambulance services in 2010 and 2011 was significantly less than that in 2009,the effective number of the ambulance serv-ices in 2009 was significantly less than that in 2008(P < 0, 007), The invalid number of the ambulance services in 2010 and 2011 was significantly more than that in 2009,respectively,the invalid number of the ambulance services in 2009 was signifi-cantly more than that in 2008(P < 0, 007), There were significant differences in the arrived time for user's call,duration of e-mergency transport and the total duration of emergency transport in different years(2008—2011) ( F = 422, 12,491, 71, 288, 72,P < 0, 05), The arrived time for user's call and duration of emergency transport in 2010 and 2011 were significantly longer than those in 2008 and 2009,respectively(P < 0, 05), The total duration of emergency transport in 2011 was significantly longer than that in 2010,2009 and 2008,respectively(P < 0, 05), The total duration of emergency transport in 2008 and 2010 was significantly longer than that in 2009(P < 0, 05), Total number of the ambulance services was 142 729,total number of the non - ambulance services was 32 017,the average distance of a single ambulance service of non - ambulance services was signifi-cantly longer than that of ambulance services(Z = 5, 724,P < 0, 05), The total duration of emergency transport of non - ambu-lance services was significantly longer than that of ambulance services(Z = 5, 676,P < 0, 05), According to result of multivari-able Logistic regression analysis,the radius of pre - hospital emergency transport,duration of emergency transport,non - ambu-lance services were affecting factors for pre - hospital emergency transport(OR = 0, 877,1, 106,587, 973,P < 0, 05), Con-clusion There is a prolonged trend in the arrived time for user's call,duration of emergency transport and the total duration of e-mergency transport,the radius of pre - hospital emergency transport and the non - pre - hospital are the affecting factors for pre -hospital emergency transport,administrative and financial investment should be increased,emergency resources should be sched-uled and arranged reasonablely,transport and pre - hospital emergency resources should be integrated,so as to provide better services for patients.