中国1996—2015年城市院前急救反应时间分析

发布时间：2018-09-07 20:22

【摘要】：目的探讨中国院前急救能力的地域差异及成因,为提高各区域城市院前急救水平指明方向。方法从急救反应时间这一衡量院前急救水平最重要的指标切入,在万方数据库和急救中心网站搜集1996年1月—2015年9月的数据,搭建院前急救数据库,通过meta-analysis方法比较中国区域院前急救水平的差异。结果 1996—2015年20年间,中国东部城市急救反应时间从11.206 min延长到15.855 min,延长了4.649min;中部城市一直变化不大,除1996—2000年为18.000 min外,自此之后到2015年一直维持在15.500 min左右;由于西部地区急救反应时间变化与急救半径变化一致,急救反应时间从1996—2000年的31.959 min缩短到2005—2010年的13.712min,降幅达18.247 min,其后5年又回升至17.665 min。结论中国1996—2015年东、中、西部城市的院前急救反应时间普遍落后,均亟待疏浚交通、警医联动、增加急救点数量、急救培训等方面的调整。
[Abstract]:Objective to explore the regional differences and causes of pre-hospital first aid ability in China, and to point out the direction of improving the level of pre-hospital first aid in cities in various regions. Methods from the first aid response time, the most important index to measure the level of pre-hospital first aid, the data of January 1996 to September 2015 were collected from Wanfang database and emergency center website, and the database of pre-hospital first aid was set up. Meta-analysis method was used to compare the difference of regional pre-hospital first aid level in China. Results during the 20 years from 1996 to 2015, the first aid response time of cities in eastern China was prolonged from 11.206 min to 15.855 min, and the central city had little change, except 18.000 min from 1996 to 2000, and maintained at 15.500 min in 2015. Due to the change of emergency response time and radius in western China, the response time was shortened from 31.959 min in 1996-2000 to 13.712 minutes in 2005-2010, which decreased by 18.247 min, and then rose back to 17.665 min. in 5 years later. Conclusion the pre-hospital emergency response time in the eastern, central and western cities of China from 1996 to 2015 is generally backward, and it is urgent to adjust the traffic dredging, the linkage between police and doctors, the increase of the number of emergency treatment points and the training of emergency treatment.
【作者单位】：清华大学社会科学学院清华大学公共健康研究中心;
【分类号】：R459.7

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