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目的对德阳市院前急救空车返回现状进行调查,分析空车原因,制定减少空车策略,提高院前急救效率,减少急救医疗资源浪费。方法收集2015年1~12月德阳市“120”急救指挥中心院前急救出诊信息,分别对急救空返现状和空返原因进行调查分析,制定减少空车策略。结果调查发现,2015年急救空车共7 638人次,空返率为24.08%,2014年急救空车共7 589人次,空返率为24.70%,两组比较差异无统计学意义(P>0.05);空返原因前五位分别为病情已缓解(40.01%)、自行来院(36.00%)、院前死亡(8.31%)、病情轻(6.01%)和纠纷未解决(5.89%);空返的疾病谱前五位分别为晕倒(22.99%)、车祸(22.00%)、外伤(19.00%)、饮酒过量(11.00%)和猝死(6.99%)。结论针对救护车空返的前五位原因和疾病谱,需要在政府部门引导下,全社会共同参与,提高民众自救互救能力,才能有效提高院前急救效率,降低院前急救空返和减少急救资源浪费。
Objective To investigate the status quo of unused emergency vehicles in front of Deyang City, analyze the causes of empty vehicles, make strategies to reduce empty vehicles, improve the efficiency of pre-hospital emergency and reduce the waste of emergency medical resources. Methods Pre-hospital emergency visit information of Deqian “120 ” Emergency Command Center from January to December in 2015 was collected. Investigation and analysis were made on the current situation of empty return and the reason of empty return, and the strategy of reducing empty vehicle was formulated. Results The survey found that in 2015, there were 7 638 emergency vehicles with empty return rate of 24.08%, and 7 589 emergency empty vehicles in 2014 with an empty return rate of 24.70%. There was no significant difference between the two groups (P> 0.05 ). The first five causes of empty return were as follows: the condition was alleviated (40.01%), the hospital itself (36.00%), pre-hospital death (8.31%), mild condition (6.01%) and dispute unresolved (5.89% (22.99%), car accident (22.00%), trauma (19.00%), excessive drinking (11.00%) and sudden death (6.99%). Conclusions Aiming at the first five reasons and the spectrum of ambulances’ empty return, we need the participation of the whole society under the guidance of government departments to improve people’s self-help and mutual-help capabilities so as to effectively improve the efficiency of pre-hospital emergency care and reduce the return and reduction of pre-hospital emergency air transport First aid resources waste.