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目的利用四川省绵阳市紧急救援指挥调度平台接处警数据,分析绵阳市受理“120”电话的接听和院前急救现场救治及现场死亡的变化情况,初步探讨今后几年绵阳市院前急救指挥调度重点和急救管理重心。方法从市本级120中心和县市区120分中心的指挥调度数据库中提取2006-2014年全部指挥调度数据,应用SPSS17.0软件,分年度、分区域进行统计处理。结果绵阳市院前急救指挥调度工作量以13.33%的年平均增长率逐年递增;救治伤病员数以30.81%的年平均增长率逐年增加;工作量增加明显高,而与此对应的现场急救死亡率却呈逐年下降趋势(χ2=89.33,P<0.01),这一特征突出表现在2008年之后。结论 2006-2014年绵阳市院前急救需求日益增加;市县乡三级急救网络框架建成和当地主动作为促使绵阳市院前急救能力普遍提高;主管部门还应加强院前急救管理,实现量化控制,促进院前急救工作的持续性发展。
Objective To analyze the data of answering “120 ” calls and on-site emergency treatment and the scene of death in Mianyang city by using the data of emergency command and dispatch platform in Mianyang City, Sichuan Province, and to analyze the changes of pre-hospital emergency in Mianyang City in the next few years Command and control priorities and emergency management center of gravity. Methods All command and dispatch data from 2006 to 2014 were extracted from the commanding and dispatching database of 120 centers at city and county level and 120 sub-centers in cities and counties. SPSS17.0 software was used to carry out statistical processing in each year and sub-region. Results The pre-hospital emergency command and dispatching workload in Mianyang City increased year by year with an average annual growth rate of 13.33%. The number of patients receiving treatment and wounded increased year by year with an average annual growth rate of 30.81%. The workload increased significantly while the on-site first aid The mortality rate showed a year-by-year downward trend (χ2 = 89.33, P <0.01), a prominent feature of this feature after 2008. Conclusions The demand for pre-hospital emergency aid in Mianyang City increased from 2006 to 2014. The construction of three-level emergency network framework in cities, counties and towns and local initiative as a means to promote the pre-hospital emergency assistance capability in Mianyang City generally increased. The competent departments should also strengthen the pre-hospital emergency management to achieve quantitative control , To promote the continuity of pre-hospital emergency work.