特大地震后医疗资源的高效、合理安排与调度
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摘要
目的探讨地震灾后医疗资源的高效、合理安排与调度,寻求符合我国国情的优化的抗震救灾医疗管理模式。方法采用回顾性调查方法,对四川省汶川县映秀镇灾后52周疾病谱的变迁、救援医疗队人员结构及救灾医疗药品、器材的消耗、使用情况等数据资料进行收集及分析。结果地震灾后灾区疾病谱发生明显变化,地震后第1周以外科(外伤)患者为主,第2周后呼吸道、消化道疾病、皮肤病、腹泻患者开始增多,地震灾后20周,患病人数渐回复到地震前水平。在灾后早期,救援医疗队人员结构以外科、防疫专业为主;救灾医疗药品、器材的消耗最多的是抗生素、止血剂、镇痛药、外用消毒剂及外科清创缝合器械。结论地震灾后医疗资源通过合理的安排与调度,能达到更高效、更经济地发挥抗震救灾作用的目的,是抗震救灾中必须面临的管理问题。
引文
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[6]DE VILLE DE GOYET C.Health lessons learned from the re-cent earthquakes and Tsunami in Asia[J].Prehosp DisasterMed,2007,22(1):15-21.
[7]MAEGELE M,GREGOR S,YUECEL N,et al.One year agonot business as usual:wound management,infection and psy-choemotional control during tertiary medical dare following the2004 Tsunami disaster in southeast Asia[J].Crit Care,2006,10(2):50.
[8]彭碧波,仝青英,杨造成.印尼日惹地震救灾中流动医院疾病谱分析[J].武警医学,2006,17(10):785-786.
[9]Ahmad K.Saving lives in the aftermath of Pakistan's earth-quake[J].Lancet,2005,366(9495):1423-1424.
[10]江红.5.12汶川大地震古巴救援医疗队工作模式及流程[J].实用医院临床杂志,2008,5(6):41-42.
[2]陆宁,王林生,崔彬.地震灾后52周疾病谱变化特点及原因分析[J].热带医学杂志,2009,9(增刊030):126-128.
[3]KARMAKAR S,RATHORE A S,KADRI S M,et al.Post-earthquake outbreak of rotavirus gastroenteritis in Kashmir(In-dia):An epidemiological analysis[J].Public Health,2008:12.
[4]BENCA J,KALAVSKY E,MIKLOSKO J,et al.Infectious dis-eases in disaster areas/catastrophes[J].Neuro Endocrinollett,2007,28(Suppl 2):40-43.
[5]WATSON J T,GAYER M,CONNOLLY M A,et al.Epidemicsafter natural disasters[J].Emerg Infeat Dis,2007,13(1):1-5.
[6]DE VILLE DE GOYET C.Health lessons learned from the re-cent earthquakes and Tsunami in Asia[J].Prehosp DisasterMed,2007,22(1):15-21.
[7]MAEGELE M,GREGOR S,YUECEL N,et al.One year agonot business as usual:wound management,infection and psy-choemotional control during tertiary medical dare following the2004 Tsunami disaster in southeast Asia[J].Crit Care,2006,10(2):50.
[8]彭碧波,仝青英,杨造成.印尼日惹地震救灾中流动医院疾病谱分析[J].武警医学,2006,17(10):785-786.
[9]Ahmad K.Saving lives in the aftermath of Pakistan's earth-quake[J].Lancet,2005,366(9495):1423-1424.
[10]江红.5.12汶川大地震古巴救援医疗队工作模式及流程[J].实用医院临床杂志,2008,5(6):41-42.
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