[1]李 湘 邓上勤 吕 冰 蒙江明.艾滋病院前急救和转运流程的建立与循证医学的应用[J].大众科技,2022,24(12):80-83.
　Establishment of Pre-Hospital First Aid and Transfer Procedures for AIDS and Application of Evidence-Based Medicine[J].Popular Science & Technology,2022,24(12):80-83.
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艾滋病院前急救和转运流程的 建立与循证医学的应用()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
24
期数:
2022年12
页码:
80-83
栏目:
医药与卫生
出版日期:
2022-12-20

文章信息/Info

Title:
Establishment of Pre-Hospital First Aid and Transfer Procedures for AIDS and Application of Evidence-Based Medicine
作者:
李 湘 邓上勤 吕 冰 蒙江明　
（南宁市第四人民医院/广西艾滋病临床治疗中心（南宁），广西 南宁 530012）
关键词:
艾滋病; 院前急救; 转运流程; 循证医学
Keywords:
AIDS pre-hospital first aid transfer procedures evidence-based medicine
文献标志码:
A
摘要:
目的：探讨循证医学在艾滋病院前急救和转运流程建立的应用。方法：通过调查采集有关艾滋病院前急救和转运的相关资料，确定存在的问题，建立艾滋病院前急救和转运的基本流程，依据循证医学的方法，对流程进行综合评估、优化流程及流程再造。临床资料分为观察组与对照组，两组进行比较。结果：采用循证方法流程管理前后，危重患者抢救成功率、职业暴露发生及暴露后处理合格率、医护人员防护依从执行率、细菌学检测合格率等各项监测指标相比较，差异有统计学意义。结论：应用循证医学方法，建立健全艾滋病院前急救和转运流程，使传染病院前急救和转运工作更加科学、规范、安全。
Abstract:
Objective: To explore the application of evidence-based medicine in the establishment of pre-hospital first aid and transfer procedures for AIDS. Methods: Through the investigation and collection of relevant information about pre-hospital emergency treatment and transfer of AIDS, the existing problems were identified, and the basic process of pre-hospital emergency treatment and transfer of AIDS was established. According to the method of evidence-based medicine, the process was comprehensively evaluated, optimized and reengineered. The clinical data were divided into observation group and control group, and the two groups were compared. Results: Before and after the adoption of evidence-based process management, there were statistically significant differences in the rescue success rate of critical patients, occupational exposure occurrence and post exposure treatment qualification rate, medical staff protection compliance implementation rate, bacteriological detection qualification rate and other monitoring indicators. Conclusion: Using evidence-based medicine to establish and improve the pre-hospital first aid and transfer procedures for AIDS, so as to make the pre-hospital first aid and transfer of infectious diseases more scientific, standardized and safe.

参考文献/References:

[1]　中华医学会感染病学分会艾滋病学组. 艾滋病诊疗指南(2011版)[J]. 中华传染病杂志，2011，29(10): 629-640. [2] SCHWAB A P. Epistemic trust, epistemic responsibility, and medical practice[J]. Journal of Medicine and Philosophy, 2008, 33(4): 302-320． [3] SMITH D G. Viewpoint: envisioning the successful integration of EBM and humanism in the clinical encounter: Fantasy or fallacy[J]. Academic Medicine, 2008, 83(3): 268-273. [4] CONCATO J. Is it time for medicine-based evidence[J]. JAMA, 2012, 307(15): 1641-1643. [5] 张伟英，应争先，王茂峰，等. 基层医院循证医学教育与临床科研[J]. 中华医学科研管理杂志，2014，27(6): 712-715. [6] 鲁艳，王琼涛. 院前急救患者医院感染的相关危险因素研究[J]. 中国急救医学，2012，32(1): 88-90. [7] 刘林修. 院前急救感染控制流程建立与循证医学的应用研究[J]. 中华医院感染学杂志，2009，19(21): 2922-2924. [8] 孙伯英，崔嫣. 病房感染控制流程的建立与循证医学的应用研究[J]. 国际护理学杂志，2009，28(6): 739-741. [9] 张素华，粱燕芬，谢海瑞. 实施急救模拟演练，提高医院整体急救水平[J]. 岭南急诊医学杂志，2009，14(6): 465-466. [10] 秦寒枝，牛娟. 团队式急救模式培训在急诊护士急救技能训练中的应用[J]. 安徽医学，2012，33(6): 753-754. [11] ALLEGRANZI B, BAGHERI N S, COMBESCURE C, et al. Burden of endemic health-care-associated infection in developing countries: Systematic review and meta-analysis[J]. Lancet, 2011, 377(9761): 228-241. [12] 王珂. 162例医务人员职业暴露的监测分析与对策[J]. 中国实用医药，2012，7(36): 263-264. [13] SHEVKANI M, KAVINA B, KUMAR P, et al. An overview of post exposure prophylaxis for HIV in health care personals: Gujarat scenario[J]. Indian Journal of Sexually Transmitted Diseases, 2011, 32(1): 9-13. [14] NUKUI Y, HATAKEYAMA S, KITAZAWA T, et al. Pandemic 2OO9 influenza A(H1N1)virus among Japanese healthcare workers: Seroprevalence and risk factors[J]. Infection Control and Hospital Epidemiology, 2012, 33(1): 58-62. [15] ZhOU Y, NG D M, SETO W H, et al. Seroprevalence of antibody to pandemic influenza A(H1N1)2009 among healthcare workers after the first wave in Hong Kong[J]. Journal of Hospital Infection, 2011, 78(4): 308-311. [16] 杨珊，王丽媛，刘茜，等. “120”救护车手卫生相关状况的观察研究[J]. 中国实用护理杂志，2014，30(14): 66-68. [17] ALP E，OZTURK A，GUVEN M，et al. Importance of structured training programs and good role models in hand hygiene in developing countries[J]. Journal of Infection and Public Health, 2011, 4(2): 80-90. [18] 陈佩，王红萍. PDCA循环在标准预防中的应用[J]. 中华医院感染学杂志，2012，22(19): 4314-4316. [19] 陈月琴. 24所医疗机构医疗废物管理调查分析[J]. 护理研究，2013，27(10): 3285-3287. [20] 舒艳，杨建国，李素英，等. 4种消毒方法在急救车物体表面消毒的应用效果[J]. 中华医院感染学杂志，2011，21(6): 1164-1165. [21] ALY N Y, Al-MOUSA H H, AL ASARE S M. Nosocomial infections in a medical-surgical intensive care unit[J]. Medical Principles and Practice, 2008, 17(5): 373-377.

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备注/Memo

备注/Memo:
【收稿日期】2022-10-11 【基金项目】广西壮族自治区卫生厅自筹经费科研课题（Z2013684）。 【作者简介】李湘（1990－），女，南宁市第四人民医院/广西艾滋病临床治疗中心（南宁）副主任医师，研究方向为传染病急救。
更新日期/Last Update: 2023-03-21