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A survey on emergency medical service of leading units of County medical community in Zhejiang Province
作者：马旭灿,叶立刚,黄明伟,张茂 发布日期：2021-11-25
表4. 136家县域医共体牵头医院急诊科常见服务流程状况
整体 （n=136） | 三甲 （n=5） | 三乙（n=35） | 二甲 （n=71） | 二乙 （n=25） | 统计量 （χ2） | P值 | |
急诊CT平扫 | |||||||
全天候 | 98.6% | 100.0% | 100.0% | 98.6% | 96% | 5.3 | 0.51 |
部分时段 | 0.7% | 0.0% | 0.0% | 0.0% | 4.0% | ||
无 | 0.7% | 0.0% | 0.0% | 1.4% | 0.0% | ||
急诊CT增强 | |||||||
全天候 | 55.1% | 100.0% | 77.1% | 50.7% | 28.0% | 31.1 | <0.05 |
部分时段 | 30.1% | 0.0% | 8.6% | 42.3% | 32.0% | ||
无 | 14.8% | 0.0% | 14.3% | 7.0% | 40.0% | ||
急诊DSA检查 | |||||||
全天候 | 37.5% | 100.0% | 77.1% | 23.9% | 8.0% | 41.7 | <0.05 |
部分时段 | 8.1% | 0.0% | 5.7% | 12.7% | 0.0% | ||
无 | 54.4% | 0.0% | 17.1% | 63.4% | 92.0% | ||
急诊消化内镜检查 | |||||||
全天候 | 37.5% | 60.0% | 65.7% | 26.8% | 24.0% | 33.3 | <0.05 |
部分时段 | 46.3% | 40.0% | 31.4% | 59.1% | 32.0% | ||
无 | 16.2% | 0.0% | 2.9% | 14.1% | 44.0% | ||
急诊支气管镜检查 | |||||||
全天候 | 24.3% | 100.0% | 37.1% | 18.3% | 8.0% | 26.7 | <0.05 |
部分时段 | 31.6% | 0.0% | 42.9% | 33.8% | 16.0% | ||
无 | 44.1% | 0.0% | 20% | 47.9% | 76.0% | ||
急诊床旁手术 | |||||||
有 | 36.0% | 100.0% | 42.9% | 31.0% | 28.0% | 3.7 | 0.16 |
无 | 64.0% | 0.0% | 57.1% | 69.0% | 72.0% | ||
针对群体伤员应急流程/演练 | |||||||
有流程并常演练 | 95.6% | 100.0% | 100.0% | 94.4% | 92.0% | 3.6 | 0.74 |
有流程很少演练 | 2.2% | 0.0% | 0.0% | 2.8% | 4.0% | ||
无 | 2.2% | 0.0% | 0.0% | 2.8% | 4.0% | ||
针对传染性疾病应急流程/演练 | |||||||
有流程并常演练 | 76.4% | 100.0% | 80.0% | 80.2% | 56.0% | 9.9 | 0.13 |
有流程很少演练 | 14.0% | 0.0% | 14.3% | 9.9% | 28.0% | ||
无 | 9.6% | 0.0% | 5.7% | 9.9% | 16.0% |
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