-80-艾滋病院前急救和转运流程的建立与循证医学的应用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）【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。【关键词】艾滋病；院前急救；转运流程；循证医学【中图分类号】R197【文献标识码】A【文章编号】1008-1151(2022)12-0080-04EstablishmentofPre-HospitalFirstAidandTransferProceduresforAIDSandApplicationofEvidence-BasedMedicineAbstract:Objective:Toexploretheapplicationofevidence-basedmedicineintheestablishmentofpre-hospitalfirstaidandtransferproceduresforAIDS.Methods:Throughtheinvestigationandcollectionofrelevantinformationaboutpre-hospitalemergencytreatmentandtransferofAIDS,theexistingproblemswereidentified,andthebasicprocessofpre-hospitalemergencytreatmentandtransferofAIDSwasestablished.Accordingtothemethodofevidence-basedmedicine,theprocesswascomprehensivelyevaluated,optimizedandreengineered.Theclinicaldataweredividedintoobservationgroupandcontrolgroup,andthetwogroupswerecompared.Results:Beforeandaftertheadoptionofevidence-basedprocessmanagement,therewerestatisticallysignificantdifferencesintherescuesuccessrateofcriticalpatients,occupationalexposureoccurrenceandpostexposuretreatmentqualificationrate,medicalstaffprotectioncomplianceimplementationrate,bacteriologicaldetectionqualificationrateandothermonitoringindicators.Conclusion:Usingevidence-basedmedicinetoestablishandimprovethepre-hospitalfirstaidandtransferproceduresforAIDS,soastomakethepre-hospitalfirstaidandtransferofinfectiousdiseasesmorescientif...
