目的:了解地震中的不同经历(即自己是否受伤,是否目睹他人受伤、死亡和房屋垮塌)与灾区初中生灾后一月抑郁问题的关系。方法: 地震发生后一月在灾区某初级中学校随机选取初一到初三的学生共1382人进行一般情况、地震经历相关情况及DSRSC问卷调查。根据受试者有无以上经历将DSRSC量表得分分为两组。用SPSS11.5统计软件对数据进行分析。结果: 受伤者与未受伤者震后一月DSRSC评分存在差异(P=0.001),受伤者重于未受伤者;目睹他人受伤者与未目睹他人受伤者震后一月DSRSC评分存在差异(P=0.005),目睹他人受伤者重于未目睹他人受伤者;目睹他人死亡者与未目睹他人死亡者震后一月DSRSC评分无差异(P=0.061);目睹房屋垮塌与未目睹房屋垮塌者震后一月DSRSC评分无差异(P=0.498)。结论:地震中不同经历对初中生灾后出现的抑郁问题有不同影响,因此对有不同经历者进行针对性的干预有利于减少灾后严重心理卫生问题的出现。
目的：总结汶川地震中骨折患者的康复治疗及其伤情分析，为灾难医学中骨折患者的康复治疗提供经验。方法：收集四川大学华西医院地震伤员康复中心的112例骨折患者资料，对伤情进行分析并对其康复治疗情况进行总结。结果：经康复治疗后患者的日常生活活动能力明显提高。结论：康复治疗对骨折患者非常重要。
目的:分析四川汶川地震颅脑损伤患者CT表现及其价值。方法:对地震发生后近2个月内陆续送至四川大学华西医院治疗，因地震致有颅脑损伤史的140名伤员进行颅脑CT分析总结。结果:在本组伤员中，头皮损伤97例（69％）；颅骨骨折68例（49%）；脑挫裂伤66例（47%）；硬膜外和（或）硬膜下积血、积液44例（31％）；蛛网膜下腔出血36例（26％）；脑水肿、软化灶29例（21％）；其他43例（31％）。结论:CT扫描能准确、快速、有效地对地震颅脑损伤患者进行判断，可为临床治疗方案起指导作用。
Objective To analyze the performance of epidemic prevention in Sichuan Province after Wenchuan earthquake, so as to provide references for future epidemic prevention when such emergencies occur. Methods Data about the relief work after the Wenchuan earthquake were collected from the archives of medical care assurance group of the anti-seismic and disaster relief headquarter. And then the data were classified and analyzed. Results After the Wenchuan earthquake, the strategies of epidemic prevention included emphasis on both epidemic prevention and medical relief, early implementation of hygienic measures, wide coverage of different measures for disease prevention with focuses on the most important diseases, as well as standardization and long lasting of epidemic prevention efforts. Owing to these strategies, the epidemic prevention in Sichuan Province was conducted vigorously, orderly and effectively. Conclusion The post-quake epidemic prevention strategies in Sichuan Province are accurate and effective, which could be recommended when such emergencies occur in the future.
摘要:目的:总结汶川大地震中我院新生儿临时病房应急医疗实践,探讨灾难中新生儿医疗质量控制策略。方法:对“5·12”特大地震后1月(包括较大余震及唐家山堰塞湖防洪期间)我院新生儿3次转移后临时病房医疗工作的开展和质量控制过程进行回顾性分析。结果:灾害期间我院儿科新生儿病房的各项工作成效显著,其间的人员协调、院感控制、患者的转移,以及病案的管理,医疗核心制度的执行,均得到了充分的保证。结论:灾难期间,医务人员强烈的责任心和使命感、优良的职业素养和协作精神、完善的组织管理、扎实的抢救技能、妥善的转移安置,是完善医疗服务的必须。高度的质量安全意识,医疗核心制度、诊疗操作规范的严格执行,科学的应急予预案,是医疗质量安全的保障。
Objective To analyze stress-related disorders and the effect of crisis prevention in 54 females admitted to the Female Psychiatry Department of The Third Hospital of Mianyang City after the Wenchuan earthquake. Methods The patients were assessed with BPRS, HAMD, HAMA, and BPMS scales. According to their clinical manifestations, antipsychiatric, antidepressive, anxiolytic, and antimanic treatment were administered to them. All patients received cognitive-behavior and psychological therapy and were assessed after one month. Results Although all patients were earthquake sufferers, their clinical manifestations varied. Strengthened crisis prevention combined with appropriate drug treatment alleviated their symptoms. Conclusion In terms of alleviating symptoms, curtailing disease course, and facilitating mental rehabilitation, post-catastrophe crisis prevention is extremely important for female patients with stress-related disorders.
【摘要】 目的 了解汶川大地震医护人员参与灾害医疗救援及其灾害救援知识和技能情况。 方法 用自行设计的量表于2008年9月对223位参加汶川大地震医疗救援的医护工作者的一般情况，及其已有的灾害救援知识技能和培训要求等进行调查。 结果 96.9%医护人员在灾害中实施医院救护，3.1%为现场救护，仅有51.1%～61.0%的医护人员参加过灾害相关训练，28.7%参加过救护的医护人员认为自己不具备灾害救援知识和技术，97.3%的人员将来愿意参加灾害救护工作等。 结论 对于灾害救援，医护人员多数实施医院救护，部分参与灾害救援医护人员救援知识和技术缺乏，需要进一步培训。【Abstract】 Objective To understand the situation of the medical staff participating in the disaster medical service rescue in 5•12 Wenchuan earthquake, and their knowledge and the skills about the disaster rescue. Methods A total of 223 medical staff participating in the disaster medical rescue were enrolled with a self-designed questionnaire in September, 2008. Their general situation, knowledge and the siklls of medical rescue, and training need were investigated. Results Ninety-six point nine percent of medical staff took part in the disaster rescue at hospital, 3.1% of rescue at the scene. Only 51.1% to 61.0% of medical staff received disaster rescue related training, 28.7% of medical staff who participating in the disaster medical rescue thought that oneself had not enough knowledge and skill of the disaster rescue, and 97.3% were willing to take part in disaster rescue if needed. Conclusion During the earthquake disaster rescues, most of the medical staff implements the rescue at hospital, some of them have insufficient knowledge and skill of disaster rescue, who need further training.
Shortly after the disastrous Wenchuan earthquake, a harmonious working environment for healthcare professionals both at home and abroad has been formed in West China Hospital, under an integrated managerial framework and working model. Four foreign medical teams consisting of over 70 professionals and foreign medical materials weighing about 8 tons have been accepted. This model may provide references for the reception of foreign medical teams during the emergent medical rescue for any unexpected event in the future.