基于5G区域性院前院内急救医疗服务系统工程研究

杨一红; 刘洪波; 周洁浩; 时春焱; 邹蓓蕾

doi:10.16766/j.cnki.issn.1674-4152.004391

基于5G区域性院前院内急救医疗服务系统工程研究

doi: 10.16766/j.cnki.issn.1674-4152.004391

阜阳市人民医院急诊科，安徽阜阳 236004

基金项目:

工业和信息化部5G+急诊救治项目工信厅联通信函(2020)270号

阜阳市卫健委重大科研项目 FY2021-132

详细信息

通讯作者:
刘洪波，E-mail：xh7293@126.com

中图分类号: R197.1
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出版历程
- 收稿日期: 2025-04-19
- 网络出版日期: 2026-04-11

Based on the 5G regional pre-hospital and in-hospital emergency medical service system engineering research

Emergency Department of Fuyang People's Hospital, Fuyang, Anhui 236004, China

摘要

摘要: 目的通过建设5G区域性院前院内急救医疗智慧平台，探索院前院内以及并入平台的各紧密型医联体之间无缝衔接和协同救治并举的急救新模式。方法项目充分利用现代物联网及5G网络技术，建设5G区域性院前院内智慧急救医疗服务系统。收集2023年12月—2024年3月阜阳市人民医院应用该系统接诊的5G急救车辆转运的Ⅰ级和Ⅱ级急危重症患者200例，设为观察组；其他同期非5G常规急救车辆转运的Ⅰ级和Ⅱ级急危重患者200例，设为对照组。课题组成员应用SPSS软件对2组相关临床数据进行统计学比较分析。结果项目组建成以阜阳市人民医院为中心，院前、院内和并入平台的紧密型医联体单位之间无缝衔接和协同救治并举的5G区域性智慧急救平台。观察组Ⅰ和Ⅱ级患者院前与院内信息无缝衔接的例数、院内远程会诊指导的患者例数、院内急诊分诊时间以及院内急诊抢救成功率等均优于对照组，差异有统计学意义(P＜0.05)。观察组院前院内一键式无缝信息对接的61例(30.5%)患者和远程会诊指导的14例(7.0%)患者疾病谱主要包括心脏骤停、胸痛、卒中以及急性中毒等急危重症。对照组仅2例患者有院前与院内信息对接，无远程实时会诊指导，两者数量明显少于观察组。结论基于5G区域性院前院内急救医疗服务系统显著优于传统的急救模式，该项目适合在阜阳地区全域性地进行复制和推广。
- 5G /
- 区域性 /
- 院前院内 /
- 紧密型医联体 /
- 无缝衔接 /
- 一体化救治
Abstract: Objective To explore a new emergency model that achieves seamless connectivity and coordinated treatment between pre-hospital and in-hospital services, as well as among all tightly-knit hospital alliances integrated into the platform, by constructing a regional 5G-powered smart platform for pre-hospital and in-hospital emergency care. Methods The project made full use of the modern Internet of Things and 5G network technology to build a 5G regional pre-hospital and in-hospital intelligent emergency medical service system. The research group collected 200 grade Ⅰ and Ⅱ critical patients transported by 5G emergency vehicles from December 2023 to March 2024 and set them as the observation group. Another 200 grade Ⅰ and Ⅱ critical patients transported by other non-5G conventional emergency vehicles in the same period, set as the control group. Statistical analysis was performed using SPSS software to compare the two sets of relevant clinical data. Results The project team had built a 5G regional intelligent first aid platform with Fuyang People's Hospital as the center, seamless connection and coordinated treatment before the hospital and among the close medical consortium units integrated into the platform. In the observation group of patients with grade Ⅰ and Ⅱ, the number of cases with seamless pre-hospital and hospital information, the number of patients guided by hospital remote consultation, the time of hospital emergency triage, and the success rate of hospital emergency rescue were all better than those of the control group (P < 0.05). In the observation group, 61 (30.5%) patients with one-click seamless information docking before the hospital and 14 (7.0%) patients with remote consultation guidance mainly included acute and critical diseases such as cardiac arrest, chest pain, stroke and acute poisoning. Only two patients in the control group had pre-hospital and in-hospital information docking, and no remote real-time consultation and guidance, so the number of both was significantly less than that of the observation group. Conclusion Based on the 5G regional pre-hospital and in-hospital emergency medical service system is significantly better than the traditional first-aid mode, so this project is suitable for regional replication and promotion in Fuyang area.
- 5G /
- Regional /
- Pre-hospital and in-hospital /
- Close medical consortium /
- Seamless connection /
- Integrated treatment

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图 1 项目5G组网方案

Figure 1. The 5G networking scheme of the project

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图 2 阜阳市人民医院5G区域性急救医疗服务系统总体建设图谱

Figure 2. Overall construction map of 5G regional emergency medical service system of Fuyang People's Hospital

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图 3 院内5G急救指挥平台

Figure 3. The 5G emergency command platform in the hospital

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表 1 2组急危重患者数据比较

Table 1. Comparison of data for two groups of critically ill patients

组别	人数	性别(男性/女性，例)	年龄[M(P₂₅, P₇₅)，岁]	院前与院内信息无缝衔接[例(%)]	院内远程会诊指导[例(%)]	院内急诊分诊时间[M(P₂₅, P₇₅)，min]	院内急诊抢救成功[例(%)]
观察组	200	101/99	55.0(38.0, 75.0)	61(30.5)	14(7.0)	2.0(1.0, 3.0)	194(97.0)
对照组	200	103/97	57.0(39.0, 78.0)	2(1.0)	0	4.0(1.5, 5.0)	183(91.5)
统计值		0.040^a	0.260^b	65.583^a	14.508^a	-16.595^b	5.582^a
P值		0.081	0.761	＜0.001	＜0.001	＜0.001	0.018
注：^a为χ²值，^b为Z值。对照组2例院前与院内信息对接的患者均为院前120急救医生与院内急诊值班医生个人手机之间的信息联系；院内急诊抢救成功定义是指患者抢救成功后，生命体征基本平稳持续24 h以上^[10]。

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