医疗卫生动员是新形势下将民用医院潜力快速转化为战时卫勤保障能力的必由之路.文章分析了民用医院医疗卫生动员现状与问题,组织实践并研究了动员涉及的模式、指挥、网信、救治、安防等重难点问题,提出了改进卫生动员工作的建议与对策.

目的 总结某次百人特大批量伤员救治演练,优化救治流程.方法 设置100名不同类型的战伤标准伤员,限定280名医护及相关人员组织救治,包括优化前接、现场急救、分类、院内规范化救治、分流等流程.结果 人员编组合理、场地布置规范、物资准备充分,整个救治过程快速有序、安全高效.结论 优化科学合理的特大批量伤员救治流程,为建立全方位无缝隙卫勤保障体系提供参考.

目的:探讨不同剂量瑞芬太尼联合右美托咪定在老年患者监护性局部麻醉下行经皮椎体成形术的有效性及安全性.方法:选择首次行单个椎体成形术患者90例,ASA分级Ⅰ～Ⅲ级、年龄70～85岁患者,随机分为三组(n=30):瑞芬太尼0.05μg/(kg·min)组(A组)、瑞芬太尼0.1μg/(kg·min)组(B组)、瑞芬太尼0.15μg/(kg·min)组(C组).手术开始前15 min,所有患者静脉泵注右美托咪定0.3μg/(kg·h)维持至手术结束.手术开始前5 min A组泵注瑞芬太尼0.05μg/(kg·min)、B组泵注瑞芬太尼0.1μg/(kg·min)、C组泵注瑞芬太尼0.15μg/(kg·min)维持至术毕.记录三组患者手术前15 min(T0)、注射局部麻醉药时(T1)、手术开始时(T2)、工作套管到位注射骨水泥时(T3)、拔出工作套管时(T4)及术毕10 min(T5)时MAP、HR、RR及SpO2,同时记录上述时点BIS值,采集静脉血检测并记录血清去甲肾上腺素、VAS评分及警觉镇静评分(OAA/S评分),并记录患者围术期不良反应发生情况以及对麻醉效果的满意度评分.结果:A、B两组比较,T1～T4时B组的HR、MAP、RR降低,但均在患者基础血压及心率可允许波动范围内,差异无统计学意义(P>0.05),B组的BIS值、去甲肾上腺素、VAS评分、OAA/S评分低于A组,差异有统计学意义(P<0.05).A、C两组比较,C组T1～T4时HR、MAP、SpO2、RR降低,BIS值、去甲肾上腺素、VAS评分、OAA/S评分低于A组,且上述差异均有统计学意义(P<0.05).B、C两组VAS评及OAA/S评分均较A组降低,差异无统计学意义(P>0.05);T1～T4时C组HR、MAP及RR、SpO2、BIS值下降明显,差异有统计学意义(P<0.05).B、C两组患者满意度评分均高于A组,其中B组较C组稍高.结论:0.1μg/(kg·min)瑞芬太尼复合右美托咪定在老年经皮椎体成形术患者监护性局部麻醉中的呼吸及血流动力学更稳定,而且患者满意度高,值得在临床中推广.

By virtue of the timing services of Beidou receiver, the clock synchronization software was researched and developed, and clock server was set up to synchronizing clock of each workstation in the hospital. As a result, clock synchronization was realized in all the hospital computer terminals and intelligent devices, which made the system and data strict and improved the service quality of hospital information system.

科技创新是医院持续发展的不竭动力，是医院转型发展的必由之路，军队中小医院目前正处于发展的机遇期和转型的关键期，机遇和挑战并存。本文从军队中小医院自身实际出发，阐述了科技创新在建设研究型医院中地位作用，提出了加强医院科技创新的着力点以及制度化、常态化推进办法，旨在探讨如何实现新形势下军队中小医院向研究型医院转型转变的发展。

加强行风建设是新形势下军队医院面临的一项重大任务，本文阐述了军队医院加强行风建设重要意义，分析了当前军队医院行风方面存在的问题，并就如何抓好行风提出了对策措施。

Objective To discuss the influence of compensation scheme of medicare outpatient with spe-cial diseases on patients overall satisfaction .Methods We took samples from the random questionnaires distribu-ted to patients who came to the department of neurology of our clinic From October 2014 to December 2014 , and compared the overall satisfaction of patients who bought the compensation scheme for special diseases and that of those who did not buy .Resutls A total of 487 questionnaires were taken back , among which 298 were written by males, 189 by females, aged 18 to 92 years ( with an average age of 53.4 ±27.8).The number of people who had healthcare was 174 whose overall satisfaction was 85.32 ±10.21(%), while the overall satisfaction of the 313 people in the control group was 73 .18 ±15 .84 (%) .The overall satisfaction of the former group was obviously higher than that of the control group, and the difference was statistically significant (P<0.05).Conclusion Compensation scheme of medicare outpatients with special diseases help strengthen patients' compliance, improvedtreatments, reduced economic burden, significantly improved patients overall satisfaction towards hospital and doc -tors, which greatly improved the doctor -patient relationship.

目的：探讨心肺复苏情景考核模式在军队医院文职人员培训考核中的应用效果。方法对文职人员进行心肺复苏相关知识的摸底考核，制定心肺复苏情景考核模拟案例，组织情景模拟培训及考核。结果对文职人员心肺复苏情景培训前后平均成绩比较的双侧t检验，得P值均小于0．01，显示培训后的成绩较培训前有明显提高。结论采取心肺复苏情景考核模式可大大提升文职人员应急处置能力。

With the strengthening of national defense construction , and to enhance awareness of peacetime disaster , the frequency of hospital medical team taking practical encamping is increasing .The security of the ex-pand field of the medical team has got more attention .Outdoor field of medical team is unfolding , though relatively concentrated , but apart from a reclassification adjustment whistle , there is a long geographical boundaries need sen-try standing guard , which made the problem of shortage of human resource 0 of medical team more serious .In this article, the method to install security monitoring equipment were introduced in the expand field of the field medical team, which will solve the problem of the shortage of human resources .

Military medical outpatient prescription management system software is developed on the basis of existing outpatient doctor workstation system,aiming to proceed standardized management for military medical personnel for the outpatient prescriptions.The software includes a rational drugs module,military directory maintenance program,identity,cost type,disease checking module embedded in the clinic doctor workstation.This system has dual functions of military medical identity,disease management and rational use of drug control,and provides good management and security for the rationality of military medical personnel of outpatient prescription.

目的 探索运用前沿信息技术,不断提高医院为部队服务水平.方法 采用云计算、物联网、统一通信等领域相关技术,构建部队区域卫生云,中心医院通过部署10多个应用系统,为部队基层卫生机构和官兵提供各种医疗服务.结果 体系部队各级卫生机构均得到较好应用,解决了部队基层卫生信息化"建设难、维护难、使用难"等问题,较好满足了部队基层卫生机构业务工作和官兵医疗保健需要.结论 部队区域卫生云平台有较高的推广应用价值.

Objective To explore a process of dispatching civilian personnel to the mobile medical unit in military hospital.Methods Clinical data of 116 members in mobile medical unit in the same period were statistically analyzed,and the effect of pumping group was evaluated.Results There were significant differences between the experimental group(which was composed of non-commissioned civilian personnel,being pumped through standard process) and the control group(which was also composed of non-commissioned civilian personnel,being pumped through random process),in the attrition rates,task completion rates,and personnel overall quality,etc.But there was no significant difference between the experimental group and the group composed of soldiers being pumped through random process.Conclusion The mobile medical unit composed of non-commissioned civilian personnel which is pumped through standard process shows superiority in the attrition rates,task completion rates,and personnel overall quality,etc.And its personnel overall quality is basically the same as that of the military group.Which indicates that the standard process shows good results in selection process and effect evaluation,and is worthy of further popularization and application.

本文针对军队医院文职人员的特点,在进行卫勤基础理论、专业技能、单兵素质、执行卫勤保障任务等考核的基础上,评出一、二、三级文职人员,实施分级管理.该做法对提升医院卫勤保障能力,调动文职人员的积极性,提高文职人员的业务技术水平等起到了很好的推动作用.

According to the training style and characters of mobile medical support team in our army,the author elaborated and analyzed the training task,forms and characters of comprehensive operative team,which could provide some references on construction of comprehensive operative team.

肠镜检查是诊断肠道疾病的主要检查,患者在检查过程中需充分暴露肛门才能操作.传统的操作要将患者的裤子脱掉盖上大毛巾,会阴部暴露面积较大,使患者产生焦虑、羞涩心理,而且在寒冷季节容易受凉.为使肠镜检查更人性化,我科2008年1月自行设计了一种开裆裤,经临床应用1 181例患者,效果满意,介绍如下.

本文结合突发事件卫勤保障的特点,重点对医院担负大批量伤员紧急救治组织与实施的方式、方法进行了研究探讨,并对医院现有的指挥结构、救治流程、救治组织等方面提出了改进意见。

According to the characters of medical service in modem war and referring to the experiences of medical service of foreign armies,the article analyzed the construction and support statuses of our medical service powers and proposed to establish a synthetical operation team.At last,it elaborated the primary imagination of the team.

随着军队体制编制改革的具体实施,军队医院现役干部将越来越少,人才流失不可避免,而现代医院的竞争,归根到底是人才的竞争[1],人才是医院服务质量的保证,是医院可持续发展的关键.

我院近几年在专科建设上始终坚持"重点突出、兼顾一般、整体推进"的思路,促进了医院发展,总结积累了一些经验.