目的 探索性分析爆炸伤延时现场救护（prolonged field care，PFC）的技术需求，旨在为无法快速实施转运的爆炸伤患者提供“延长黄金救治时间”的医疗技术参考。方法 以中国知网中的文本资料为数据源，采用文本关联度挖掘的方法获取“爆炸伤”与“PFC”之间的关联强度，并按照层次分析法原理，探寻不同“建设内容”在“医院智慧化后勤管理”中的需求程度。结果 一级指标的建设内容度排序为：持续通气/氧合（28.78）、医疗后送（28.78）、现场复苏（18.54）、伤情评估与监测（11.95）和伤员护理（11.95）；二级指标的建设内容排序前三的指标为：持续通气（25.18）、途中救治（18.68）和控制出血（15.45）。结论 持续通气、控制出血和途中救治等技术在爆炸伤PFC指标体系中的需求度较高，这可能是未来爆炸伤PFC质量提升的重要发展方向。

Objective To analyze the technical requirements for Prolonged Field Care (PFC) in the context of blast injuries,in order to provide a reference for medical technologies that extend the “golden hour” of treatment for blast injury patients who cannot be quickly transported.Methods This study employs text correlation mining to associate “blast injuries” and “PFC” with text materials from CNKI.Following the principles of the Analytic Hierarchy Process (AHP),it explores the demand for different “construction content” within “intelligent hospital logistics management.” Results The construction content for first-level indicators was ranked as follows:continuous ventilation/oxygenation (28.78),medical evacuation (28.78),on-site resuscitation (18.54),injury assessment and monitoring (11.95),and casualty care (11.95);the top three construction content items for second-level indicators were:continuous ventilation (25.18),en-route care (18.68),and bleeding control (15.45).Conclusions The demand for technologies such as continuous ventilation,bleeding control,and en-route care is high within the PFC indicator system for blast injuries and they may require future improvements in this field.

R473.82;R823