北京大学学报(医学版) ›› 2025, Vol. 57 ›› Issue (6): 1160-1164. doi: 10.19723/j.issn.1671-167X.2025.06.021

• 论著 • 上一篇    下一篇

雪上救援人员技术及受训程度的调查

白鹏1,*, 怀伟2,*, 杨钟玮3, 周方3, 郭向阳1, 陈兆飞4, 关红卫5, 白洁6,*()   

  1. 1. 北京大学第三医院麻醉科,北京 100191
    2. 北京大学第三医院急诊科,北京 100191
    3. 北京大学第三医院骨科,北京 100191
    4. 首都医科大学附属北京积水潭医院,骨科冲击波治疗中心,北京 100035
    5. Ithaca College,New York 14850
    6. 北京大学第三医院胸外科,北京 100191
  • 收稿日期:2025-03-20 出版日期:2025-12-18 发布日期:2025-08-27
  • 通讯作者: 白洁
  • 作者简介:

    * These authors contributed equally to this work

  • 基金资助:
    新疆维吾尔自治区卫生健康适宜技术推广项目(SYTG-Y202418)

An investigation study on the technology and training level of ski patrol

Peng BAI1, Wei HUAI2, Zhongwei YANG3, Fang ZHOU3, Xiangyang GUO1, Zhaofei CHEN4, Hongwei GUAN5, Jie BAI6,*()   

  1. 1. Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China
    2. Department of Emergency, Peking University Third Hospital, Beijing 100191, China
    3. Department of Orthopaedics, Peking University Third Hospital, Beijing 100191, China
    4. Extracorporeal Shock Wave Treatment Center, Beijing Jishuitan Hospital Capital Medical University, Beijing 100035, China
    5. Ithaca College, New York 14850, USA
    6. Department of Thoracic Surgery, Peking University Third Hospital, Beijing 100191, China
  • Received:2025-03-20 Online:2025-12-18 Published:2025-08-27
  • Contact: Jie BAI
  • Supported by:
    the Xinjiang Uygur Autonomous Region Health Appropriate Technology Promotion Project(SYTG-Y202418)

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摘要:

目的: 调查“滑雪巡救员”新职业政策实施前,我国雪上救援从业者的基本情况。方法: 2024年11月至2025年3月选择华北地区、东北地区和西北地区具有高空缆车的室外滑雪场,向在滑雪场内从事雪上救援工作的人员发放电子调查问卷,问卷内容包括个人基本信息、职业从业情况、滑雪技能、救援技能培训情况和救援技能掌握情况共五方面41道题。结果: 回收有效问卷207份,来自北京、河北、新疆、吉林和辽宁5个直辖市、省和自治区共15家滑雪场。雪上救援人员以年轻男性(92.3%)为主,平均年龄(26.2±7.5)岁。受访者中52.2%具有高中或同等学历,37.2%具有本科及以上学历。从事雪上救援工作年限平均为2(1,5)年。非雪季期间,有61.4%的受访者专职或兼职从事户外救援相关工作(包括救援培训)。未来3~5年内,有62.8%的受访者仍愿意从事滑雪巡救员工作,53.1%的受访者有意从事滑雪指导员工作,只有10.1%的受访者考虑离开滑雪领域。82.1%的受访者能够熟练滑行所在雪场的最高级雪道,71.5%可以熟练滑行非平整雪道(包括但不限于野雪地形、“猫跳”地形、树林地形等)。76.3%受访者接受过拖带救援船的训练,多数人可以在任职滑雪场的中级雪道和高级雪道拖带救援船。超过半数(59.4%)受访者所任职的滑雪场,每年组织雪上救援培训的时间大于3 d。77.3%的受访者接受过医护人员的培训,85.5%接受过急救培训讲师的培训,84.1%接受过资深滑雪巡救员的培训,58.5%接受过具有赛事保障经验的滑雪医生的培训,58.9%接受过国际滑雪巡救组织讲师的培训。急救技能方面,受训和掌握心肺复苏、止血包扎、四肢损伤处置的受访者比例最高,而能够进行胸腹部、脊柱和骨盆损伤的评估处理以及气道管理的受访者比例较低。30.4%的受访者参与过国家级及以上雪上赛事救援工作。结论: 雪上救援人员以年轻男性为主,受教育程度仍有待进一步提升。尽管自评滑雪能力、拖带救援船能力和救援能力较高,但仍需通过新职业体系进行更准确的技能评定、资格认定以及进一步的培训考核。

关键词: 滑雪巡救员, 雪上救援, 滑雪技能, 救援培训

Abstract:

Objective: To understand the general information of patrol practitioners before the implementation of the new occupational policy of "ski patrol" in China. Methods: From November 2024 to March 2025, electronic survey questionnaires were distributed to those personnel engaged in snow rescue in selected ski resorts with chair-lift or Gondola-lift in North, Northeast and Northwest of China. The questionnaire covers a total of 41 questions from five aspects: personal basic information, occupational status, skiing skills, rescue skills training, and rescue skills mastery. Results: In this study, 207 questionnaires were collected from 15 different ski resorts in 5 provinces including Beijing, Hebei, Xinjiang Uygur Autonomous Region, Jilin, and Liaoning. The survey revealed that patrollers were predominantly young males (92.3%), with an average age of (26.2±7.5) years. 52.2% of the respondents had a high school or equivalent education, and 37.2% had a bachelor' s degree or above, and engaged in snow rescue operations for 2 (1, 5) years. During the non-snow season, 61.4% of people worked full-time or part-time in outdoor rescue related work (including rescue training). In the next 3-5 years, 62.8% of people were still willing to work as ski rangers, 53.1% were interested in working as ski instructors, and only 10.1% were considering leaving the skiing field. In the study, 82.1% of the respondents were proficient in skiing on the highest level slopes of the ski resort, and 71.5% were proficient in skiing on ungroomed slopes (including but not limited to powder, mogul, forest, etc.). and 76.3% had received training in towing rescue sleds (Toboggan), and most of them could tow toboggan on intermediate and advanced slopes at ski resorts. More than half (59.4%) of the respondents worked at ski resorts that organized snow rescue training for more than 3 days per year. And 77.3% of the respondents had received training from medical staff, 85.5% had been trained by emergency response instructors, 84.1% had received training from senior ski patrols, 58.5% had received training from ski doctors with experience in event support, and 58.9% had received training from instructors from international ski patrols organizations. In terms of rescue skills, the proportion of personnel trained and proficient in cardiopulmonary resuscitation, hemostasis and bandaging, and treatment of limb injuries was the highest, while the proportion of personnel capable of assessing and treating chest, abdominal, spinal, and pelvic injuries, as well as airway management, was relatively low. 30.4% of the respondents had participated in national or higher-level snow event rescue operations. Conclusion: Ski patrollers are primarily young males, and their education level needs to be improved. Although the self-evaluation of skiing ability, towing toboggan ability, and rescue ability are relatively high, more accurate skill assessment, qualification recognition, and further training and assessment are still needed through the new occupational system.

Key words: Ski patrol, Snow rescue, Skiing skill, Rescue training

中图分类号: 

  • C975

表1

人员和滑雪场地区分布"

Items Beijing Hebei Xinjiang Uygur Autonomous Region Jilin Liaoning
Ski resorts 4 3 5 2 1
Participants,n(%) 39(18.8) 15(7.2) 111(53.6) 21(10.1) 21(10.1)

表2

个人拖带雪上救援船转运伤员的能力"

Items Beginner Slopes Intermedia slopes Advanced slopes Ungroomed slopes
Empty Toboggan 27 (13) 66 (31.9) 79 (38.2) 35 (16.9)
Toboggan with 60 kg object 37 (17.9) 71 (34.3) 72 (34.8) 27 (13.0)

表3

对于各损伤部位的处理能力和培训情况"

Items Cardio-pulmonary
resuscitation
(CPR) & AED
Bandaging and
hemostasis
Assessment and
management of
airway
Assessment and
management of
cerebral and
neck injuries
Assessment and
management of
chest and
abdominal
injuries
Assessment and
management of
pelvic injuries
Assessment and
management of
limb injuries
Assessment and
management of
spinal injuries
Received training 181 (87.4) 182 (87.9) 153 (73.9) 141 (68.1) 141 (68.1) 126 (60.9) 162 (78.3) 133 (64.3)
Capable of handling 163 (78.7) 163 (78.7) 121 (58.5) 118 (57.0) 113 (54.6) 108 (52.2) 140 (67.6) 116 (56.0)
Actually handled 100 (48.3) 116 (56.0) 80 (38.6) 90 (43.5) 91 (44.0) 88 (42.5) 116 (56.0) 89 (43.0)
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