贵州省71家医院消化内镜应用情况调查Application of Digestive Endoscopy in 71 Hospitals in Guizhou Province
许良璧,车筑平,李大欢,张伟光,刘娅琳,王丽娟
XU Liangbi,CHE Zhuping,LI Dahuan,ZHANG Weiguang,LIU Yalin,WANG Lijuan
摘要(Abstract)：
目的:通过对贵州省71家医院消化内镜应用情况调查,为完善和实施贵州省消化内镜质量管理体系打下基础。方法:对贵州省71家3级和2级医院问卷和电话调查,统计消化内镜医护人员配置、消化内镜室工作量及开展项目、内镜设施及消毒情况。结果:被调查的71家医院,均开展胃镜检查,其中80%能进行结肠镜检查,少数医院能开展逆行胆胰管造影(ERCP)、超声内镜(5.6%)和小肠镜(4%)检查;被调查医院均有内镜室,35.2%内镜室为独立的自行管理模式,其余大多数归消化内科管理;平均每家医院拥有内镜医生3.5人,专职内镜护士2人,3级医院内镜医生数量多于2级医院,硕士研究生及以上学历医生集中在3级医院;大部分医院的内镜室面积<100 cm2,内镜主机数量<3台,仅有3家医院能同时开展色素内镜及放大内镜检查,仅1家内镜中心配有X光机,全部3级医院及92.1%2级医院将胃肠镜检查分开(分时段进行);被调查医院均有独立的内镜清洗消毒室,多数医院的内镜清洗消毒完全由护士完成。结论:贵州省71家医院存在内镜室面积过小、医护人员过少、技术设备不足等问题。
Objective: To survey the application condition of digestive endoscopy in Guizhou province,and so as to lay a foundation for improving and implementing digestive endoscopy quality control system. Methods: Questionnaires and telephone survey were carried out in 71 hospitals including 33 three grade hospitals and 38 two grade hospitals in Guizhou province. The medical personnel and workload of the endoscope room and endoscope projects,endoscope facility,and endoscope disinfection conditions were investigated. Results: Upper digestive endoscopy was done in 71 hospitals( 100%).Colonoscopy was carried out in 57 hospitals( 80%). ERCP,endoscopic ultrasonography( 5. 6%) and small intestinal endoscope( 4%) were carried out in a few hospitals. All the 71 hospitals had endoscope room,35. 2% of endoscope rooms implemented independent management mode,and the rest of them were managed by gastroenterology department. There were average 3. 5 endoscope doctors and 2full-time endoscope nurses in each hospital. Endoscope doctors in three grade hospitals was more than those in two grade hospitals,almost all the master's degree or above endoscopy doctors were in the tertiary hospitals. The area of endoscope room of most hospitals was less than 100 m2,and the number of endoscope host was less than 3. Pigment endoscopy and magnifying endoscopy were only carried out in3 hospitals at the same time. Only one hospital was equipped with X ray machine in endoscope room.All the tertiary hospitals and 92. 1% two grade hospitals separated endoscope check up and treatment.All of the hospital had an independent endoscopic cleaning and disinfection room,and in most hospital endoscopic cleaning and disinfection was carried out by the nurses completely. Conclusions: There are problems of endoscope room of hospitals in Guizhou province,such as small size of endoscope room,lack of medical personnel,lack of technical equipment and so on.
关键词(KeyWords)：
贵州;内窥镜检查,消化系统;调查;质量控制
Guizhou;endoscopy,digestive system;survey;quality control
基金项目(Foundation):
作者(Author):
许良璧,车筑平,李大欢,张伟光,刘娅琳,王丽娟
XU Liangbi,CHE Zhuping,LI Dahuan,ZHANG Weiguang,LIU Yalin,WANG Lijuan
DOI: 10.19367/j.cnki.1000-2707.2015.10.023
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