我国医院医务人员对早期血管病变认识的初步调查  

Preliminary investigation about comprehension of early vascular disease detection in Chinese medical personnel

作　　者：王宏宇[1] 赵红薇[1] 郭远[1] 芦娜[1] 王敏[1] 

机构地区：[1]北京大学人民医院,北京100044

出　　处：《中国民康医学》2008年第9期859-861,共3页Medical Journal of Chinese People’s Health

基　　金：卫生部十年百项计划"血管病变早期检测技术推广"项目(项目编号:04-10-01);北京大学医学部心血管基础研究基金

摘　　要：目的:调查我国临床医务人员对于血管早期病变的认知现状。推广早期综合防治血管疾病策略。方法:2005年6月至2006年9月对参加卫生部十年百项计划"血管病变早期检测技术推广"项目学习班的临床医务人员进行问卷调查。问卷内容涉及:被调查人员所在医院常见心血管疾病种类;能最终降低心血管事件的策略;早期血管病变检测技术的具体项目;何种药物可以逆转早期血管病变;血管病变早期检测技术推广是否有利于降低我国心脑血管疾病的负担及血管病变早期检测技术推广普及的前提。结果:对655份回收的有效问卷进行了统计分析,被调查者住院医师占21.68%,主治医师占36.95%,副主任/主任医师占25.65%。被调查者所在医院最常见心血管疾病顺序分别为心绞痛55.42%,脑卒中38.17%,心肌梗死28.70%,心力衰竭28.24%,高血压28.24%;关于血管病变早期检测57.40%的被调查者认为通过动脉内皮功能测定,认为通过血管造影者占46.72%,认为通过脉搏波速度(PWV)和颈动脉内膜中层厚度(IMT)测定者分别占40.61%和31.76%;分别有76.49%和53.89%的被调查人群认为血管紧张素转换酶抑制剂(ACE I)和他汀类药物能够逆转早期血管病变;96.79%的被调查者认为推广血管病变早期检测技术有利于降低我国心脑血管疾病总体负担;78.47%的被调查者认为用于推广的早期血管病变检测技术应该是操作方便和无创伤。结论:约半数被调查医务人员对早期无创血管病变检测方法不熟悉,无创血管病变早期检测技术仍需进一步推广。Objective ：To explore knowledge about early vascular disease among medical staff in our country. Promotion of early comprehensive vascular disease control strategy. Vascular disease is major cause of critical brain and heart events. Early detection of vascular disease helps for vascular disease control. Methods：From June, 2005 to September, 2006, we conducted questionnaire exploration for persons who attended continuous education program named vascular disease early detection strategy promotion project which approved by national ministry of health. Questionnaire included： the most common kind of cardiovascular disease; the effective strategy for decreasing cardiovascular events ; the methods of early vascular disease detection; the therapy for early vascular disease regression ; whether or not vascular disease early detection strategy promotion project could reduce burden of cardiovascular disease in our country and which was the prerequisite aspect of vascular disease early detection strategy promotion project. Results： 655 questionnaires for final statistical analysis. Among all persons who finished questionnaire 21.68% were resident physician,36.95% were attending physician, 25.65 % were vice chief physician/chief physician ; the most common cardiovascular disease in the investigated persons hospitals were angina （ 55.42% ）, stroke （ 38. 17% ）, myocardial infarction （ 28.70% ）, heart failure （ 28.24% ）, hypertension （ 28. 24% ） ; as for early vascular disease detection methods,57.40% of investigated persons thought artery endothelial function examination,46.72% thought angiography, pulse wave velocity（PWV） measurement and carotid intima - media thickness（IMT） measurement were 40.61% and 31.76% ;76.49% and 53.89% of the investigated persons thought angiotension converting enzyme inhibitor （ACEI） and statins could revert early vascular disease;96.79% of the investigated persons thought promotion early vascular disease detection strategy could help for reducing total burden

关 键 词：调查 血管病变 检测 

分 类 号：R54[医药卫生—心血管疾病]