儿童咳嗽相关疾病中医诊疗适宜技术推广应用的研究  

Popularization and Application of Appropriate TCM Technology in Diagnosing and Treating Cough-Related Diseases of Children

作　　者：李伟伟[1] 吴要伟[1] 王力宁[1] 

机构地区：[1]广西中医学院第一附属医院儿科,广西南宁市530023

出　　处：《中国全科医学》2011年第4期456-458,共3页Chinese General Practice

基　　金：2008年广西卫生厅卫生适宜技术推广项目(S200820)

摘　　要：目的探讨儿童咳嗽相关疾病中医诊疗适宜技术在广西基层推广的模式和绩效,为我国广大基层医疗卫生适宜技术的推广提供实践经验和理论依据。方法 2008年3月—2010年7月在广西基层进行儿童咳嗽相关疾病中医诊疗适宜技术推广应用,培训基层医务人员,并现场实施亲临指导;制作调查表,培训前后搜集相关数据,用SPSS17.0进行统计学分析。结果对儿童咳嗽相关疾病中医诊疗适宜技术推广影响因素进行多元线性回归分析,得出接受培训医师的"工作年限、学历、现从事专业、是否参加过中医培训、培训前中医诊疗技术水平"对培训效果有明显影响(P<0.05)。培训后接受培训医务人员对该技术"知识"的把握度、"临床技能应用"程度、"疗效程度"满意度、基层应用满意度与治疗前比较差异均有统计学意义(P<0.05)。结论儿童咳嗽相关疾病中医诊疗适宜技术在广西基层推广取得良好的成效,该技术推广模式有较好的实用性和指导性。Objective To study the mode and efficacy of popularization and application of appropriate traditional Chinese medicine（TCM） technology in diagnosing and treating cough-related diseases of children in Guangxi basic units so as to provide practical experience and theoretical basis for the promotion of appropriate technology in our primary healthcare. Methods From March 2008 to July 2010,we had applied and disseminated appropriate TCM technology in diagnosing and treating cough-related diseases of children in Guangxi basic units,trained grassroots medical personnel and given personal instructions at the scene;then created questionnaire for collecting relevant data before and after training,and carried on statistic analysis with SPSS 17.0. Results The multiple linear regression analysis showed that work experience,educational background,present profession,participation of TCM training,skills of TCM diagnosis and treatment before training of the trained physicians affected training effectiveness（P0.05）.Ridit analysis demonstrated that after training the trained personnel showed good results in grasping degree,clinical skills application level,satisfaction of effective degree,satisfaction of grassroots application of the knowledge technology（P0.05）. Conclusion Good results have been achieved in promoting appropriate TCM technology in diagnosing and treating cough-related diseases of children in Guangxi basic units,and the mode of technology promotion is practical and instructional.

关 键 词：儿童咳嗽 中医 卫生适宜技术 

分 类 号：R256.11[医药卫生—中医内科学]