基层医院肺动脉高压诊治现状预试验结果分析  

Feasibility of investigation on present situation of diagnosis and treatment in basic hospital in China

作　　者：孙明利[1] 张锐[2] 宁宁[2] 孙凯[3] 荆志成[3] 

机构地区：[1]中国医科大学航空总医院心内二科,北京100012 [2]同济大学附属上海市肺科医院心肺循环中心,上海200433 [3]中国医学科学院北京协和医学院阜外心血管病医院血栓性疾病诊治中心,北京100037

出　　处：《中国实用内科杂志》2014年第8期797-800,共4页Chinese Journal of Practical Internal Medicine

基　　金：协和学者特聘教授科研基金

摘　　要：目的分析《全国肺动脉高压诊治现状调查问卷》（简称问卷）的合理性，开展问卷调查的必要性和可行性。方法根据肺动脉高压流行状况、诊断方法、治疗措施以及对肺动脉高压的认识，设计《全国肺动脉高压诊治现状调查问卷》。在山西省晋中市随机抽取25所医院进行调查，；12总分析该问卷的合理性、开展全国问卷调查的必要性和可行性。结果共发放调查问卷25份，问卷回收率为100％。问卷共设29个问题，被调查者均能准确回答，回答率为100％。被调查医院包括2所三级乙等医院，16所二级甲等医院，2所二级乙等医院，5所一级医院。18所（72％）医院每月收治肺动脉高压患者1—3例，诊断依靠无创手段，病情评估不完整。除传统治疗外，仅3所（12％）医院使用靶向药物。17所（68％）医院认为开展问卷调查可行且必要。结论《全国肺动脉高压诊治现状调查问卷》设计合理，开展全国问卷调查必要且可行。Objective To analogize the design rationality of questionnaire about present situation of diagnostic procedure and treatment algorithm in basic hospitals in China, and to analyze the necessity and feasibility of investigation practicE. Methods The questionnaire about present situation of diagnostic procedure and treatment algorithm in basic hospitals in China was designed according to the prevalence, diagnostic procedure, treatment algorithm and the cognition on pulmonary hypertension, and answered by the directors in charge of diagnosis and treatment for pulmonary hypertension in 25 basic hos- pitals from Jinzhong City, Shanxi Province. The answered questionnaires were collected and analyzed. Results Twenty-five questionnaires were handed out and all of them were answered and handed in. The questionnaire involved 29 questions and all the questions can be answered accurately. Twenty-five hospitals included 2 upper second-class hospitals, 16 A-level sec- ondary hospitals,2 B-level secondary hospitals and 5 primary hospitals. One to three patients with pulmonary hypertension were diagnosed by noninvasive methods and treated without comprehensive assessment in 18 hospitals （72%）. Except for traditional therapy, target therapy with drugs was available only in 3 hospitals （12%）. Directors in 17 hospitals thought that questionnaires in Chinese basic hospital were necessary and feasible. Conclusion The design of questionnaire about pres- ent situation of diagnostic procedure and treatment algorithm in basic hospitals in China is reasonable. Performance of ques- tionnaire in M1 over China is necessary and feasible.

关 键 词：基层医院 肺动脉高压 

分 类 号：R543.2[医药卫生—心血管疾病]