消化内科医师对新型冠状病毒肺炎所致消化系统损害知晓度调查  

A survey on the awareness of digestive system injury caused by coronavirus disease 2019 in gastroenterologists

作　　者：刘卉 王斌 刘凯军 文良志 汪兴伟 李琴 张慧茹 陈东风 魏艳玲 崔红利 张艳梅 Liu Hui;Wang Bin;Liu Kaijun;Wen Liangzhi;Wang Xingwei;Li Qin;Zhang Huiru;Chen Dongfeng;Wei Yanling;Cui Hongli;Zhang Yanmei(Department of Gastroenterology,Daping Hospital,Army Military Medical University,Chongqing 400042,China)

机构地区：[1]陆军军医大学大坪医院消化内科,重庆400042

出　　处：《中华消化杂志》2020年第3期162-166,共5页Chinese Journal of Digestion

摘　　要：目的了解消化内科医师对新型冠状病毒肺炎(COVID-19)消化系统损害的知晓度。方法2020年2月21至23日,通过电子问卷形式,主要了解全国消化内科医师对COVID-19基础知识和COVID-19消化系统损害相关知识的知晓情况。采用卡方检验进行统计学分析。结果全国31个省、市、自治区共2216名消化内科医师完成问卷调查。99.7%(2209/2216)的消化内科医师表示阅读过COVID-19诊治指南。对COVID-19疑似病例和确诊病例诊断标准非常清楚的医师分别占34.9%(774/2216)和39.4%(874/2216);对COVID-19可检测途径和肺部影像学表现回答正确者分别占68.4%(1516/2216)和71.6%(1586/2216)。住院医师、主治医师、副主任医师和主任医师对COVID-19消化系统损害知识的回答正确率分别为30.9%(134/433)、33.9%(234/691)、32.4%(213/657)、34.9%(152/435),不同职称医师之间比较差异无统计学意义(χ^2=6.60,P>0.05)。95.6%(2119/2216)的消化内科医师认为使用益生菌可能有效改善肠功能,94.0%(2082/2216)的消化内科医师认为肠内营养支持治疗可改善患者预后。结论我国消化内科医师对COVID-19消化系统损害的相关知识和动态进展掌握尚显不足,对此进行系统性、有针对性的培训十分必要。Objective To investigate the awareness of digestive system injury caused by coronavirus disease 2019(COVID-19)in gastroenterologists.Methods From February 21 to 23 in 2020,the electronic questionnaire was used to learn about the condition of the basic knowledge of COVID-19 and awareness of digestive system injury caused by COVID-19 among the gastroenterologists across the country.Chi-square test was used for statistical analysis.Results A total of 2216 gastroenterologists from 31 provinces,autonomous regions and municipalities nationwide completed the survey.99.7%(2209/2216)of gastroenterologists stated that they had read the COVID-19 diagnosis and treatment guidelines.The percentages of physicians who knew clearly about the diagnostic criteria of suspected and confirmed cases of COVID-19 was 34.9%(774/2216)and 39.4%(874/2216),respectively.The percentages of physician who gave the right answers of COVID-19 detectable methods and pulmonary imaging was 68.4%(1516/2216)and 71.6%(1586/2216),respectively.The percentages of correct answers of digestive system injury caused by COVID-19 were physicians and chief physicians was 30.9%(134/433)in residents,33.9%(234/691)attending physicians,32.4%(213/657)associated chief physicians and 34.9%(152/435)chief physicians,respectively,however there were no statistically significant differences among physicians with different professional titles(χ^2=6.60,P>0.05).95.6%(2119/2216)of gastroenterologists believed that probiotics could effectively improve bowel function,and 94.0%(2082/2216)of gastroenterologists considered that enteral nutrition support could improve patients’prognosis.Conclusions The knowledge and dynamic progress of the digestive system injury caused by COVID-19 are still insufficiently grasped by gastroenterologists in China.So it is necessary to carry out systematic and pertinent training programmes for them.

关 键 词：新型冠状病毒肺炎 2019新型冠状病毒 消化系统损害 问卷调查 

分 类 号：R563[医药卫生—呼吸系统]