新型冠状病毒肺炎疫情期间河北省27家三级甲等医院消化内镜开展情况的调查报告  

Investigation on situation of digestive endoscopy in 27 gradeⅢlevel A hospitals in Hebei Province during the outbreak of Coronavirus Disease 2019

作　　者：刘学臣[1] 杜宏伟 田慧[1] 赵东强[1] 陈雷[1] 纪晨光[1] 姜慧卿[1] 于卫芳[2] 于永礼[3] 王军民 王丽华 兰永臻[6] 刘丽波[7] 刘改芳 刘国祥 闫再宏 李志婷 李建辉[12] 李炳庆[13] 吴明利[14] 沈毅慧[15] 张向梅[16] 张杰[17] 张金宝 周胜云[19] 孟杰[20] 赵俊精[21] 姜东春[22] 徐超[23] 高会斌[24] 郭永泽[25] 韩占波[26] 靳海峰 熊英 冯志杰[1] 无 JI Chenguang;JIANG Huiqing;YU Weifang;YU Yongli;WANG Junmin;WANG Lihua;LAN Yongzhen;LIU Libo;LIU Gaifang;LIU Guoxiang;YAN Zaihong;LI Zhiting;LI Jianhui;LI Bingqing;WU Mingli;SHEN Yihui;ZHANG Xiangmei;ZHANG Jie;ZHANG Jinbao;ZHOU Shengyun;MENG Jie;ZHAO Junjing;JIANG Dongchun;XU Chao;GAO Huibin;GUO Yongze;HAN Zhanbo;JIN Haifeng;XIONG Ying;FENG Zhijie;无(Department of Gastroenterology,The Second Hospital of Hebei Medical University,Shijiazhuang,Hebei,050000;CenteRof Endoscopy,The First Hospital of Hebei Medical University,Shijiazhuang,Hebei,050000;CenteRof Endoscopy,Cangzhou Central Hospital,Cangzhou,Hebei,061000;Department of Gastroenterology,The Third Hospital of Hebei Medical University,Shijiazhuang,Hebei,050000;Department of Gastroenterology,Hengshui People's Hospital,Hengshui,Hebei,053000;Department of Gastroenterology,Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine,Cangzhou,Hebei,061000;Department of Gastroenterology,The 981 st Hospital of Joint Service Support Force of People's Liberation Army,Chengde,Hebei,067000;Department of Gastroenterology,Hebei Provincial People's Hospital,Shijiazhuang,Hebei,050000;Department of Gastroenterology,Tangshan Work's Hospital,Tangshan,Hebei,063000;Department of Gastroenterology,Hebei Petro China Central Hospital,Langfang,Hebei,065000;Department of Gastroenterology,The Affiliated Hospital of North China University of Science and Technology,Tangshan,Hebei,063000;Department of Gastroenterology,Chengde Central Hospital,Chengde,Hebei,067000;Department of Gastroenterology,Affiliated Hospital of Chengde Medical College,Chengde,Hebei,067000;CenteRof Endoscopy,The Fourth Hospital of Hebei Medical University,Shijiazhuang,Hebei,050000;Department of Gastroenterology,General Hospital of North China Petroleum Administration,Renqiu,Hebei,062550;Department of Gastroenterology,Handan First Hospital,Handan,Hebei,056000;Department of Gastroenterology,Kailuan General Hospital,Tangshan,Hebei,063000;Department of Gastroenterology,Cangzhou People's Hospital,Cangzho

机构地区：[1]河北医科大学第二医院消化科,河北石家庄050000 [2]河北医科大学第一医院内镜中心,河北石家庄050000 [3]河北省沧州市中心医院内镜中心,河北沧州061000 [4]河北医科大学第三医院消化科,河北石家庄050000 [5]河北省衡水市人民医院消化科,河北衡水053000 [6]河北省沧州中西医结合医院消化科,河北沧州061000 [7]中国人民解放军联勤保障部队第981医院消化科,河北承德067000 [8]河北省人民医院消化科,河北石家庄050000 [9]河北省唐山市工人医院消化科,河北唐山063000 [10]河北中石油中心医院消化科,河北廊坊065000 [11]华北理工大学附属医院消化科,河北唐山063000 [12]河北省承德市中心医院消化科,河北承德067000 [13]承德医学院附属医院消化科,河北承德067000 [14]河北医科大学第四医院内镜中心,河北石家庄050000 [15]华北石油管理局总医院消化科,河北任丘062550 [16]河北省邯郸市第一医院消化科,河北邯郸056000 [17]开滦总医院消化科,河北唐山063000 [18]河北省沧州市人民医院消化科,河北沧州061000 [19]河北省邢台市人民医院消化科,河北邢台054000 [20]河北大学附属医院消化科,河北保定071000 [21]河北省廊坊市人民医院消化科,河北廊坊065000 [22]河北省秦皇岛市第一医院消化科,河北秦皇岛066000 [23]河北省邯郸市中心医院消化科,河北邯郸056000 [24]河北北方学院附属第一医院消化科,河北张家口075000 [25]河北工程大学附属医院消化科,河北邯郸056000 [26]河北省石家庄市第一医院消化科,河北石家庄050000 [27]中国人民解放军联勤保障部队第980医院消化科,河北石家庄050000 [28]河北省保定市第一中心医院消化科,河北保定071000 [29]河北省医学会消化内镜学分会

出　　处：《实用临床医药杂志》2020年第9期1-5,共5页Journal of Clinical Medicine in Practice

基　　金：京津冀基础研究合作专项基金(H2018206450);河北省政府资助专科带头人基金项目(201805)。

摘　　要：目的探讨新型冠状病毒肺炎疫情对河北省消化内镜诊疗工作的影响。方法采用调查问卷表方式,对河北省27家三级甲等医院进行调查,比较新型冠状病毒肺炎疫情期间(2020年1月1日—4月10日)与2019年同期河北省消化内镜诊疗工作开展情况及变化。结果2020年新型冠状病毒肺炎疫情期间,消化内镜检查总量同比减少46.0%,内镜治疗量同比减少40.9%,以2月降低最为明显。急诊胃镜诊疗总量下降,但急诊胃镜在所有内镜检查中的占比较2019年同期显著增高(2.0%vs.1.8%,P<0.05)。新型冠状病毒肺炎疫情期间,经内镜逆行胰胆管造影术(ERCP)在内镜治疗中占比较2019年同期显著增高(14.8%vs.11.4%,P<0.05)。结论在新型冠状病毒肺炎疫情期间,河北省消化内镜检查量及治疗量均较2019年同期显著下降,但急诊胃镜和ERCP比率同比增长,最大限度地保障了危急重症消化道疾病患者的诊治。本研究为今后国家医疗系统应急管理提供决策参考。Objective To explore the impact of outbreak of Coronavirus Disease 2019 on diagnosis and treatment works of digestive endoscopy in hospitals in Hebei Province.Methods A questionnaire survey was carried out in 27 gradeⅢlevel A hospitals in Hebei Province,and sitiation and change of digestive endoscopy works were compared between outbreak of Coronavirus Disease 2019 from January 1 to April 10,2020 and the same period in 2019.Results During the outbreak of Coronavirus Disease 2019,the total amount of endoscopy examinations decreased by 46.0%in 2020,the amount of endoscopic treatment decreased by 40.9%,and the most obvious reduction was observed in February.The total numbeRof emergency gastroscopy diagnosis and treatment decreased,but the proportion of emergency gastroscopy in all the endoscopy examinations increased significantly when compared with that in the same period in 2019(2.0%vs.1.8%,P<0.05).During the outbreak of Coronavirus Disease 2019,the proportion of endoscopic retrograde cholangiopancreatography(ERCP)in all the endoscopy treatment increased significantly when compared with that in the same period in 2019(14.8%vs.11.4%,P<0.05).Conclusion During the outbreak of Coronavirus Disease 2019,the amounts of digestive endoscopy examinations and treatment in Hebei Province decrease significantly when compared with those in same period in 2019,but the proportions of emergency gastroscopy and ERCP increase year-by-year,which greatly ensures the diagnosis and treatment of critically ill patients with digestive tract diseases,and provides a decision-making reference foRnational medical emergency management in the future.

关 键 词：新型冠状病毒肺炎 消化内镜 急诊胃镜 经内镜逆行胰胆管造影术 疫情防控 

分 类 号：R563.1[医药卫生—呼吸系统]