重庆市48家医院呼吸内镜应用情况调查分析  

Investigation and analysis of respiratory endoscopy application in 48 hospitals in Chongqing

作　　者：金星星[1] 张霞[1] 肖洋[1] 肖梅玲[1] 谭太蓉 丁敏[1] JIN Xingxing;ZHANG Xia;XIAO Yang;XIAO Meiling;TAN Tairong;DING Min(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院呼吸与危重症医学科,重庆400016

出　　处：《检验医学与临床》2020年第16期2322-2324,共3页Laboratory Medicine and Clinic

摘　　要：目的通过对重庆市48家医院呼吸内镜室内镜应用情况调查,了解呼吸内镜应用现状及存在的问题,为完善和实施重庆市呼吸内镜质量管理体系打下基础。方法对重庆市48家医院进行问卷调查,统计呼吸内镜开展情况、内镜室人员配置情况、内镜室布局及清洗消毒管理现状调查。结果 48家医院均开展了普通支气管镜检查项目,仅少部分医院开展了内科胸腔镜和硬质镜技术,年内镜诊疗量在二、三级医院比较,差异有统计学意义(P<0.05)。内镜室布局及基础设施配置方面,在二、三级医院比较,差异有统计学意义(P<0.05)。被调查的医院中,从事内镜操作的人员多为兼职,拥有专职人员的单位共8家且均为三级医院。结论重庆市呼吸内镜多应用于对气道疾病的诊治,缺乏对胸腔疾病的诊治和镜质支气管镜技术的开展。市内各医院内镜室医疗资源配置薄弱且分布不均。医务人员缺乏系统培训,专职人员缺乏等问题仍存在。Objective To investigate the application status and existing problems of respiratory endoscopy by investigating the application of endoscopic endoscopy in 48 hospitals in Chongqing,and lay a foundation for improving and implementing the quality management system of respiratory endoscopy in Chongqing.Methods Questionnaires were carried out in 48 hospitals including.To collect statistics on the development of respiratory endoscopy,the configuration of the endoscopy room,the layout of the endoscope room,and the current status of cleaning and disinfection management.Results Forty-eight hospitals carried out general bronchoscopy,and only a small number of hospitals carried out medical thoracoscopy and rigid microscopy.The annual endoscopic examination volume was compared in the second and third level hospitals,with statistically significant difference(P<0.05).In terms of endoscopy room layout and infrastructure configuration,there were statistically significant differences between the second and third level hospitals,the difference was statistically significant(P<0.05).In the hospitals investigated,most of the staff engaged in endoscopic operation were part-time,and there were 8 units with full-time staff,all of which were third level hospitals.Conclusion The application of respiratory endoscopy in Chongqing pays more attention to the diagnosis and treatment of airway diseases,lacks of thoracic diseases and the development of Rigid Bronchoscopy.The distribution of medical resources in endoscopy room is weak and uneven.The problems such as lack of systematic training and full-time staff for medical staff are still exist.

关 键 词：重庆市 呼吸内镜 调查分析 

分 类 号：R197.3[医药卫生—卫生事业管理]