中国整形美容手术麻醉行业现状调查  

A Survey of the Current Status of Anesthesiology for Plastic and Cosmetic Surgery in China

作　　者：严佳[1] 申乐[2] 姜虹[1] 黄宇光[2] YAN Jia;SHEN Le;JIANG Hong;HUANG Yuguang(Department of Anesthesiology,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]上海交通大学医学院附属第九人民医院麻醉科,上海200011 [2]中国医学科学院北京协和医院麻醉科,北京100730

出　　处：《协和医学杂志》2022年第3期440-448,共9页Medical Journal of Peking Union Medical College Hospital

摘　　要：目的 对我国医疗整形美容手术麻醉行业现状进行调查,以期为规范行业行为、保障患者围术期麻醉安全提供参考依据。方法 2021年11月1日至2022年1月31日,采用线上问卷调查的方式对我国开展整形美容麻醉业务的医疗机构进行调查,问卷内容包括医疗机构麻醉科设置,麻醉科主任/负责人基本信息,实施整形美容手术麻醉的人员配置,麻醉相关设备/设施及急救药品配置,整形美容亚专业麻醉医生工作、培训和科研情况,整形美容手术麻醉相关不良事件6个方面,并对公立医疗机构与非公立医疗机构调查结果进行比较。结果 共调查了244家医疗机构,覆盖全国31个省/直辖市。其中公立医疗机构118家,非公立医疗机构126家。(1)麻醉科设置:100%的公立医疗机构和98.41%的非公立医疗机构设置了麻醉科,其中非公立医疗机构麻醉科以学组形式隶属于整形美容外科的比例显著高于公立医疗机构(32.54%比17.80%,P=0.008)。(2)麻醉科主任/负责人基本信息:与非公立医疗机构比较,公立医疗机构麻醉科主任/负责人为高级职称(94.07%比64.29%,P<0.001)、研究生学历(61.02%比26.19%,P<0.001)、麻醉学执业年限大于15年(86.44%比38.10%,P<0.001)的比例均更高。(3)实施整形美容手术麻醉的人员配置:15.87%的非公立医疗机构无专职整形美容亚专业麻醉医生,34.92%聘请了外院兼职整形美容亚专业麻醉医生;虽然公立医疗机构每个手术间配置的专职麻醉医生数量显著高于非公立医疗机构(1.35±0.15比0.85±0.10,P=0.004),但手术间与麻醉医生数量的比值均未达1∶1.5。关于职称和学历分布,公立医疗机构职称为主任医师(11.14%比6.50%,P=0.009)和住院医师(28.77%比20.42%,P=0.020),学历为博士研究生(13.81%比2.36%,P<0.001)和硕士研究生(45.03%比21.51%,P<0.001)的专职整形美容亚专业麻醉医生占比更高。(4)麻醉相关设备/设施及急救药品配置:公立医疗机�Objective To investigate the current status of anesthesiology in plastic and cosmetic surgery in China, so as to provide a basis for standardizing the regulation of this industry and ensuring the safety of patients during perioperative anesthesia. Methods From November 1, 2021 to January 31, 2022, the online questionnaires were used to investigate the anesthesia practice status of medical institutions providing anesthesia services for plastic and cosmetic surgery in China. The contents of the questionnaires included the setting of anesthesiology department, the general information of the chiefs of the anesthesiology department, the anesthesia staffing of plastic and cosmetic surgery, the configuration of anesthesia-related equipment and emergency medicine, the responsibilities, status of training and scientific research of the anesthesiologists sub-specializing in plastic surgery, and the adverse events of anesthesia in plastic and cosmetic surgery. Then, the survey results of public and non-public medical institutions were compared. Results A total of 244 medical institutions were investigated, including 118 public hospitals and 126 non-public medical institutions.(1)The setting of the anesthesiology department: 100% of public hospitals and 98.41% of non-public medical institutions have established anesthesiology departments. Among them, the proportion of anesthesiology departments in non-public medical institutions that were affiliated to plastic surgery was significantly higher than that in public hospitals(32.54% vs. 17.80%, P=0.008).(2)The general information of the chiefs of the anesthesiology department: compared with non-public medical institutions, the proportion of senior title(94.07% vs. 64.29%, P<0.001), graduate degree(61.02% vs. 26.19%, P<0.001), and the duration of anesthesia service more than 15 years(86.44% vs. 38.10%,P<0.001) of the department chiefs or designated persons in public hospitals were higher.(3)The anesthesia staffing for plastic and cosmetic surgery: 15.87% of non-public medical ins

关 键 词：整形美容手术 麻醉 医疗机构 麻醉安全 

分 类 号：R62[医药卫生—整形外科]