河北省二、三级医院急诊医师对肺栓塞诊疗情况的现状及分析  

Status quo survey:emergency physicians in the treatment of pulmonary embolismin the secondary and tertiary hospitals in Hebei

作　　者：张明明[1] 张瑛琪[1] 游道锋[1] 陈莹[1] ZHANG Mingming;ZHANG Yingqi;YOU Daofeng(Department of Emergency,The First Hospital of Hebei Medical University,Hebei,Shijiazhuang 050031,China)

机构地区：[1]河北医科大学第一医院急诊科,石家庄市050031

出　　处：《河北医药》2022年第20期3176-3179,共4页Hebei Medical Journal

基　　金：河北省财政厅项目(编号:LNB202010)。

摘　　要：目的了解河北省二、三级医院急诊医师对肺栓塞诊疗的实际情况,为合理组织二、三级医院急诊医师肺栓塞培训、推动肺栓塞诊疗提供数据。方法对2020年河北省急诊年会会场来自42家医院的242名急诊医师(二级医院116人,三级医院126人)进行肺栓塞相关诊疗情况问卷调查。结果调查问卷42家医院二三级医院急诊医师共242人,81%来自中高级职称,近半数以上(51%)来自高级职称;三级医院急诊医师临床诊疗中接诊肺栓塞患者比例明显高于二级医院,差异有统计学意义(P<0.05);三级医院急诊医师诊疗中应用相关量表进行肺栓塞风险评估比例明显高于二级医院,差异有统计学意义(P<0.05);三级医院急诊医师肺栓塞诊疗项目比例明显高于二级医院,差异有统计学意义(P<0.05);二、三级医院急诊医师肺栓塞不同危险分层检查及治疗比例,差异无统计学意义(P>0.05)。结论应加强急诊医师尤其二级医院急诊医师肺栓塞相关诊疗知识的继续教育,提高急诊医师对肺栓塞的诊治水平。Objective To understand the actual situation regarding treatment pulmonary embolism(PE)aiming to provide data for PE training of emergency physicians(EP)in Hebei secondary and tertiary hospitals and promote its development.Methods The site questionnaires regarding treatment PE were performed among 242 EP from 42 hospitals(116 in the secondary hospitals and 126 in the tertiary hospitals)at Hebei 2020 Academic Emergency Medicine Annual Meeting.Results Among 42 hospitals(secondary and tertiary hospitals),the 242 EP participated in the questionnaires,81%of whom had intermediate and senior professional titles,51%had senior professional titles.In the tertiary hospitals,the clinic rate of patients with PE was significantly higher than that in the secondary hospitals(P<0.05).The proportion of risk assessment for PE using relevant scales in the tertiary hospitals was remarkably higher than that in the secondary hospitals(P<0.05).The proportion of PE project in the tertiary hospitals was notably higher than that in the secondary hospitals(P<0.05).The difference was not statistically significant in risk stratification and treatment for PE by EP in the second and third-level hospitals(P>0.05).Conclusion The continuing education regarding treatment PE should be strengthened,especially EP in the secondary hospitals,to further enhance the level of treatment PE.

关 键 词：肺栓塞 调查 诊断 治疗 

分 类 号：R563.5[医药卫生—呼吸系统]