止血防粘连材料临床需求及应用价值调研分析  

Investigation and analysis of clinical demand and application value of hemostatic and anti-adhesive materials

作　　者：止血防粘连材料临床应用调研课题组 贾旺[2] 孔北华[3] 康德智[4] 刘伦旭 罗卓荆 史颖弘[7] 杨建龙 Research Group on Clinical Application of Hemostatic and Anti-adhesion Materials(Zhongshan Hospital Fudan University,Shanghai,China;China Association of Medical Equipment,Beijing,China)

机构地区：[1]不详 [2]北京天坛医院 [3]山东大学齐鲁医院 [4]福建医科大学附属第一医院 [5]四川大学华西医院 [6]空军军医大学第一附属医院 [7]复旦大学附属中山医院 [8]中国医学装备协会

出　　处：《中国医学装备》2023年第8期151-158,共8页China Medical Equipment

摘　　要：目的:调查不同科室手术医生对止血材料与防粘连材料的需求情况和满意度,分析临床应用价值。方法:成立由临床医生、医用耗材管理专家和统计学专家组成的课题组,运用案头研究和专家咨询方法制定调查问卷,对全国范围多个医院的外科和妇科科室的临床医生开展调研。止血材料调研神经外科、胸外科、肝胆外科和脊柱外科;防粘连材料调研妇科;收集手术开展情况、材料临床应用现状、材料临床价值满意度相关信息,对有效问卷进行统计分析和数据一致性评价。结果:共收集180份问卷,其中有效问卷169份,调研对象来自全国28个省、自治区和直辖市的107家三级医院。不同科室手术中对于各个形态止血材料的临床需求和满意度存在差异,神经外科手术医生最常使用的形态类别为纤丝、流体明胶和海绵,胸外科主要为非织布,肝胆外科主要为纤丝,脊柱外科主要为流体明胶、海绵和蜡。神经外科和脊柱外科手术中,纤丝、流体明胶和海绵类止血材料对于手术止血的总体重要性显著高于纱布类,差异有统计学意义(x神经外科2=17.34,x^(2)=27.65,x^(2)=10.77;x_(脊柱外科)^(2)=7.54,x^(2)=18.93,x^(2)=5.52;P<0.05)。胸外科和肝胆外科手术中,非织布和纤丝类止血材料对于手术止血的总体重要性高于纱布类,差异有统计学意义(x_(胸外科)^(2)=22.04,x^(2)=17.28;x_(肝胆外科)^(2)=14.17,x^(2)=35.43;P<0.05)。妇科手术中编织膜为医生最常选用的防粘连材料形态类别,占比为60.0%~82.8%。结论:止血防粘连材料临床需求及应用价值调研结果能够反映其一线临床应用需求,可为止血材料和防粘连材料的目录制定、招采准入和应用管理提供参考依据。Objective:To investigate the clinical demand and satisfaction surgeons in different departments for hemostatic materials and anti-adhesion materials.Methods:A research group of experts composed of surgeons,medical consumables management experts and statistical experts was established and questionnaires were formulated by using methods of desk research and expert consultation,and a nationwide survey of surgeons in multiple departments was conducted.Survey was conducted of neurosurgery,thoracic surgery,hepatobiliary surgery and spine surgery on hemostasis materials and of gynecology on anti-adhesion materials.Relevant information on the operation situation,clinical application status of materials,and satisfaction with the clinical value of materials was collected.Statistical analysis and data consistency evaluation of on valid questionnaires were conducted.Results:A total of 180 questionnaires were collected,of which 169 were valid.The research objects came from 107 first-tier hospitals in 28 provinces,autonomous regions and municipalities.There were differences in clinical demands and satisfaction of different types of hemostatic materials across surgical departments.The morphological categories most commonly used by neurosurgeons are fibrils,fluid gelatin,and sponges.Non-woven fabrics were mainly used for thoracic surgery,filaments were mainly used for hepatobiliary surgery,fluid gelatin,sponge and wax were mainly used for spinal surgery.In neurosurgery and spine surgery,the overall importance of fibrillar,fluid gelatin,and sponge hemostatic materials for surgical hemostasis was significantly higher than gauze,and the difference was statistically significant(x_(Neurosurgery)^(2)=17.34,x^(2)=27.65,x^(2)=10.77;x_(Spine Surgery)^(2)=7.54,x^(2)=18.93,x^(2)=5.52;P<0.05).In thoracic surgery and hepatobiliary surgery,the overall importance of non-woven and fibrillar hemostatic materials was higher than that of gauze,the difference was statistically significant(x_(thoracic)^(2)=22.04,x^(2)=17.28;x_(hepatobiliar)^(2)=14.1

关 键 词：止血材料 防粘连材料 临床需求 医用耗材管理 应用评价 

分 类 号：R197.39[医药卫生—卫生事业管理]