国内医院急诊科中西医结合诊治现状调查  

Survey on the current status of integrated traditional Chinese and western medicine in emergency departments of hospitals in China

作　　者：杨峥 尹广超[1] 李海林[1] 陈明显[2] 姜爱华[1] Yang Zheng;Yin Guangchao;Li Hailin;Chen Mingxian;Jiang Aihua(Department of Emergency,Tongde Hospital of Zhejiang Province,Hangzhou 310012 Zhejiang,China;Department of Gastroenterology,Tongde Hospital of Zhejiang Province,Hangzhou 310012 Zhejiang,China)

机构地区：[1]浙江省立同德医院急诊科,浙江杭州310012 [2]浙江省立同德医院消化科,浙江杭州310012

出　　处：《中国中西医结合急救杂志》2024年第5期605-612,共8页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：国家中医药管理局全国中医临床优秀人才研修项目(2022-1);浙江省551卫生人才培养工程2021年度卫生创新人才培养项目(2021-40);浙江省中医药科技计划项目(2022ZB061)。

摘　　要：目的调查我国各类综合医院急诊科中西医结合诊治现状和存在的问题,为中西医结合急救医学的发展提供参考依据。方法2022年11月18日至2023年2月28日,以中国中西医结合学会急救医学专业委员会委员为基础网络通过在线问卷调查全国21个省/直辖市的291家医院,问卷内容包括医院和急诊科基本信息、人员配置、医疗质量管理、设备配置、中医技术技能(包含中药应用和中医非药物治疗)等5个方面调查,分“中医和中西医结合医院”“西医医院”两种类型对照研究急诊科中西医结合诊治现状。结果共收集到有效问卷291份,涵盖全国21个省和直辖市的291家医院,其中中医和中西医结合医院142家,西医院149家。中医和中西医结合医院急诊科医生数量明显少于西医医院[名:11.00(7.00,18.75)比20.00(13.00,31.00),P<0.01]。中医和中西医结合医院中医医生数量、中西医结合医生数量、“西学中”医生数量均明显多于西医医院[中医医生数量(名):4.00(2.00,9.00)比0.00(0.00,0.00),中西医结合医生数量(名):1.00(0.00,4.00)比0.00(0.00,0.00),“西学中”医生医生数量(名):2.00(0.00,5.00)比0.00(0.00,0.00),均P<0.01],西医医生数量明显少于西医医院[名:4.00(1.00,7.50)比25.50(16.00,37.00),P<0.01]。中医和中西医结合医院急诊科护士数量明显少于西医医院[名:23.00(16.00,38.75)比42.00(30.00,80.00),P<0.01]。中医和中西医结合医院具有中医背景的护士数量、具有“西学中”背景的护士数量均明显多于西医医院[中医护士数量(名):1.50(0.00,5.75)比0.00(0.00,0.00),“西学中”护士数量(名):1.00(0.00,7.75)比0.00(0.00,0.00),均P<0.01],西医护士数量明显少于西医医院[名:15.00(9.00,25.00)比42.00(27.00,79.00),P<0.01]。医疗质量管理情况中,西医院急诊诊间、抢救室、留观室设置率接近中医和中西医结合医院,但急诊科病房和急诊重症监护病房(EICU)设置率及床位数明�Objective To investigate the current situation and existing problems regarding the diagnosis and treatment integrating traditional Chinese and western medicine in the emergency departments of various general hospitals in China to provide a reference for the development of integrated traditional Chinese and western medicine emergency medicine.Methods From November 18,2022 to February 28,2023,an online questionnaire survey was conducted among 291 hospitals in 21 provinces/municipalities directly under the Central Government across the country,which was based on the members of the Emergency Medicine Professional Committee of the Chinese Association of the Integration of Traditional Chinese and Western Medicine.The questionnaire covered 5 aspects:basic information of hospitals and emergency departments,personnel allocation,medical quality management,equipment allocation,and traditional Chinese medicine techniques and skills(including the application of traditional Chinese medicine and non-drug treatment of traditional Chinese medicine).A comparative study was carried out between the"hospitals of traditional Chinese medicine and integrated traditional Chinese and western medicine"and"western medicine hospitals"on the current situation of integrated traditional Chinese and western medicine diagnosis and treatment in the emergency department.Results A total of 291 valid questionnaires were collected,covering 291 hospitals in 21 provinces and municipalities directly under the Central Government across the country.Among them,142 were hospitals of traditional Chinese medicine and integrated traditional Chinese and western medicine,and 149 were western medicine hospitals.The number of doctors in the emergency departments of hospitals of traditional Chinese medicine and integrated traditional Chinese and western medicine were significantly less than that of western medicine hospitals[individuals:11.00(7.00,18.75)vs.20.00(13.00,31.00),P<0.01].Specifically,the numbers of traditional Chinese medicine doctors,integrated traditio

关 键 词：急诊科 中西医结合 应用 现状调查 

分 类 号：R47[医药卫生—护理学]