中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2012年
6期
316-318
,共3页
张修礼%唐平%孔金艳%路新卿%杨云生
張脩禮%唐平%孔金豔%路新卿%楊雲生
장수례%당평%공금염%로신경%양운생
胃肠道内窥镜%无痛%调查报告
胃腸道內窺鏡%無痛%調查報告
위장도내규경%무통%조사보고
Gastrointestinal endoscopes%Sedation%Survey report
目的 调查国内医院无痛胃肠镜的开展近况.方法 以国内不同省份的各级医院消化内镜中心(室)为调查对象,采用电子邮件或电话问卷调查方式对无痛胃肠镜开展情况进行汇总分析.结果 共有169家医院纳入调查分析,分布于28个省(自治区或直辖市),占国内大陆省份的90.3％ (28/31),其中三级医院为46家,二级医院为91家,一级医院为32家.110家(65.1％,110/169)开展了无痛胃肠镜,其中93.5％ (43/46)的被调查三级医院、68.1％(62/91)的二级医院及15.6％ (5/32)的一级医院开展了无痛胃肠镜,三级医院开展率明显高于二级医院(P＜0.05),二级医院则显著高于一级医院(P＜0.05).在110家开展无痛胃肠镜的医院中,只有10家(9.1％)消化内镜室配备了专职麻醉医师,且这10家均为三级医院,占开展无痛胃肠镜三级医院的23.3％( 10/43).110家开展无痛胃肠镜的医院中,98家(89.1％)使用或联合使用丙泊酚作为镇静剂.结论 国内无痛胃肠镜在过去十余年内得到迅速发展,但一、二级医院开展率仍较低,且专职麻醉医师(或麻醉护士)普遍缺少是目前面临的主要问题.
目的 調查國內醫院無痛胃腸鏡的開展近況.方法 以國內不同省份的各級醫院消化內鏡中心(室)為調查對象,採用電子郵件或電話問捲調查方式對無痛胃腸鏡開展情況進行彙總分析.結果 共有169傢醫院納入調查分析,分佈于28箇省(自治區或直轄市),佔國內大陸省份的90.3％ (28/31),其中三級醫院為46傢,二級醫院為91傢,一級醫院為32傢.110傢(65.1％,110/169)開展瞭無痛胃腸鏡,其中93.5％ (43/46)的被調查三級醫院、68.1％(62/91)的二級醫院及15.6％ (5/32)的一級醫院開展瞭無痛胃腸鏡,三級醫院開展率明顯高于二級醫院(P＜0.05),二級醫院則顯著高于一級醫院(P＜0.05).在110傢開展無痛胃腸鏡的醫院中,隻有10傢(9.1％)消化內鏡室配備瞭專職痳醉醫師,且這10傢均為三級醫院,佔開展無痛胃腸鏡三級醫院的23.3％( 10/43).110傢開展無痛胃腸鏡的醫院中,98傢(89.1％)使用或聯閤使用丙泊酚作為鎮靜劑.結論 國內無痛胃腸鏡在過去十餘年內得到迅速髮展,但一、二級醫院開展率仍較低,且專職痳醉醫師(或痳醉護士)普遍缺少是目前麵臨的主要問題.
목적 조사국내의원무통위장경적개전근황.방법 이국내불동성빈적각급의원소화내경중심(실)위조사대상,채용전자유건혹전화문권조사방식대무통위장경개전정황진행회총분석.결과 공유169가의원납입조사분석,분포우28개성(자치구혹직할시),점국내대륙성빈적90.3％ (28/31),기중삼급의원위46가,이급의원위91가,일급의원위32가.110가(65.1％,110/169)개전료무통위장경,기중93.5％ (43/46)적피조사삼급의원、68.1％(62/91)적이급의원급15.6％ (5/32)적일급의원개전료무통위장경,삼급의원개전솔명현고우이급의원(P＜0.05),이급의원칙현저고우일급의원(P＜0.05).재110가개전무통위장경적의원중,지유10가(9.1％)소화내경실배비료전직마취의사,차저10가균위삼급의원,점개전무통위장경삼급의원적23.3％( 10/43).110가개전무통위장경적의원중,98가(89.1％)사용혹연합사용병박분작위진정제.결론 국내무통위장경재과거십여년내득도신속발전,단일、이급의원개전솔잉교저,차전직마취의사(혹마취호사)보편결소시목전면림적주요문제.
Objective To investigate the popularity of the sedated gastrointestinal endoscopy in mainland China.Methods The survey on the popularity of the sedated gastrointestinal endoscopy was conducted with questionnaires sent by e-mails or telephones to the GI endoscopy units of three levels of hospitals.Results From May,2010 to November,2010,169 units from 28 provinces (90.3％ ) were enrolled,including 46 hospitals of grade Ⅲ,91 of grade Ⅱ and 32 of grade Ⅰ.Sedated gastrointestinal endoscopy were performed in 110 (65.1％,110/169) hospitals,i.e.93.5％ (43/46) grade Ⅲ hospitals,68.1％(62/91) grade Ⅱ hospitals and 15.6％ (5/32) grade Ⅰ hospitals.Significant difference was observed between the grade Ⅲ and the grade Ⅱ hospitals (P ＜ 0.05 ),so was between the grade Ⅱ and the grade Ⅰ hospitals ( P ＜ 0.05 ).Propofol was frequently used in sedation in 98 hospitals ( 89.1％ ).The only 9.1％( 10/110)hospitals,which had full-time anesthetists or anesthetic nurses,were all grade Ⅲ hospitals.Conclusion There has been great progress in the popularity of sedated gastrointestinal endoscopy in mainland China during the past decade.However,it is less frequently pefformed in grade Ⅰ and Ⅱ hospitals.Shortage of full-time anesthetists is still a problem.
