CAJ | 학술논문

目的调查广西壮族自治区肿瘤放射治疗学科发展现状.方法以现场调查为主,辅以电话或电子邮件联系等方式,调查广西医疗机构放疗学科设置、人员配备、放疗设备配置情况及业务规范化开展情况.结果截至2014年8月底,广西共有40家医疗机构已开展放疗,正在筹建的5家,其中38家已开展三维适形放疗技术,23家开展调强放疗技术,5家开展容积图像引导技术.共有医用直线加速器48台,后装治疗机15台,γ刀/X刀4台.从事放疗的人员(不含护士)647人,其中,医生322人,物理师100人,技师213人,专职工程师12人.开放病床2 000 ～2 500张,2013年全区共有约2万名肿瘤患者接受放疗,日均治疗1 600 ～2 000人次.结论广西现有放疗资源不足,放疗设备投入不够,接受放疗的肿瘤患者所占比例不高,需合理规划发展;各单位放疗质量参差不齐,需建立统一的诊疗规范,整体提高广西的放疗水平;医务人员不足,物理技术方面高素质人才缺乏,需大力培养和引进高素质的专技人员;在新技术的临床引进方面相较我国发达地区有所落后.
목적 조사엄서장족자치구종류방사치료학과발전현상.방법 이현장조사위주,보이전화혹전자유건련계등방식,조사엄서의료궤구방료학과설치、인원배비、방료설비배치정황급업무규범화개전정황.결과 절지2014년8월저,엄서공유40가의료궤구이개전방료,정재주건적5가,기중38가이개전삼유괄형방료기술,23가개전조강방료기술,5가개전용적도상인도기술.공유의용직선가속기48태,후장치료궤15태,γ도/X도4태.종사방료적인원(불함호사)647인,기중,의생322인,물리사100인,기사213인,전직공정사12인.개방병상2 000 ～2 500장,2013년전구공유약2만명종류환자접수방료,일균치료1 600 ～2 000인차.결론 엄서현유방료자원불족,방료설비투입불구,접수방료적종류환자소점비례불고,수합리규화발전;각단위방료질량삼차불제,수건립통일적진료규범,정체제고엄서적방료수평;의무인원불족,물리기술방면고소질인재결핍,수대력배양화인진고소질적전기인원;재신기술적림상인진방면상교아국발체지구유소락후.
Objective To investigate the development status of tumor radiotherapy in Guangxi Zhuang autonomous region in order to provide reference for the decision-making of the competent administrative departments for public health.Methods A questionnaire survey was conducted by the aid of on-site inspection and telephone or Email investigation among the medical institutions in Guangxi to know the current status of radiotherapy units and settings,human resources,allocation of radiotherapy facilities,and standardization of medical practices.Results Up to the end of August 2014,radiotherapy was carried out in 39 hospitals,with other 5 hospitals under preparation for construction.Among these 40 hospitals were three-dimensional conformal radiotherapy in 38,intensity modulated radiation therapy (IMRT) in 23,and image guided radiation therapy (IGRT) in 5.There were 48 linear accelerators,15 afterloading therapy apparatus,and 4 γ-knife or X-knife in Guangxi.There were 647 professional personnel (except nurses),including 322 radiation oncologists,100 radiotherapy physicists,213 radiotherapy technologists and 12 professional engineers.There were 2 000 to 2 500 hospital beds and 20 000 cancer patients had received radiotherapy in 2013.1 600 to 2 000 people received treatment on average every day.Conclusions The present radiotherapy resources in Guangxi are insufficient and the input to radiotherapy equipment is deficient,with low proportion of cancer patients treated with radiotherapy.Because of the uneven radiotherapy quality among different hospitals,the reasonable planned development and unified diagnostic and treatment practices are required to improve radiotherapy level in Guangxi.For shortage of medical staff and high-quality physical and technical personnel,the improvements are needed by fostering and introduction of personnel.Compared with developed regions in China,the introduction of new technology is largely needed.