CAJ | 학술논문

目的摸清我国消化内镜技术诊疗现状,为消化内镜技术规范化管理提供循证支持.方法采取网络直接填报的方式,对我国的31个省、直辖市、自治区和新疆生产建设兵团的消化内镜医师执业情况进行普查,普查的内容包括医师个人信息、执业信息、执业中遇到的问题、医院和科室信息4个方面.结果 2012年我国共有6 128家医疗机构开展消化内镜诊疗,有26 203名消化内镜医师和14 532名消化内镜护士,全年开展消化内镜诊疗病例2 877万例.消化内镜医师占全部注册执业医师的比例为1.06％,每百万人口拥有消化内镜医师19.59人.医疗质量与安全方面,2012年全国发生与消化内镜手术相关死亡199例;胃肠镜手术出血4 359例,穿孔914例;ERCP手术引发重症胰腺炎593例,并发出血2 151例,穿孔257例,胆道感染4125例.结论我国消化内镜人力资源和设备资源总体不足且地区分布不均,消化内镜诊疗并发症发生率相对较高,消化内镜技术还需加强规范和管理.
목적 모청아국소화내경기술진료현상,위소화내경기술규범화관리제공순증지지.방법 채취망락직접전보적방식,대아국적31개성、직할시、자치구화신강생산건설병단적소화내경의사집업정황진행보사,보사적내용포괄의사개인신식、집업신식、집업중우도적문제、의원화과실신식4개방면.결과 2012년아국공유6 128가의료궤구개전소화내경진료,유26 203명소화내경의사화14 532명소화내경호사,전년개전소화내경진료병례2 877만례.소화내경의사점전부주책집업의사적비례위1.06％,매백만인구옹유소화내경의사19.59인.의료질량여안전방면,2012년전국발생여소화내경수술상관사망199례;위장경수술출혈4 359례,천공914례;ERCP수술인발중증이선염593례,병발출혈2 151례,천공257례,담도감염4125례.결론 아국소화내경인력자원화설비자원총체불족차지구분포불균,소화내경진료병발증발생솔상대교고,소화내경기술환수가강규범화관리.
Objective To find out the status of digestive endoscopy in our country, and to provide evidence-based support for the standardized management of digestive endoscopy.Methods The survey of digestive endoscopy had been carried by the NHFPC and CSDE during 2013.The data had been reported by internet database in 31 provinces, municipalities, autonomous regions.The contents of the survey included four aspects: personal information, practicing information, problems encountered in practice, hospital and department information.Results The digestive endoscopic therapy had been carried out in 6 128 medical clinics.And there were 26 203 digestive endoscopists and 14 532 digestive endoscopic nurses served in these medical institutions.There were 28.77 million digestive endoscopic cases which had been carried out in 2012.The proportion of digestive endoscopists in registered physicians was 1.06％.There were only 19.59 digestive endoscopists per million people in our country.Throughout 2012, 199 patients died of digestive endoscopic procedure, 4 359 patients had gastrointestinal bleeding, 914 patients had perforation, and 593 patients had severe acute pancreatitis, 2 151 patients had bleeding, 257 patients had perforation, 4 125 patients had biliary tract infections induced by ERCP.Conclusion The digestive endoscopists and digestive endoscopic equipment are facing shortage and uneven regional distribution.The incidence of complications about endoscopic procedure is relatively high.And the Chinese digestive endoscopy also needs to be regulated.