發(fā)布時(shí)間：2018-05-09 00:30

  本文選題：皮膚科 + 醫(yī)用設(shè)備　； 參考：《安徽醫(yī)科大學(xué)》2017年碩士論文

【摘要】：背景隨著現(xiàn)代醫(yī)學(xué)科技日新月異的發(fā)展,人民生活水平不斷提高,人們對(duì)皮膚問(wèn)題的觀念態(tài)度也發(fā)生了重大變化,從以前對(duì)皮膚病的忽視到現(xiàn)在的積極治療以及皮膚美容的要求,皮膚健康的受重視程度與日俱增。社會(huì)的需要也促使皮膚科不斷提高對(duì)自身診療技術(shù)水平的要求,以滿足市場(chǎng)不同的需要。醫(yī)療設(shè)備在現(xiàn)代醫(yī)療機(jī)構(gòu)的發(fā)展中占有著越來(lái)越重要的地位,在皮膚科臨床工作中,醫(yī)用設(shè)備的應(yīng)用是保證醫(yī)療服務(wù)范圍和診療質(zhì)量的重要技術(shù)手段;科室設(shè)備的引進(jìn),是醫(yī)療技術(shù)開(kāi)展的前提,可以使醫(yī)學(xué)診療與研究水平得到極大的提高,擁有醫(yī)療設(shè)備的種類和設(shè)備的先進(jìn)程度可間接反映出一個(gè)科室的綜合診療水平,而大型頂端的醫(yī)療設(shè)備應(yīng)用更是科室現(xiàn)代化水平的一個(gè)重要標(biāo)志。經(jīng)近五年的國(guó)內(nèi)外文獻(xiàn)檢索,有關(guān)我國(guó)醫(yī)療機(jī)構(gòu)醫(yī)用設(shè)備應(yīng)用情況的文獻(xiàn)較多,但關(guān)于我國(guó)皮膚科設(shè)備應(yīng)用的文獻(xiàn)并不多。為了了解近年來(lái)我國(guó)在社會(huì)經(jīng)濟(jì)快速發(fā)展、人民生活水平的提高和醫(yī)療技術(shù)高度進(jìn)步的環(huán)境下皮膚美容科醫(yī)用設(shè)備的配置應(yīng)用現(xiàn)狀,有必要進(jìn)行一次全國(guó)性的橫斷面調(diào)查研究,對(duì)我國(guó)現(xiàn)階段皮膚、美容市場(chǎng)正在服役的各類皮膚裝備的基本情況作大體了解,為我國(guó)醫(yī)療機(jī)構(gòu)對(duì)皮膚科設(shè)備的管理規(guī)劃提供一定的參考價(jià)值。研究目的對(duì)2016年我國(guó)部分三級(jí)醫(yī)院皮膚美容科開(kāi)展的相關(guān)診療項(xiàng)目及其醫(yī)療設(shè)備應(yīng)用現(xiàn)狀進(jìn)行調(diào)查,大體了解我國(guó)現(xiàn)階段皮膚、美容市場(chǎng)正在服役的各類皮膚裝備的基本情況。方法采用統(tǒng)一設(shè)計(jì)的調(diào)查表,對(duì)2016年我國(guó)31個(gè)省份的部分市區(qū)三級(jí)醫(yī)院皮膚美容科開(kāi)展的相關(guān)診療項(xiàng)目及其醫(yī)療設(shè)備進(jìn)行問(wèn)卷調(diào)查。內(nèi)容主要按設(shè)備適應(yīng)癥分為經(jīng)典皮膚病診斷、性病和病原微生物的診斷、經(jīng)典皮膚病物理治療、皮膚外科和皮膚美容類五大類,所得數(shù)據(jù)按照醫(yī)院所在的城市等級(jí)整理后進(jìn)行統(tǒng)計(jì)描述和相關(guān)分析。結(jié)果1、從2016年6月至2016年12月,收回的完整調(diào)查表共有256份,其中三甲醫(yī)院231家,三乙醫(yī)院18家,�？漆t(yī)院7家;一線大城市醫(yī)院、二三線中小城市醫(yī)院、一般性臨床醫(yī)院所占的比例分別為17.19%、55.86%和26.95%。2、經(jīng)典皮膚病診斷設(shè)備應(yīng)用最多的是伍德燈,占73.05%;治療設(shè)備中最多的是冷凍設(shè)備,占80.08%。3、大多數(shù)單位均具備對(duì)常見(jiàn)性病和病原微物進(jìn)行檢查的相關(guān)裝備和設(shè)施,其中真菌病診斷裝備(68.36%)、梅毒診斷裝備(64.45%)等。4、開(kāi)展皮膚外科手術(shù)的單位不多,44.92%(115/256)的醫(yī)療機(jī)構(gòu)開(kāi)展了皮膚活檢項(xiàng)目,所占比例最高,其中一線大城市醫(yī)院、二三線中小城市醫(yī)院和一般性臨床醫(yī)院分別為59.09%(26/44)、48.25%(69/143)和28.99%(20/69);其次,32.42%(83/256)的醫(yī)療機(jī)構(gòu)開(kāi)展了腋臭治療項(xiàng)目,其中一線大城市醫(yī)院、二三線中小城市醫(yī)院和一般性臨床醫(yī)院分別為31.82%(14/44)、36.36%(52/143)和24.64%(17/69);5、美容皮膚科學(xué)技術(shù)中美容激光類設(shè)備較常見(jiàn),66.02%(169/256)的醫(yī)療機(jī)構(gòu)配置了祛色素類激光儀,所占比例最大,其中一線大城市醫(yī)院、二三線中小城市醫(yī)院和一般性臨床醫(yī)院分別為79.55%(53/44)、68.53%(98/143)和52.17%(36/69);祛色素類激光儀中脈沖染料激光相對(duì)較多,占24.61%(63/256)。結(jié)論總體上我國(guó)皮膚科開(kāi)展的各類診療裝備比例分布普遍偏低,地區(qū)分布極度不平衡;各診療裝備比例在一線大城市醫(yī)院、二三線中小城市醫(yī)院和一般性臨床醫(yī)院中呈遞減趨勢(shì),一般性臨床醫(yī)院沒(méi)有某類診療裝備比例明顯高于其他醫(yī)療機(jī)構(gòu);大多數(shù)單位均具備對(duì)常見(jiàn)性病和病原微物進(jìn)行檢查的相關(guān)裝備和設(shè)施;最受重視的裝備是皮膚美容類,主要集中在嫩膚、激光祛色素、激光祛血管性疾病和激光脫毛。皮膚外科器械和材料裝備在皮膚科單位中較少見(jiàn)。部分種類裝備分布差異較大,尤其是皮膚外科和美容皮膚科類,相對(duì)集中在一線及二三線城市醫(yī)院。我國(guó)皮膚科的建設(shè)需要進(jìn)一步加強(qiáng)。
[Abstract]:Background with the rapid development of modern medical science and technology, people's living standard has been improved, people's attitudes towards skin problems have changed greatly. From the neglect of the skin diseases to the present active treatment and the requirements of skin beauty, the degree of skin health is increasing day by day. The needs of the society also promote the skin. The medical equipment is playing an increasingly important role in the development of modern medical institutions. In the clinical work of the Department of Dermatology, the application of medical equipment is an important technical means to ensure the scope of medical service and the quality of diagnosis and treatment, and the introduction of the equipment of the Department. It is the premise of the development of medical technology, which can greatly improve the medical treatment and research level. The advanced degree of the type and equipment of medical equipment can indirectly reflect the comprehensive diagnosis and treatment level of a department, and the application of medical equipment at the large top is an important symbol of the modernization level of the Department. After nearly five years, the medical equipment has been used as an important sign. There are many literature on the application of medical equipment in medical institutions in China, but there are few literature about the application of equipment in the Department of dermatology in our country. In order to understand the configuration and application of medical equipment in the skin cosmetic department under the environment of rapid social and economic development, the improvement of the people's living standard and the high progress of medical technology in recent years. It is necessary to carry out a national cross-sectional study on the basic situation of all kinds of skin equipment serving in the skin and beauty market at the present stage in our country. It provides a certain reference value for the management and planning of the Department of Dermatology equipment in China's medical institutions. The purpose of the study is to the skin of the three level hospitals in China in 2016. The related diagnosis and treatment projects and the application of medical equipment in the cosmetology department were investigated. The basic situation of all kinds of skin equipment in the beauty market at the present stage in China was generally understood. Methods the unified design questionnaire was used to carry out the related consultation on the skin cosmetic department of the three level hospitals in the 31 provinces of China in 2016. The treatment items and their medical equipment were investigated. The contents were divided into five categories: the diagnosis of classic dermatosis, the diagnosis of venereal diseases and pathogenic microbes, the physiotherapy of the classic dermatosis, the skin surgery and the skin beauty, and the data were described and analyzed according to the city rank of the hospital. Fruit 1, from June 2016 to December 2016, a total of 256 complete questionnaires were recovered, including 231 hospitals, 18 triad hospitals, 7 specialist hospitals, first line large city hospitals, two or three line medium and small urban hospitals, and 17.19%, 55.86% and 26.95%.2 in general clinical hospitals. Wu Dedeng, 73.05%, the most of the treatment equipment is the freezing equipment, accounting for 80.08%.3. Most units have related equipment and facilities to check common venereal and pathogenic microobjects, including fungal disease diagnostic equipment (68.36%), syphilis diagnostic equipment (64.45%) and other.4, not many units in skin surgery, 44.92% (115/256) medical machine. The proportion of the skin biopsy items was the highest, including the first large city hospital, the two or three line middle and small city hospitals and the general clinical hospitals, 59.09% (26/44), 48.25% (69/143) and 28.99% (20/69); secondly, 32.42% (83/256) medical institutions carried out the axillary odour treatment projects, including the first big city hospital, the two or three line medium and small city medicine. Hospital and general clinical hospital were 31.82% (14/44), 36.36% (52/143) and 24.64% (17/69); 5, cosmetology laser equipment was more common in cosmetic skin science and technology. 66.02% (169/256) medical institutions had the largest proportion of pigment expelling lasers, including the first large city hospital, the two or three line medium and small city hospitals and the general clinical medicine. The hospital was 79.55% (53/44), 68.53% (98/143) and 52.17% (36/69), and the pulse dye laser in the pigment laser instrument was relatively large, accounting for 24.61% (63/256). Conclusion in general, the distribution of various medical equipment in the Department of dermatology in our country is generally low and the distribution of the area is extremely unbalanced; the proportion of diagnosis and treatment equipment is in the front line large city hospital and the two or three line. In small city hospitals and general clinical hospitals, there is a decreasing trend in the general clinical hospitals. There are no certain types of medical equipment in general clinical hospitals that are obviously higher than other medical institutions; most of the units have related equipment and facilities to check common venereal diseases and pathogenic microobjects. Removing pigments, laser removing vascular diseases and laser hair removal. Skin surgical instruments and material equipment are rare in Department of dermatology. Some kinds of equipment are distributed differently, especially in skin surgery and Cosmetology Department of Dermatology, which are relatively concentrated in the first line and two or three line city hospitals.

【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R197.32

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