本文選題：重癥醫(yī)學　切入點：現(xiàn)狀　出處：《中國衛(wèi)生資源》2017年05期

【摘要】：目的 :了解大連地區(qū)二級及以上醫(yī)院重癥醫(yī)學科建設現(xiàn)狀,為大連地區(qū)重癥醫(yī)學的建設及發(fā)展提供參考,促進重癥醫(yī)療資源的合理利用。方法 :采用網(wǎng)絡問卷的形式,分別收集大連地區(qū)2011年11家及2015年17家綜合重癥監(jiān)護病房(ICU)的資源情況,并進行對比分析。結果 :(1)2015年各ICU床位數(shù)、ICU床位數(shù)/醫(yī)院總床位數(shù)、ICU單間數(shù)/ICU床位數(shù)、ICU醫(yī)師數(shù)/ICU床位數(shù)比值、ICU護士數(shù)/ICU床位數(shù)比值分別為(19.00±12.99)張、(1.74±1.23)%、(16.64±19.51)%、(0.56±0.34)、(1.92±0.47),與2011年相比差異無統(tǒng)計學意義(P0.05)。2015年大連地區(qū)三級醫(yī)院的ICU醫(yī)師數(shù)/ICU床位數(shù)比值與2011年相比差異具有統(tǒng)計學意義(P0.05)。(2)2015年,大連地區(qū)ICU醫(yī)師職稱以主治醫(yī)師為主(33.33%)、文化程度以碩士為主(58.93%)。(3)ICU管理模式以封閉式為主(94.12%)。(4)所有ICU均配備床旁監(jiān)護儀、有創(chuàng)呼吸機、抗栓泵、除顫儀,但其他設備部分ICU配置不足。(5)2015年開展血液凈化治療技術、床旁超聲技術及進行APACHEⅡ評分的單位的比例較2011年增加,差異具有統(tǒng)計學意義(P0.05),而其他技術如主動脈內(nèi)球囊反搏術(IABP)、床旁心臟起搏、高頻通氣(HFV)、體外膜肺氧合(ECMO)等項目則開展率較低。結論 :大連地區(qū)重癥醫(yī)學科建設較前已有長足發(fā)展,但距國家標準仍存在差距,在床位數(shù)、醫(yī)護隊伍、設備、技術技能方面亟待提高。
[Abstract]:Objective: to understand the current situation of the construction of the department of intensive medicine in the second class and above hospitals in Dalian area, to provide reference for the construction and development of the intensive medicine in Dalian area, and to promote the rational utilization of the resources of the severe medical treatment. Methods: the form of network questionnaire was adopted. Collect the resources of 11 integrated intensive care units (ICU) in Dalian in 2011 and 17 in 2015, Results: in 2015, the number of ICU beds / total hospital beds and the number of single units / beds in ICU and the ratio of nurses / beds in ICU were 1.74 鹵1.231.74 鹵19.64 鹵19.51 and 1.92 鹵0.47, respectively, compared with 2011, and the ratio of the number of beds per ICU was 19.00 鹵12.99 and 1.56 鹵0.34 鹵0.47 respectively, which was different from that of 2011, and the results showed that the ratio of the number of ICU beds to the total number of beds in the ICU was 1.92 鹵0.47, and the ratio of the number of beds in the ICU to the number of beds in the ICU was 19.00 鹵12.99 and 16.64 鹵19.51 respectively, compared with 2011. There was no statistical significance (P 0.05). In 2015, there was a significant difference in the ratio of ICU doctors / ICU beds between 2011 and 2015 (P 0.05), and in 2015, there was a significant difference in the number of ICU doctors and the number of beds in the ICU. The professional titles of ICU doctors in Dalian area were mainly attending physician 33.330.The education level was 58.933.The management mode of ICU was closed. All ICU were equipped with bedside monitor, invasive ventilator, antithrombotic pump, defibrillator, and so on, all ICU were equipped with bedside monitor, and all ICU were equipped with bed side monitor, with invasive ventilator, antithrombotic pump, defibrillator, etc. But some of the other devices are underequipped with ICU. 5) Blood purification therapy, bedside ultrasound and the proportion of units with APACHE 鈪，

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