国际麻醉学与复苏杂志   2014, Issue (8): 0-0
    
广西麻醉学科基本建设现状的调查分析
毛仲炫, 刘敬臣1()
1.广西医科大学第一附属医院
Investigation and analysis of the status quo of discipline construction of anesthesiology departments in Guangxi
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摘要:

目的 了解广西麻醉学科基本建设的现状。 方法 采用问卷调查法对我区210家医院麻醉科的人力资源、医疗业务开展情况、医疗设备等情况进行调查。 结果 回收问卷133份,回收率63.3%,其中4份一级医院的调查数据未纳入统计分析。129家三级医院和二级医院手术床与麻醉医师比为1∶1.2。三级医院麻醉医师大学本科及本科以上学历占88.9%。二级医院麻醉医师专科及专科以下学历仍有39.8%、高级职称者仅为2.3%。112家(86.7%)医院开展人工流产麻醉、82家(63.5%)医院开展内镜麻醉、69家(53.4%)医院开展分娩镇痛业务。42家(32.5%)医院设置麻醉恢复室、34家(26.3%)医院设置疼痛科、60家(46.5%)医院设置重症医学科。27家(20.9%)医院麻醉科认为设备配置不合格。 结论 我区绝大部分医院麻醉医师数量仍不足、学历和职称结构欠合理;舒适化医疗未普及开展、疼痛诊疗和重症医学发展缓慢、设备配置情况未达理想状态。我区麻醉学科基本建设仍需进一步加强。

关键词: 麻醉学;学科建设;调查
Abstract:

Objective To investigate and analyse the status quo of discipline construction of anesthesiology departments in Guangxi. Methods Two hundred and ten hospitals were involved in questionnaire survey, which included manpower resource, working spectrum and anesthetic equipments. Results 133 questionnaires(63.3%) were retrieved. The survey data of 4 first-level hospitals was excluded. The ratio of operation table to anesthetist in 129 secondary and tertiary hospitals was 1∶1.2. In tertiary hospitals, 88.9% of anesthetists had bachelor degree or above. In secondary hospitals, 39.8% of anesthetists had college degree or below and only 2.3% of anesthetists had senior professional title. Among the 129 hospitals, anesthesia for induced abortion, endoscopy and labor analgesia was carried out in 112 hospitals(86.7%), 83 hospitals (63.5%) and 69 hospitals(53.4%)respectively. Postanesthetic care unit, pain branch and intensive care unit was set up in 42 hospitals (32.5%), 34 hospitals(26.3%) and 60 hospital (46.5%) respectively. Anesthetic equipments in 27 hospitals (20.9%) were not considered qualified by anesthetic staff. Conclusions Scarcity of anesthesiologists is obvious in most of these hospitals with unreasonable academic credentials and professional titles structure. Comfort medicine was not extensively developed. Diagnosis and management of pain and Critical Care Medicine were hardly developed. Anesthetic equipments allocation failed to reach the ideal state. Discipline construction of departments of anesthesiology in Guangxi should be modified.

Key words: Anesthesiology; Discipline construction; Investigation