论文部分内容阅读
目的分析绵阳地区肾病医疗资源的配置状况和肾脏疾病防治现状,为政府科学制定绵阳市区域卫生规划政策、地方医院合理建设和发展专科服务提供参考。方法调查绵阳地区二级及以上医疗机构肾病专科建设情况和专科服务开展情况。结果全地区53家二级及以上综合医疗机构有18家设有肾脏病专科并提供血液透析治疗,占比33.96%,主要集中在绵阳、江油市区。其中有6家医院可提供腹膜透析技术,占比11.32%;5家医院可开展肾活检技术,占比9.43%。共计有专科床位数484张,血透床位数358张,腹透床位数3张,专科医生人数73名,病房护士人数158名,血透护士人数126名和腹透护士人数9名。2015年1月至12月,各医院肾病科共收治住院患者数9920例,维持性血透患者数1599例,腹透患者数92例,肾活检数336例。结论绵阳地区肾病医疗资源严重不足且不均衡,专业医护队伍薄弱,大量肾病患者未得到及时救治,大量尿毒症患者未能维持性透析治疗。政府需要加大医疗投入并合理配置医疗资源,提升县级公立医院综合能力,完善血液净化中心标准化建设,加强专科技能培训,推广腹膜透析,提高慢性肾脏疾病救治率。
Objective To analyze the allocation of kidney disease resources and prevention and treatment of kidney disease in Mianyang area, and to provide a reference for the government to formulate the policy of regional health planning in Mianyang City and to rationalize the construction and development of specialist services in local hospitals. Methods To investigate the construction of nephrology specialty and secondary specialized services in secondary and above medical institutions in Mianyang area. Results Eighteen of 53 secondary and above general medical institutions in the region had kidney disease specialist and provided hemodialysis treatment, accounting for 33.96%, mainly in Mianyang and Jiangyou urban areas. Among them, 6 hospitals can provide peritoneal dialysis technology, accounting for 11.32%; 5 hospitals can carry out renal biopsy technology, accounting for 9.43%. A total of 484 specialist beds, hemodialysis beds 358, three perineum beds, 73 were specialist doctors, ward nurses 158, hemodialysis nurses 126 and perineal nurses 9. Between January 2015 and December 2015, there were 9920 hospitalized nephrology departments, 1599 cases of maintenance hemodialysis patients, 92 cases of peritoneal dialysis patients and 336 cases of renal biopsy. Conclusion The medical resources of nephropathy in Mianyang area are seriously deficient and unbalanced, and the professional medical care team is weak. A large number of nephrotic patients have not been treated promptly, and a large number of patients with uremia can not maintain dialysis treatment. The government needs to increase medical investment and allocate medical resources rationally to improve the comprehensive ability of county-level public hospitals, improve the standardization of blood purification centers, strengthen the training of specialized skills, popularize peritoneal dialysis and improve the treatment rate of chronic kidney disease.