广西126家公立医院气道管理资源配置现状调查
Investigation of current airway management resource allocation in 126 public hospitals of Guangxi
陈秋妙 1张曼清 1韦萍 1文江帆 1覃斌 1施小彤2
作者信息
- 1. 广西医科大学口腔医学院/附属口腔医院,南宁 530021
- 2. 广西医科大学口腔医学院/附属口腔医院,南宁 530021;广西高校口腔医学装备研发与应用重点实验室,南宁 530021
- 折叠
摘要
目的 调查分析广西公立医院麻醉科的气道管理现状,并探讨其改进方法.方法 以微信的方式发放腾讯问卷给广西公立医院麻醉医师填写.问卷内容包括:麻醉医师一般信息;麻醉科人员、设备配置,气道工具配置,气道管理培训及掌握情况,气道管理需要改进的方面等.结果 收到广西126家公立医院(三级医院57家,二级医院69家)的有效问卷共637份,其中三级医院508份(79.7%),二级医院129份(20.3%).每个手术间可配置麻醉医师1.4名,麻醉机1.1台,呼气末二氧化碳分压监护仪0.8台.喉罩配置率为80.2%,参加过困难气道培训班的麻醉医师为48.0%,22.8%~55.7%麻醉医师对不同版本的困难气道处理流程有了解,35.5%的麻醉医师掌握使用纤维支气管镜/电子软镜.结论 广西公立医院麻醉医师短缺情况仍然存在,气道管理资源配置仍需进一步提高.
Abstract
Objective To analyze the current condition of airway management in the department of anesthesiology in public hospitals of Guangxi,and discuss improvement methods.Methods A Tencent questionnaire was distributed via WeChat to anesthe-siologists in public hospitals of Guangxi.The questionnaire included general information of anesthesiologists,anesthesia department personnel,equipment configuration,allocation of airway tools,airway management training and mastery,and airway management need-ed to be improved.Results A total of 637 valid questionnaires were collected from 126 public hospitals(including 57 tertiary hospitals and 69 secondary hospitals)of Guangxi,where 508(79.7%)of the questionnaires were from tertiary hospitals and 129(20.3%)from secondary hospitals.Each operating room was equipped with 1.4 anesthesiologists,1.1 anesthesia machines,and 0.8 end-expiratory carbon dioxide partial pressure monitor,with the laryngeal mask allocation rate of 80.2%.Furthermore,48.0%of the anesthesiologists had participated in difficult airway training courses;22.8%-55.7%of the anesthesiologists had an understanding of different versions of difficult airway management processes,and 35.5%of the anesthesiologists mastered the use of fiberoptic/electronic soft bronchoscopy.Conclusions Shortage of anesthesiologists still exist in public hospitals of Guangxi and the allocation of airway management resources still need to be further improved.
关键词
困难气道/气道管理/问卷调查法Key words
Difficult airway/Airway management/Questionnaire investigation approach引用本文复制引用
基金项目
广西医疗卫生适宜技术开发与推广应用项目(S2021083)
中华口腔医学会青年临床科研基金口腔麻醉研究项目(CSA-A2021-08)
出版年
2024