| 摘要: |
| 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。 |
| 关键词: 慢性肾脏病 医疗资源 防治 |
| DOI： |
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| 基金项目:四川省基层卫生事业发展研究中心科研项目(编号:SJWF1302) |
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| Survey on Medical Resources of Kidney Disease and the Prevention and Cure Status of Chronic Kidney Disease in Mianyang |
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Zhang Lan;Jian Xun;Gao Zhan
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The Second Affiliated Hospital of North Sichuan Medical College·Sichuan Mianyang 404 Hospital
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| Abstract: |
| Objective To analyze the medical resources configuration of kidney disease and the prevention and cure status of chronic kidney disease in Mianyang,providing government with references on Mianyang regional health planning formulation,local hospital construction and specialized service development. Method Wesurveyed the status of nephrology departments and specialized service in medical institutions of gradeⅡ and above in Mianyang. Results Among 53 comprehensive medical institutions of gradeⅡ and above in Mianyang,there were18(33. 96%) set nephrology department providing hemodialysis treatment,mainly in urban areas of Mianyang and Jiangyou. 6(11. 32%) of them provided peritoneal dialysis; 5(9. 43%) provided renal biopsy.There were 484 beds in special departments,358 beds for hemodialysis,3 beds for peritoneal dialysis,37 specialists,158 nurses in ward,126 nurses for hemodialysis and 9 nurses for peritoneal dialysis.From Jun.2015 to Dec,there were 9920 cases of patients hospitalized in nephrology departments,including 1599 maintained-dialysis patients,92 peritoneal dialysis patients and 336 renal biopsies.Conclusion The medical resources of kidney disease in Mianyang are severely inadequate and unbalanced,weak in professional healthcare staff,with many kidney disease patients not treated in time and uremia patients inaccessible to maintained-dialysis.The government should increase medical input and properly allocate medical resources,improving the comprehensive capacity of county-level public hospitals,optimizing standardized construction of blood purification centers,strengthening specialized skills training,promoting peritoneal dialysis,and improving the cure rate of chronic kidney disease. |
| Key words: chronickidneydisease medicalresource preventionandcure |
