256家医疗机构皮肤科诊疗装备应用情况统计与分析

发布时间：2018-05-09 00:30

本文选题：皮肤科 + 医用设备　；参考：《安徽医科大学》2017年硕士论文

【摘要】：背景随着现代医学科技日新月异的发展,人民生活水平不断提高,人们对皮肤问题的观念态度也发生了重大变化,从以前对皮肤病的忽视到现在的积极治疗以及皮肤美容的要求,皮肤健康的受重视程度与日俱增。社会的需要也促使皮肤科不断提高对自身诊疗技术水平的要求,以满足市场不同的需要。医疗设备在现代医疗机构的发展中占有着越来越重要的地位,在皮肤科临床工作中,医用设备的应用是保证医疗服务范围和诊疗质量的重要技术手段;科室设备的引进,是医疗技术开展的前提,可以使医学诊疗与研究水平得到极大的提高,拥有医疗设备的种类和设备的先进程度可间接反映出一个科室的综合诊疗水平,而大型顶端的医疗设备应用更是科室现代化水平的一个重要标志。经近五年的国内外文献检索,有关我国医疗机构医用设备应用情况的文献较多,但关于我国皮肤科设备应用的文献并不多。为了了解近年来我国在社会经济快速发展、人民生活水平的提高和医疗技术高度进步的环境下皮肤美容科医用设备的配置应用现状,有必要进行一次全国性的横断面调查研究,对我国现阶段皮肤、美容市场正在服役的各类皮肤装备的基本情况作大体了解,为我国医疗机构对皮肤科设备的管理规划提供一定的参考价值。研究目的对2016年我国部分三级医院皮肤美容科开展的相关诊疗项目及其医疗设备应用现状进行调查,大体了解我国现阶段皮肤、美容市场正在服役的各类皮肤装备的基本情况。方法采用统一设计的调查表,对2016年我国31个省份的部分市区三级医院皮肤美容科开展的相关诊疗项目及其医疗设备进行问卷调查。内容主要按设备适应症分为经典皮肤病诊断、性病和病原微生物的诊断、经典皮肤病物理治疗、皮肤外科和皮肤美容类五大类,所得数据按照医院所在的城市等级整理后进行统计描述和相关分析。结果1、从2016年6月至2016年12月,收回的完整调查表共有256份,其中三甲医院231家,三乙医院18家,专科医院7家;一线大城市医院、二三线中小城市医院、一般性临床医院所占的比例分别为17.19%、55.86%和26.95%。2、经典皮肤病诊断设备应用最多的是伍德灯,占73.05%;治疗设备中最多的是冷冻设备,占80.08%。3、大多数单位均具备对常见性病和病原微物进行检查的相关装备和设施,其中真菌病诊断装备(68.36%)、梅毒诊断装备(64.45%)等。4、开展皮肤外科手术的单位不多,44.92%(115/256)的医疗机构开展了皮肤活检项目,所占比例最高,其中一线大城市医院、二三线中小城市医院和一般性临床医院分别为59.09%(26/44)、48.25%(69/143)和28.99%(20/69);其次,32.42%(83/256)的医疗机构开展了腋臭治疗项目,其中一线大城市医院、二三线中小城市医院和一般性临床医院分别为31.82%(14/44)、36.36%(52/143)和24.64%(17/69);5、美容皮肤科学技术中美容激光类设备较常见,66.02%(169/256)的医疗机构配置了祛色素类激光仪,所占比例最大,其中一线大城市医院、二三线中小城市医院和一般性临床医院分别为79.55%(53/44)、68.53%(98/143)和52.17%(36/69);祛色素类激光仪中脉冲染料激光相对较多,占24.61%(63/256)。结论总体上我国皮肤科开展的各类诊疗装备比例分布普遍偏低,地区分布极度不平衡;各诊疗装备比例在一线大城市医院、二三线中小城市医院和一般性临床医院中呈递减趋势,一般性临床医院没有某类诊疗装备比例明显高于其他医疗机构;大多数单位均具备对常见性病和病原微物进行检查的相关装备和设施;最受重视的装备是皮肤美容类,主要集中在嫩肤、激光祛色素、激光祛血管性疾病和激光脱毛。皮肤外科器械和材料装备在皮肤科单位中较少见。部分种类装备分布差异较大,尤其是皮肤外科和美容皮肤科类,相对集中在一线及二三线城市医院。我国皮肤科的建设需要进一步加强。
[Abstract]:Background with the rapid development of modern medical science and technology, people's living standard has been improved, people's attitudes towards skin problems have changed greatly. From the neglect of the skin diseases to the present active treatment and the requirements of skin beauty, the degree of skin health is increasing day by day. The needs of the society also promote the skin. The medical equipment is playing an increasingly important role in the development of modern medical institutions. In the clinical work of the Department of Dermatology, the application of medical equipment is an important technical means to ensure the scope of medical service and the quality of diagnosis and treatment, and the introduction of the equipment of the Department. It is the premise of the development of medical technology, which can greatly improve the medical treatment and research level. The advanced degree of the type and equipment of medical equipment can indirectly reflect the comprehensive diagnosis and treatment level of a department, and the application of medical equipment at the large top is an important symbol of the modernization level of the Department. After nearly five years, the medical equipment has been used as an important sign. There are many literature on the application of medical equipment in medical institutions in China, but there are few literature about the application of equipment in the Department of dermatology in our country. In order to understand the configuration and application of medical equipment in the skin cosmetic department under the environment of rapid social and economic development, the improvement of the people's living standard and the high progress of medical technology in recent years. It is necessary to carry out a national cross-sectional study on the basic situation of all kinds of skin equipment serving in the skin and beauty market at the present stage in our country. It provides a certain reference value for the management and planning of the Department of Dermatology equipment in China's medical institutions. The purpose of the study is to the skin of the three level hospitals in China in 2016. The related diagnosis and treatment projects and the application of medical equipment in the cosmetology department were investigated. The basic situation of all kinds of skin equipment in the beauty market at the present stage in China was generally understood. Methods the unified design questionnaire was used to carry out the related consultation on the skin cosmetic department of the three level hospitals in the 31 provinces of China in 2016. The treatment items and their medical equipment were investigated. The contents were divided into five categories: the diagnosis of classic dermatosis, the diagnosis of venereal diseases and pathogenic microbes, the physiotherapy of the classic dermatosis, the skin surgery and the skin beauty, and the data were described and analyzed according to the city rank of the hospital. Fruit 1, from June 2016 to December 2016, a total of 256 complete questionnaires were recovered, including 231 hospitals, 18 triad hospitals, 7 specialist hospitals, first line large city hospitals, two or three line medium and small urban hospitals, and 17.19%, 55.86% and 26.95%.2 in general clinical hospitals. Wu Dedeng, 73.05%, the most of the treatment equipment is the freezing equipment, accounting for 80.08%.3. Most units have related equipment and facilities to check common venereal and pathogenic microobjects, including fungal disease diagnostic equipment (68.36%), syphilis diagnostic equipment (64.45%) and other.4, not many units in skin surgery, 44.92% (115/256) medical machine. The proportion of the skin biopsy items was the highest, including the first large city hospital, the two or three line middle and small city hospitals and the general clinical hospitals, 59.09% (26/44), 48.25% (69/143) and 28.99% (20/69); secondly, 32.42% (83/256) medical institutions carried out the axillary odour treatment projects, including the first big city hospital, the two or three line medium and small city medicine. Hospital and general clinical hospital were 31.82% (14/44), 36.36% (52/143) and 24.64% (17/69); 5, cosmetology laser equipment was more common in cosmetic skin science and technology. 66.02% (169/256) medical institutions had the largest proportion of pigment expelling lasers, including the first large city hospital, the two or three line medium and small city hospitals and the general clinical medicine. The hospital was 79.55% (53/44), 68.53% (98/143) and 52.17% (36/69), and the pulse dye laser in the pigment laser instrument was relatively large, accounting for 24.61% (63/256). Conclusion in general, the distribution of various medical equipment in the Department of dermatology in our country is generally low and the distribution of the area is extremely unbalanced; the proportion of diagnosis and treatment equipment is in the front line large city hospital and the two or three line. In small city hospitals and general clinical hospitals, there is a decreasing trend in the general clinical hospitals. There are no certain types of medical equipment in general clinical hospitals that are obviously higher than other medical institutions; most of the units have related equipment and facilities to check common venereal diseases and pathogenic microobjects. Removing pigments, laser removing vascular diseases and laser hair removal. Skin surgical instruments and material equipment are rare in Department of dermatology. Some kinds of equipment are distributed differently, especially in skin surgery and Cosmetology Department of Dermatology, which are relatively concentrated in the first line and two or three line city hospitals.

【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.32

【参考文献】