我国2012年与2002年肺功能应用调查对比分析

发布时间：2018-03-29 00:39

本文选题：国产仪器　切入点：支气管激发试验　出处：《中国实用内科杂志》2014年S1期

【摘要】：目的调查和分析现阶段我国肺功能开展及近10年来的进展情况。方法通过问卷调查形式对全国已开展肺功能检查医院的肺功能检查工作人员进行临床应用情况调查,并与2002年的调查结果进行比较。结果参与本次调查的89家医院中三级医院占65.2%。肺通气功能检查(100%)及支气管舒张试验(86.5%)是最主要开展的检查项目。无一份问卷完整写出肺功能检查的质控标准。消毒传感器的占77.9%,消毒频率每周1次占41.2%,浸泡消毒的占75.4%。主要适应证为支气管哮喘(82.8%)及慢性阻塞性肺疾病(77.0%)。肺功能不良反应调查中,应答率为62.9%,其中以呼吸系统症状(咳嗽、喘息、声嘶)最常见,神经系统(头晕、指端麻木等)、心血管系统症状(心律失常、血压增高等)、消化系统症状(恶心、呕吐)次之,偶可见其他如腹痛、皮肤瘙痒、皮疹、下颌骨脱位、诱发其他疾病等二、三级医院常见不良反应的发生无明显差异(P0.05)。肺功能培训情况此次调查的肺功能工作人员中,中、高级职称的占58.4%(52/89),65.2%(58/89)工作人员曾参加1个月或以上的技术培训,学员分布的培训单位达22个,开展肺功能培训的医院占24.7%。与2002年对比,受调查医院等级构成比无明显差异(P0.05);项目开展也以通气功能检查为主。支气管激发试验中采用组织胺激发的医院百分比在2012年较2002年下降(41.3%对76%),而乙酰甲胆碱激发显著增加(54.3%对27.9%),差异均具有统计学意义(P0.05)。仪器使用情况,2002年国产仪器占12.40%。2012年国产仪器使用0%。结论我国的肺功能临床应用有所发展,但肺功能质量控制、消毒、检查方法及继续教育等仍有待进一步提高。
[Abstract]:Objective to investigate and analyze the development of pulmonary function and its progress in recent 10 years in China. The results were compared with those of 2002. Results among the 89 hospitals involved in this survey, 65.2 were in grade III hospitals. Pulmonary ventilation function examination was 100% and bronchial dilatation test was 86.5%). None of the questionnaires was complete. Write out the quality control standard of pulmonary function examination. The proportion of disinfecting sensor is 77.9, the frequency of disinfection is 41.2 times a week, the proportion of soaking sterilizing is 75.4.The main indication is bronchial asthma 82.8%) and chronic obstructive pulmonary disease (77.0%). In the investigation of adverse reaction of pulmonary function, The response rate was 62.9, of which respiratory symptoms (cough, wheezing, hoarseness) were the most common, nervous system (dizziness, finger numbness, etc.), cardiovascular system symptoms (arrhythmia, high blood pressure, etc.), digestive system symptoms (nausea, vomiting), Occasionally, there is no significant difference in the occurrence of common adverse reactions in other hospitals such as abdominal pain, pruritus, rash, dislocation of mandible and other diseases. 58.4% 58.2% 55.2% 55.2% 89.The staff have attended technical training for one month or more. There are 22 training units with a distribution of trainees, and 24.775% of hospitals have conducted lung function training. Compared with 2002, There was no significant difference in the grade composition ratio of the investigated hospitals (P 0.05), and the project was also carried out mainly by ventilation function examination. The percentage of hospitals stimulated by histamine in bronchial provocation test decreased by 41.3% in 2012 compared with that in 2002, while methacholine was stimulated by acetylcholine. There was a significant increase of 54.3% to 27.9%, and the difference was statistically significant (P 0.05). The use of the instrument was 12.40.2012. Conclusion the clinical application of pulmonary function in China has been developed. However, pulmonary function quality control, disinfection, examination methods and continuing education still need to be further improved.
【作者单位】：广州医科大学附属第一医院广州呼吸疾病研究所呼吸疾病国家重点实验室呼吸疾病国家临床医学研究中心;
【分类号】：R56

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