【摘要】 目的探索河南省内不同等级新型冠状病毒肺炎(Corona Virus Disease 2019,COVID-19)定点医院救治呼吸治疗设备管理与使用现状的差异。方法以河南省卫健委公布的COVID-19定点救治医院呼吸治疗设备为研究对象,由信息调查员设计呼吸治疗设备管理问卷,通过问卷星平台发布至省内147家COVID-19定点救治医院,由呼吸治疗设备管理人员进行填写,分析不同等级定点救治医院呼吸治疗设备管理模式与使用过程中凸显的问题。结果分别有30.9%和38.1%的定点救治医院对呼吸治疗设备实施了统一或部分统一管理,仅有15.1%的定点救治医院配置了有创、ICU无创呼吸机和高流量湿化治疗仪。省、市、县级定点救治医院呼吸治疗操作员同时进行肺复张与呼吸力学监测评估的分别有100%、52.15%和36.15%,认为呼吸治疗操作技术有待提高的分别有40%、66.7%、65.3%。此外,COVID-19无创通气时正确使用过滤器明显高于有创机械通气。结论省、市、县级定点救治医院呼吸治疗设备管理与使用存在较大差异,因此,各医疗机构应重视和改革当前呼吸治疗设备的管理,引进和培养专业呼吸治疗人员,提高医院呼吸治疗设备的管理与使用。更多还原

【Abstract】 Objective To explore the differences in the management and utilization of respiratory therapy equipment in designated hospitals with different grades of corona virus disease 2019(COVID-19) in Henan Province. Methods Taking the COVID-19 designated hospital rescue respiratory management equipment announced by Health Commission of Henan Province as the research object, the information investigator designed a respiratory therapy equipment management questionnaire, which was released to 147 designated hospitals in the province through the Questionnaire Star platform. Filled by the respiratory therapy equipment management staff, analyzed the management mode of the respiratory therapy equipment in different levels of designated hospitals and highlight the problems in the use process. Results 30.9% and 38.1% of the designated hospitals respectively implemented unified or partial unified management of respiratory therapy equipment, and only 15.1% of the designated treatment hospitals were equipped with invasive, ICU non-invasive ventilator and high-flow humidification therapy instrument. Provincial, municipal, and county-level designated hospitals for respiratory therapy operators performed lung expansion and respiratory mechanics monitoring and evaluation at the same time were 100%, 52.15% and 36.15%, respectively. And the need for the improvement of respiratory therapy operation technology were 40%, 66.7%, 65.3%. In addition, the correct use of filters in COVID-19 non-invasive ventilation was significantly higher than invasive mechanical ventilation. Conclusion There are great differences in the management and use of respiratory therapy equipment in provincial, municipal and county-level designated hospitals. Therefore, medical institutions should pay attention to and reform the management of current respiratory therapy equipment, introduce and train professional respiratory therapy personnel, and improve hospital respiratory therapy equipment management and use.更多还原