摘要
目的调查济南市分娩镇痛现状,为推进分娩镇痛工作提供客观数据,制订改进和发展策略。方法济南市卫健委组织济南市分娩镇痛质控中心专家,于2019年7-8月深入济南市24家医院进行分娩镇痛调研和质控督导。采用听取医院分娩镇痛工作介绍、查看现场、查阅资料、反馈讨论、现场指导等形式,了解各医院分娩镇痛现状,收集各医院2019年1-6月分娩镇痛数据资料。2020年1-2月通过邮箱和微信工作群,收集被调查的24家医院2019年7-12月分娩镇痛数据资料。了解济南市各医院分娩镇痛的数据和存在的问题,制订发展和改进策略,上报济南市卫健委。结果共调查24家助产机构,2019年分娩量占济南市分娩总量的65.00%,总体分娩镇痛率为29.74%。镇痛方法以椎管内阻滞为主。大部分医院(占90.00%)没有专职麻醉医师入驻产房负责分娩镇痛。所有医院收费均参照麻醉项目收费,产科不收费。未开展椎管内镇痛的医院和开展率少于10.00%的医院主要因素是麻醉医师人数不足、没有收费标准。结论调研的24家医院总体分娩镇痛开展率偏低。原因是医院重视程度不够、麻醉医师人数不足、没有统一的收费标准和绩效政策等。通过调研督导,各医院均认识到分娩镇痛工作的重要性,分娩镇痛工作有一定的规范和提升。卫生主管部门充分发挥管理职能,有助于推动分娩镇痛工作的开展和实施。
Objective To investigate the current situation of labor analgesia in Ji'nan city,provide objective data for labor analgesia work,and formulate improvement and development strategies.Methods The Ji'nan Municipal Health Commission organized experts from the Labor Analgesia Quality Control Center in Ji'nan city to conduct survey and quality control supervision of labor analgesia in 24 hospitals in Ji'nan city from July to August 2019.Experts understood the current situation of labor analgesia in each hospital by listening to the introduction of labor analgesia work,viewing the site,reviewing information,discussing feedbacks,and conducting on-site guidance,etc.,and the data information of labor analgesia in each hospital from January to June 2019 was collected.From January to February 2020,the data information of labor analgesia in 24 hospitals surveyed from July to December 2019 was collected through email and WeChat work group.The data and existing problems of labor analgesia in Ji'nan city's hospitals were knew,and development and improvement strategies were made to report to Jinan Municipal Health Commission.Results A total of 24 midwifery institutions were surveyed,accounting for 65.00%of the total number of labors in Ji'nan city in 2019,with an overall labor analgesia rate of 29.74%.The analgesia method was mainly intraspinal block.Most hospitals(90.00%)did not have full-time anesthesiologists stationed in the delivery room for labor analgesia.All hospitals charged according to the anesthesia program,with no charge in obstetrics department.The main factors for hospitals that did not implement intraspinal analgesia and whose implementation rate less than 10.00%were insufficient anesthesiologists and no charge standard.Conclusion The overall implementation rate of labor analgesia in the 24 hospitals surveyed is low due to the lack of attention from hospitals,anesthesiologists,unified charge standard and performance policy.Through the survey and supervision,all hospitals have recognized the importance of labor analgesia work,resulting to certain regulation and improvement in labor analgesia work.The health authorities give full play to their management functions,which helps to promote the development and implementation of labor analgesia work.
作者
孙秀琴
刘心国
仲文玉
SUN Xiuqin;LIU Xin'guo;ZHONG Wenyu(Department of Obstetrics,the Fifth People's Hospital of Ji'nan,Shandong,Ji'nan 250022,China;Department of Anesthesia and Surgery,the Fifth People's Hospital of Ji'nan,Shandong,Ji'nan 250022,China;Department of Obstetrics,Ji'nan Central Hospital,Shandong,Ji'nan 250000,China)
出处
《中国医药科学》
2021年第18期171-174,共4页
China Medicine And Pharmacy
关键词
分娩镇痛
椎管内镇痛
调查
发展策略
Labor analgesia
Intraspinal analgesia
Survey
Development strategies
