乡镇卫生院产科现状分析

An investigation and analysis of the situations of obstetrical departments in township hospitals

目的:了解信阳市乡镇卫生院妇产科现状。方法:组织专业人员使用统一调查表,深入到46所乡镇卫生院进行妇产科房屋、人员、设备及转诊情况等调查。结果:平均每所卫生院妇产科用房面积为33.53 m2,布局合理的27所,占58.70%。无高级技术职称,中级技术职称16人,占10.39%,初级职称129人,占83.77%,无职称9人,占5.84%;9所卫生院有多普勒胎心监护仪;2所卫生院有婴儿喉镜及气管插管。结论:乡镇卫生院的产科质量近几年虽有较大提高,但目前还存在着应急抢救能力不强,人员技术水平偏低、转诊制度不完善、管理不力等问题,必须引起各级政府和卫生行政部门的重视。

Objective： To Know the situations of the gynecological and obstetrical departments in township hospitals. Methods： Organize professionals to conduct investigations on the houses, staffs, facilities and the transferring patients of the 46 township hospitals. Results ： Among the 46 township hospitals, the average floorage of the gynecological and obstetrical departments of the township hospitals is 33. 53 m^2. 27 of the obstetrical departments are rationally distributed, which takes up 25. 70%. There are no advanced titles for technical personnel. 16 persons have intermediate technical titles, accounting for 10. 39%. The elementary title for technical personnel is 129 persons, accounting for 83. 77%. 9 people have no technical titles, which accounts for 5. 84%. 9 township hospitals have Doppler＇s Monitor for fetus hearts. 2 hospitals have baby＇s laryngoscopes and organ incubators. Conclusion. Though the quality of the gynecological and obstetrical departments in township hospitals of the city have been improved a lot, there still exist some problems such as insufficient abilities in urgent needs and rescue, low -quality technical personnel, no sound systems for transferring patients and misgoverning. Therefore the governments at all levels and the hygiene and health administrative departments must pay great attention to these problems.