中国体外循环专业及从业人员构成变化分析

Trend of Cardiopulmonary Bypass Personnel Constitution in China

目的调查近5年来中国体外循环专业的发展动态和从业人员的构成变化,对未来我国体外循环专业发展及从业人员构成的变化趋势提出预测和建议。方法分别于2005年和2010年对全国开展心血管手术的医院进行问卷调查,调查内容包括开展体外循环下心血管手术量和非体外循环下心血管手术量,开展体外膜式氧合数量。对收集的资料进行统计分析,比较2005年和2010年全国体外循环从业人员情况。结果 2005年全国心血管手术量为104 631例,其中在体外循环下86 155例,开展体外膜式氧合68例。2010年全国心血管手术量170 547例,其中在体外循环下136 753例,开展体外膜式氧合206例。2005年全国体外循环从业人员有708人,专职灌注师占40.2%(285/708),高级职称占23.2%(164/708)。2010年全国体外循环从业人员为2 111人,专职灌注师占37.6%(793/2 111),高级职称占25.5%(539/2 111)。结论中国体外循环专业近5年来发展迅速,未来专职灌注师构成比将逐渐提高,高职称、高学历的从业人员构成比也将进一步提高。

Objective To investigate the trends of cardiopulmonary bypass （CPB） professional development and personnel constitution in the past five years in China, and provide prediction and advice for the trend of Chinese CPB personnel constitution in the future. Methods We conducted 2 questionnaire investigations of Chinese hospitals in which cardiovascular surgeries were performed in the year 2005 and 2010, regarding the number of on-pump and off-pump cardiovascular operations and cases of extracorporeal membrane oxygenation （ECMO）. Data of CPB personnel constitution in the year 2005 and 2010 were analyzed. Results The total number of cardiovascular operation, on-pump cardiovascular operation and ECMO cases was 104 631, 86 155, and 68 respectively in 2005. The total number of cardiovascular opera- tion, on-pump cardiovascular operation and ECMO cases was 170 547, 136 753, and 206 respectively in 2010. There were 708 CPB professionals in 2005, including 40.2% （285/708） full time perfusionists and 23.2% （164/708） perfusion- ists with senior professional titles. There were 2 111 CPB professionals in 2010, including 37.6% （793/2 111 ）full time perfusionists and 25.5% （539/2 111 ） perfusionists with senior professional titles. Conclusion There has been a rapid CPB professional development in the past five years in China. The proportion of full time perfusionists, perfusionists with senior professional titles and higher educational degree will further increase in the future.