云南省某县社区获得性肺炎诊治情况调查及分析

Investigation and analysis of medical quality for community-acquired pneumonia in a county of Yunnan province

目的针对云南省某县成人社区获得性肺炎诊治情况进行调查和分析。方法将该县6家医院的77名内科医师分成2组:县级医院组和乡镇医院组,进行问卷调查,了解该县成人社区获得性肺炎的诊治现况,并进行分析总结。结果县级医院与乡镇级医院的社区获得性肺炎诊疗质量相仿,在以下质控指标:入院标准、氧合评估、病原学检查、抗生素治疗时机、治疗后疗效评估及治疗方案选择,2组差异均无统计学意义。结论目前基层医院社区获得性肺炎总体诊疗质量低下,内科医师对该病认知度严重不足,继续教育水平低下,应尽快强化和落实继续教育培训与考核,改善诊疗条件,大力推进抗生素的规范化使用。

Objective To investigate and analyze the diagnosis and treatment of adult community-acquired pneumonia（ CAP） in a county of Yunnan province of China. Methods Total 77 physicians from six hospitals were assigned into county hospital physician group and township hospital physician group. The questionnaire survey was conducted to investigate the diagnosis and treatment of CAP in this country,and the data was summarized and analyzed. Results The medical quality for CAP in both groups was similar. There was no statistical difference in the following indicators of quality control： admission standards,oxygenation assessment,pathogen examination,beginning time of antibiotic therapy,assessment of therapeutic effect,and therapeutic regimen. Conclusion The medical quality for CAP patients is low in primary hospitals. The physicians have limited knowledge about CAP,and have not enough continuing education. So,it is essential to enforce the continuing education and examination system,improve the medial equipment,and normalization the antibiotic therapy regimen.