2013年福建省医疗服务人员抗凝血灭鼠药诊疗知识状况调查

Survey on the Diagnostic and Therapeutic Knowledge of Anticoagulant Rodenticides Among Medical Workers,Fujian Province,2013

目的了解临床医生对抗凝血灭鼠药的诊疗知识的认知情况,进而采取针对性措施以减少临床误诊率。方法2013年7~9月抽样调查全省434名医务人员基本信息、对鼠药各项知识了解程度。结果调查434名医务人员,抗凝血灭鼠药知晓率为82.26%（357/434）,仅44.93%（195/434）的医务人员在就诊病人有出血症状时会考虑鼠药中毒,对有出血症状的就诊患者是否会考虑鼠药中毒与医务人员的职称有关[OR=1.72（95%CI：1.15~2.57）];各地市之间差异无统计学意义（P〉0.05）,各科室之间差异有统计学意义（P〈0.01）。随着对抗凝血灭鼠药诊疗知识的增加,在出血性疾病诊断中越会考虑鼠药中毒。结论加强抗凝血灭鼠药知识的培训有助于对此类疾病做出正确的诊断,减少误诊率。

Objective To understand the diagnostic and therapeutic knowledge of anticoagulant rodenticides among medical workers,so as to adopt related measures to reduce the rate of clinical misdiagnosis. Methods During July-September,2013,aquestionnaire survey was conducted to collect related information and the knowledge about the anticoagulant rodenticides among 434 medical workers. Results The awareness rate about anticoagulant rodenticides was 82.26%（357/434）,and 44.93%（192/434）of medical workers might consider rodenticides poisoning when the patient had hemorrhage symptoms,considering or not seems related to the professional ranks and titles of the medical workers（OR =1.72,95%CI ：1.15-2.57）.There was no statistical significance in different cities（P〉0.05）and with significant difference in different departments（P〈0.01）.The medical workers would consider rodenticide poisoning when the patient had hemorrhage symptoms when the anticoagulant rodenticide knowledge increased. Conclusion Reinforcing the training on anticoagulant rodenticide knowledge favors to make the correct diagnosis and reduce the rate of clinical misdiagnosis.