山西省神经内科医师脑梗死静脉溶栓问卷调查分析

Intravenous fibrinolytic therapy for acute stroke in Shanxi:a questionnaire survey

目的调查山西省神经内科医师对于脑梗死急性期静脉溶栓治疗专业知识掌握程度及医院是否具备相关条件。方法采用问卷方式调查全省153所医院的500名神经内科医师,其中112所二级医院,41所三级医院。结果共收回有效问卷370份。在153所医院中,134所(87.6%)具备持续24 h CT检查的条件,二级医院95所(84.8%),三级医院39所(95.1%)。配备溶栓药品阿替普酶的医院59所(38.6%),其中二级医院25所(22.3%),三级医院34所(82.9%)。在溶栓相关知识问卷中,13项问题的正确率最低为30.8%,最高为82.4%,6项问题的正确率低于50.0%。结论山西省神经内科医师缺乏脑梗死急性期静脉溶栓治疗相关知识,难以满足医疗需求,需要进一步加大继续教育的力度,提高我省脑梗死急性期静脉溶栓治疗比例,减少脑梗死残疾率。

Objetive To investigate physicians＇ knowledge regarding intravenous fibrinolytic therapy for acute ischemic stroke and whether their hospitals could meet the requirements for the therapy.MethodsQuestionnaires were mailed to 500 physicians from 153 hospitals in Shanxi including 112 secondary and 41 tertiary hospitals. 370 physicians returned valid questionnaires.ResultsOne hundred thirty-four hospitals（87.6%） could provide 24-hour computed tomography service, including 95（84.8%） secondary hospitals and 39（95.1%） tertiary hospitals. Alteplase stock was available in 59 hospitals（38.6%）, containing 25（22.3%） secondary and 34（82.9%） tertiary hospitals. Accuracy rates of 13 questions regarding intravenous fibrinolytic therapy for acute ischemic stroke ranged from 30.8% to 82.9%. Accuracy rates of 6 questions were lower than 50.0%.ConclusionsThe present study has revealed that physicians in this study have poor knowledge regarding the therapy. The situation can not meet the demand of healthcare, which partially accounts for the low rate in fibrinolytic therapy in Shanxi. Relevant training and suitable assessment should be carried out compulsively to ensure that physicians grasp necessary knowledge and skills.