军队机动卫勤分队医技保障模块超声单元运行现状调查研究及对策

Operation status of ultrasonic units of medical security module in current mobile medical detachments

目的调查分析现行机动卫勤分队医技保障模块超声单元运行现状，为进一步改进提供依据。方法自制调查问卷，信效度检验符合要求，随机调查全军范围内多支机动卫勤分队的特诊军医，针对分队超声单元人员学历、训练经验、装备配备、技术范围以及训练标准化进行调查。根据调查结果计算各调差项目加权平均值（x），X〈0．6认为难以满足日常任务需求；0．6≤X〈0．8认为能够满足日常日任务需求；0．8≤X≤1．0认为能够满足大规模军事行动卫勤保障需求。调查对象的权威系数计算公式为C=（ci＋cs）／2。结果调查问卷合格率为92．5％；调查对象权威系数为0．92（0．72-1．0）；各分队均配备不同性能的便携式超声诊断仪；人员学历和训练经验的加权平均值分别为0．67±0．25、O．66±0．24，大部分调查对象具有学士学位，所有调查对象都具有不少于五年的超声诊断经验；仅少数分队掌握了多种急诊超声技术；大多数分队未开展标准化训练。结论现行机动卫勤分队超声单元人员的临床经验能够满足当前医疗保障需求，超声单元需提升装备性能、统一技术标准和技术范围，并制定标准化训练规范。

Objective To investigate and analyze the operation status of the ultrasonic units of medical security module in current mobile medical detachments of the Chinese People＇s Liberation Army and to provide an evidence for further improvement. Methods A questionnaire survey was performed among 40 military surgeons for special diagnosis of multiple mobile medical detachments randomly sampled from the whole army to investigate their educational beckgrounds and training experience, and the relevant equipments, technical scope, and training standardization of the corresponding units. Corresponding scores were given to different items. The values of weighted mean （X） of different items were calculated. X 〈 0.6 was regarded as failure to satisfy the daily task demand, 0.6≤X 〈 0.8 was regarded as capability to satisfy the daily task demand, and 0.8≤X≤ 1.0 was regarded as capability to satisfy the demand of medical service support in large-scale military operation. The formula C=（ci＋cs）/2 was used to calculate the authority coefficient of the respondents. Results The qualification rate of the questionnaire was 92.5%. The average authority coefficient was 0.92 （0.72±1.00）. All departments were equipped with portable ultrsonoc machines with different performance rates. The weighted average values of educational background and of training experience were （0.67±0.25） and （0.66±0.24） respectively. Most of the respondents had the bachelor degree. All were engaged in the profession of untrasonography for at least 5 years. Only a few departments mastered enough multiple techniques. Most departments failed to carry out regular training. Conclusion The surgeons of different departments have rather rich clinical experience and basically satisfy the current demand for medical service support. The equipment of untrasonic machines shoulde improvd soon. The technical scope of the current untrasonic units is not unified, and the technical levels vary widely. Standardized training is needed.