河北省三级医院ICU质量现状分析

Investigation on the quality control indexes of intensive care units in Hebei

目的了解河北省三级医院重症医学专业医疗质量现状。方法对在河北省重症医学质量管理与控制网站注册的48家三级医院2016年1月1日-6月30日上报的质量指标数据进行统计分析，计数资料以频数表示。结果河北省48家三级医院重症医学科（ICU）医师床位比为（0．699±0．231）：1，床位数占医院总床位数的（1．5±0．5）％；护士床位比为（1．956±0．544）：1，入ICU24h内急性生理和慢性健康状况评分≥15分患者占总收治患者的（57．6±23．2）％。在感染性休克患者治疗过程中，3h、6h集束化治疗完成率分别为（57．0±39．1）％和（57．0±37．8）％。ICU实际病死率为（21．2±16．5）％，非计划气管插管拔管率为（7．9±7．7）％。结论河北省ICU已初具规模，但仍存在床位紧张、人员配比欠合理情况。需重视重症医学教育，加大投入，引进更多ICU专业医护人员，促进重症医学发展。

Objective To investigate the quality control indexes of intensive care units in Hebei province. Methods Statistical analysis was made on the quality control indexes of 48 hospitals in Hebei, which were registered in the critical medical quality management and control website of Hebci province. Results The physician-bed ratio of ICUs was （0. 699 ±0.231 ） ： 1, with the beds accounting for （ 1.5 ±0.5） % of the total beds in the hospital; nurse-bed ratio was （ 1. 956 ±0. 544 ） ： 1. The patients with APACHE II score greater than 15 accounted for （57.6 ±23.2）%. In the course of treatment for septic shock patient, their 3h/6h bundle treatment completion rate was （ 57.0 ±39.1 ） % and （57.0 ±37.8 ） % respectively. Actual mortality of Hebei ICUs was （21.2 ±16.5 ）% , and their unplanned tracheal intubation rate was （7.9 ±7.7 ） %. Conclusions Given the overall capacity of ICUs in Hebei, there exist such shortcomings as insufficient beds and irrational staffing, which calls for better intensive care education and greater manpower for healthy development of critical care medicine.