河北省核医学医疗照射应用频度调查与分析

Investigation and analysis of application frequency of nuclear medicine exposure in Hebei Province

目的掌握河北省医疗机构核医学诊疗基本情况、发展趋势和医疗照射应用频度,为合理配置临床核医学资源、优化核医学管理提供参考和依据。方法设计核医学专项调查表格,采取医疗机构自查、卫生监督机构对辖区内的医疗机构进行现场调查等方法,将调查的各类核医学诊疗人次数除以2018年全省常住人口数,得出不同诊疗类型的应用频度。结果截至2018年底,河北省应用核医学共诊疗160809人次,其中诊断143107人次,治疗17702人次,诊断频率1.89人次/千人口,治疗频率0.23人次/千人口,核医学应用频率2.13人次/千人口。结论河北省核医学发展不平衡问题依然很突出,虽然临床核医学应用频度每年稳步上升,但是和发达地区相比,还有很大的提升空间,随着设备越来越高端、精细,对核医学医师、技师等相关工作人员的要求更高,需要医疗机构增加核医学诊疗专业人才的引入和培养,更需监管部门加大对核医学的监管力度,以实现安全医疗的目标。

Objective To obtain the basic information,development trend and the frequency of medical exposure in medical institutions carrying out clinical nuclear medicine in Hebei Province in 2018,to provide the data support and reference for reasonable allocation of clinical nuclear medicine resources and optimization management.Methods The special nuclear medicine survey forms for medical institutions in Hebei Province were designed,and the medical institutions conducted self-examination,and the health supervision institutions conducted on-site investigation on medical institutions within their jurisdiction.The application frequency of different types of medical diagnosis and treatment was obtained by dividing the number of nuclear medical diagnosis and treatment patients surveyed by the number of permanent residents in the province in 2018.Results There had been 75.563 million residents in Hebei Province by the end of 2018.There had been 160,809 cases of nuclear medicine diagnosis and treatment,including 143107 cases of diagnosis,17702 cases of treatments,1.89 cases of diagnosis per 1,000 population,0.23 cases of treatment per 1,000 population and 2.13 cases of nuclear medicine.Conclusion The development of nuclear medicine in Hebei Province is still highly unbalanced.Although the frequency of clinical nuclear medicine application was steadily increasing every year,there still have plenty of room to improve compared with developed areas.As the equipment becomes more and more high-end and sophisticated,the requirements for nuclear medicine physicians,technicians and other related staff would be higher.It is necessary for medical institutions to increase the introduction and training of professionals in nuclear medicine diagnosis and treatment,and for regulatory authorities to strengthen supervision over nuclear medicine,so as to achieve the goal of safe medical treatment.