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目的:调查广西武宣县乡镇卫生院急性心肌梗死(AMI)救治能力现状,并分析存在的问题。方法:采用问卷调查的方式对武宣县12所乡镇卫生院及医生进行现场调查,内容包括临床医生基本情况、卫生院硬件建设情况、临床医生对AMI诊断和治疗知识掌握情况。结果:12所卫生院中,医生总数为271人,其中执业医师88人,占32.5%,执业助理医师93人,占34.3%,无证医生90人,占33.2%。到二级以上医院进修学习6个月的有42人,占15.5%,7-12个月的有35人,占12.9%。所有卫生院都配备心电图设备,但是都没有开展肌钙蛋白检查项目。在调查的208名临床医生中,有145名医疗接触可后完成首份心电图,占69.7%,但只有26名医生掌握常用溶栓药物的情况,占12.5%。结论:广西武宣县乡镇卫生院硬件设施基本达到要求,但临床医生资源匮乏,对AMI患者的转归和预后具有较大隐患,应及时加以改进。
Objective: To investigate the status quo of AMI rescue and treatment in township hospitals in Wuxuan County, Guangxi Province, and to analyze the existing problems. Methods: A questionnaire survey was conducted on 12 township hospitals and doctors in Wuxuan County. The survey included basic information of clinicians, hardware construction of hospitals, knowledge of diagnosis and treatment of AMI by clinicians. Results: The total number of doctors in the 12 hospitals was 271, including 88 practicing doctors, accounting for 32.5%, 93 practicing assistant physicians, accounting for 34.3%, and the number of unlicensed doctors was 33, accounting for 33.2%. There are 42 students who have studied for more than two years in a hospital for 6 months, accounting for 15.5%, 35 of them in 7-12 months, accounting for 12.9%. All hospitals are equipped with ECG equipment, but did not carry out troponin check items. Of the 208 clinicians surveyed, 145 completed the first electrocardiogram after medical contact, accounting for 69.7% of the total, but only 26 received 12.5% of the commonly used thrombolytic drugs. Conclusion: The hardware facilities of township hospitals in Wuxuan County of Guangxi basically meet the requirements. However, the lack of resources of clinicians has great hidden dangers for the prognosis and prognosis of AMI patients and should be improved in time.