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目的探讨在广西基层医院推广“尿路结石治疗的规范诊疗技术”的必要性及推广效果,制定适合我区基层医院使用的尿路结石诊疗规范。方法选择马山县为试点,对县、镇、乡村等各级医院的相关医务人员进行集中培训,并对培训前后医生的泌尿系结石诊疗水平进行考核,评估培训效果和意义。结果前期调查发现马山县各级医院的医生对泌尿系结石的诊疗知识存在明显缺陷。经过培训,受训医生对“泌尿系结石”知识的知晓率由44.8%提高到82.3%,成绩从培训前(44.27±17.21)分提高到(80.07±5.77)分,培训后的各级医院成绩均有所提高(P<0.01),培训效果良好。结论广西基层医院医生的尿路结石诊疗知识存在明显缺陷,急需专业培训。通过培训,受训医生尿路结石的诊疗水平得到显著提高,值得在广西各基层医院推广。
Objective To explore the necessity and effect of popularizing “normative diagnosis and treatment technique of urinary tract stone therapy” in primary hospitals in Guangxi and to make the diagnosis and treatment of urinary tract stones suitable for the primary hospitals in our district. Methods To select Mashan County as a pilot project to conduct centralized training on relevant medical personnel in hospitals at all levels in counties, towns and villages and to evaluate the diagnosis and treatment of urological calculi of doctors before and after training, and to evaluate the effect and significance of training. Results Pre-investigation found that Masan County hospitals at all levels of doctors diagnosis and treatment of urinary calculi knowledge exists obvious flaws. After training, the rate of awareness of “urinary calculus” among trained doctors increased from 44.8% to 82.3%, and the score increased from 44.27 ± 17.21 points to (80.07 ± 5.77) points. After training, all levels of hospitals Results were improved (P <0.01), the training effect is good. Conclusions There is a clear defect in the diagnosis and treatment of urolithiasis in Guangxi grassroots hospital, which urgently needs professional training. Through training, the doctor’s urinary calculus clinics have been significantly improved the level of diagnosis and treatment, it is worth in Guangxi primary hospitals to promote.