河南省市县级医院消化内镜医师内镜诊疗水平现况调研

目的了解河南省市县级医院消化内镜医师的内镜诊疗水平及现状。 方法采用自行设计的调查问卷，对2016年1月至2017年1月参加河南省人民医院消化内科内镜培训的市县级医院的内镜医师进行调查问卷，统计内镜诊疗开展情况、工作量及内镜医师参加培训情况。 结果共有114人参与调查，其中有效调查问卷104份。参与调查的医师来自三级医院者占54.8%、二级医院者占45.2%，有10年以上内镜工作经验者占47.1%。均已开展胃肠镜检查技术的市县级医院，分别有26.9%、23.1%、58.7%和87.5%的内镜医师未开展内镜下止血治疗、高频电切除胃肠道息肉、EMR法切除胃肠道息肉和ESD术。并且，参加内镜培训的医师中，仅有19.4%能被提供急诊胃镜下止血的操作机会。 结论我省市县级医院消化内镜诊疗技术水平参差不齐且整体水平较低下，建立并完善适合市县级医院消化内镜医师操作水平的有效的培训模式迫在眉睫。

The status of endoscopic diagnosis and treatment of endoscopists in civil and country level hospitals of Henan province

ObjectiveTo investigate the status of endoscopic diagnosis and treatment of endoscopists in civil and country level hospitals of Henan province. MethodsBy using the self-designed questionnaire, we distributed the questionnaire to the endoscopists of the civil and county level hospitals who participated in the endoscopy training in Department of Gastroenterology of Henan Provincial People′s Hospital, and counted the current situation, workload and training situation of endoscopists. ResultsA total of 114 endoscopists participated in the survey, including 104 valid questionnaires. 54.8% of the endoscopists from the tertiary hospitals, 45.2% from the secondary hospitals and 47.1% with more than 10 years′ experience in endoscopy. Gastrointestinal endoscopies have been carried out in civil and county level hospitals. A total of 26.9%, 23.1%, 58.7% and 87.5% of endoscopists did not carry out the techniques of endoscopic hemostasis, high-frequency electric resection of gastrointestinal polyps, endoscopic mucosal resection(EMR) of gastrointestinal polyps and endoscopic submucosal resection (ESD). In addition, only 19.4% of the endoscopists who participated in endoscopic training could be provided with the opportunity of hemostasis under the actual emergency gastroscope. ConclusionThe technical level of endoscopic diagnosis and treatment of digestive diseases in civil and county level hospitals in our province is uneven and low as a whole. It is urgent to establish and improve an effective training mode suitable for the operation level of endoscopists in civil and county level hospitals.