中国血液净化

中国血液净化 ›› 2016, Vol. 15 ›› Issue (06): 375-377.doi: 10.3969/j.issn.1671-4091.2016.06.015

• 中心管理与技术 • 上一篇    下一篇

新疆血液透析现状分析

孙颖平,李玉芳,张菁菁,李素华,李静,刘健   

  1. 新疆医科大学第一附属医院
  • 收稿日期:2016-03-24 修回日期:2016-04-08 出版日期:2016-06-12 发布日期:2016-06-19
  • 通讯作者: 刘健 jianliu@medmail.com.cn E-mail:236162044@qq.com
  • 基金资助:

    新疆地区血液透析医护技人员人才队伍培养现状及其影响因素的调查研究新疆医科大学卫生事业发展改革研究所专项基金HADR201606

Current status of hemodialysis in Xinjiang

  • Received:2016-03-24 Revised:2016-04-08 Online:2016-06-12 Published:2016-06-19

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摘要： 目的分析新疆血液透析(hemodialysis，HD)现状，为改进新疆血液透析治疗提供客观依据。方法现场调查全疆已开展透析的医院，收集透析设备、医护人员及在透患者等数据，并整理2013～2014年全疆在线登记透析患者数据，进行整合分析。结果新疆已开展血液透析的医疗机构共82 家，已覆盖所有地州市级及63%的县级医院，可满足新疆80%人口的治疗需求。人口在10 万以上的县，90%已开展透析。截止2015 年5 月，维持性血液透析(maintenance hemodialysis，MHD)患者3202 人，70%在地州及县级医院接受透析治疗。全疆每百万人透析人数158 人/pmp，其中喀什、和田、阿克苏、克州、哈密及塔城地区每百万人透析人数不足100 人/pmp。在透患者乙型肝炎、丙型肝炎、梅毒、艾滋感染率分别为7.2%、6.7%、1.8%、0.2%。全疆从事血液透析的医师共192 人，取得专科岗位培训证书94 人；从事血液透析的护士共498 人，取得专科岗位培训证书276 人；透析工程师共58 人，取得专科岗位培训证书22 人。结论我区已基本建成覆盖全疆血液透析治疗的网络，可满足80%的患者透析治疗的需求。已开展透析治疗的医院硬件基本满足国家规定标准，但从事血液透析的医护技人员接受专科岗位培训率较低，需尽快完善血液透析的规范化培训及岗位教育，进一步提高从业人员资质。

关键词: 血液透析, 透析患者, 人力资源, 透析设备

Abstract: Objective To introduce the current status of hemodialysis in Xinjiang in order to provide an objective basis for the improvement of hemodialysis treatment. Methods We investigated all of the hospitals providing hemodialysis treatment in Xinjiang by using field survey method. We collected the data about dialysis equipments, medical staffs and number of hemodialysis patients, summarized the information about online registered hemodialysis patients during 2013～2014, and then performed an integrated analysis. Results There are totally 82 medical institutions providing hemodialysis treatment, covering all state cities and 63% of county-level hospitals. These medical institutes can meet the demand of hemodialysis for 80% population in Xinjiang. 90% of counties with >100,000 residences provide hemodialysis treatment. By May 2015, there are 3,202 MHD patients, of whom 70% receive hemodialysis in state hospitals or county hospitals. The hemodialysis ratio in Xinjiang is 158/1,000,000 population, but the ratio is ＜100/1,000,000 population in Kashi, Hotan, Aksu, Hami and Tacheng districts. In hemodialysis patients, the infections of hepatitis B, hepatitis C, syphilis, HIV/AIDS are 7.3%, 6.8%, 1.9% and 0.3% respectively. A total of 192 physicians are working for hemodialysis, and 94 of them have got the professional training certificate. A total of 498 nurses engage in hemodialysis, and 276 of them have got the professional training certificate. A total of 58 engineers are working for hemodialysis, and 22 of them have got the professional training certificate. Conclusions A hemodialysis treatment system has been established in Xinjiang Uygur Autonomous Region. This system can meet the demand of 80% patients that need hemodialysis. The quality of hardware for hemodialysis in the hospitals also meets the national standards. However, the ratio of medial workers being trained and educated with the professional of hemodialysis is still lower, suggesting great demands for continuing training and education.

Key words: Hemodialysis, Hemodialysis patient, Human resources, Dialysis equipment