摘要
目的通过2560例包虫病远程会诊病例分析，探讨基于远程医疗的区域包虫病防治新模式。方法回顾性分析2009年1月至2013年12月的包虫病远程会诊病例，统计会诊例次、会诊疾病地方差异、会诊疾病谱特点及会诊上转率和住院费用结余。结果（1）会诊量呈逐年上升趋势，从2009年182例，递增至2013年873例，绝对增长量约5倍。（2）北疆地区会诊量所占比例均在83％～91％之间，明显高于南疆地区和东疆地区，符合以农牧业为主的经济特点和包虫病地域流行特征。（3）会诊病例仍以肝包虫为主（99．42％），依次为肺包虫（0．24％）、盆腔包虫（0．19％）、脑包虫（0．12％），心脏包虫（0．03％）。（4）会诊上转率为7．97％，92．03％的包虫病患者实现了属地诊疗，节约住院费用1478万元。结论包虫病远程医疗防诊治三级网络体系的构建和应用，有效地提升了基层医院包虫病防控能力，从一定程度上减轻了包虫病患者经济负担，为探索区域包虫病防治的长效机制开辟新路径。
Objective By analyzing 2 560 echinococcosis cases through telemedicine, to explore a new mode for preventing, diagnosing, and treating of echinococcosis. Method From January 2009 to December 2013 in our hospital through remote medical care and consulting we analyzed cases and conducted statistics on consultation＇s person time, location difference, spectrum of disease and upward referral rate as well as the cost of hospitalization. Result （ 1 ） The amount of consultation rose from 182 cases in 2009 to 873 cases in 2013. （2） The proportion of consultation from northern Xinjiang is about 83% -91%, obviously higher than that from south Xinjiang and eastem Xinjiang, which fits those areas mainly with the economical character of the husbandry. （3） Most consultation cases are echinococcosis （99.42%） followed by echinococcosis （0. 24% ）, pelvic cystic echinococcosis （0. 19% ）, cerebral echinococcosis （0. 12% ）, and cardiac echinococcosis （0. 03% ）. （4） Upward referral rate is nearly 7. 97% and about 92. 03% patients were treated in local community hospitals saving medical care budget by RMB 14.78 million. Conclusions Use and establishment of the three level network system for preventing, diagnosing, and treating the echinocoecosis by telemedicine effectively enhances primary hospital＇s ability in the care of these patients and alleviates patients economical burden.
出处
《中华普通外科杂志》
CSCD
北大核心
2015年第4期294-296,共3页
Chinese Journal of General Surgery
基金
新疆医科大学2012年度社科基金资助项目（2012XYSK05）
关键词
棘球蚴病
肝
远程会诊
远程医学
Echinococcosis, hepatic
Remote consultation
Telemedicine
