中国医学前沿杂志（电子版）2016，Vol.8Issue(9)：77-81,5.DOI:10.12037/YXQY.2016.09-09
北京地区医护人员对骨髓腔内输液知晓现况的调查研究
Status quo study of the medical staffs in intraosseous infusion in Beijing area
摘要
Abstract
Objective To investigate the condition of awareness of emergency intravenous infusion style in medical staffs in part of third-grade class-A hospital in Beijing area, analyze the causes of insufficient of intraosseous infusion in China, to provide the basis for the development of the intraosseous infusion technology. Method 420 clinical medical staffs in emergency department, ICU and other departments in 8 hospitals in Beijing area, cognitive situation and the degree of trust about intraosseous infusion and central venous infusion were counted and analyzed through questionnaire. Result Awareness rate of intraosseousinfusion was only 32.6% (137/420) in medical staffs, and awareness rate of central venous infusion was 97.4% (409/420). The indications and the operation process of intraosseous infusion were known by only 4.0%(17/420) and 3.8%(16/420) in the medical staff;and the contraindications of intraosseous infusion were known by 22.6%(95/420). There were only 49.5%(208/420) medical staffs trust the intraosseous infusion. The average awareness rate of intraosseous infusion in the medical staffs of the other department [26.9%(52/193)] was less than that in emergency department [40.8% (42/103)] (P < 0.05); the awareness of intraosseous infusion from junior titles to senior titles tended to increase especially in emergency department and ICU, trend test had statistically significant difference (respectively, P=0.002, P<0.001);the awareness rate of intraosseous infusion among senior medical staffs in different departments was also different, the analysis found the awareness rate of intraosseous infusion in the senior medical staffs of other department [31.7%(13/41)] was less than that in the senior staffs of ICU [72.7%(8/11)] and emergency department [66.7%(4/6)];when the peripheral venous puncture are not successful twice, 70.7%(297/420) of the medical staffs would consider central venous infusion, 22.1%(93/420) would try the peripheral venous puncture again, only 4.1%(17/420) of the medical staffs would try the way of intraosseous infusion. And this technology was started only in 1 hospital among the total 8 hospitals. Conclusion The awareness rate of intraosseous infusion in Chinese medical staffs and carry-out rate in the hospital is very low, it is urgent to strengthen the relevant knowledge propaganda and training.关键词
骨髓腔内输液/中心静脉输液/现况调查Key words
Intraosseous infusion/Central venous infusion/Status quo study引用本文复制引用
汪宇鹏,祖凌云,高炜,于雪,刘盛,张萌..北京地区医护人员对骨髓腔内输液知晓现况的调查研究[J].中国医学前沿杂志（电子版）,2016,8(9):77-81,5.基金项目
首都临床特色应用研究与成果推广专项（z151100004015118）；北京大学第三医院临床重点项目培育探索项目 （）
