基于对神经重症监护病房数量和质量的分析，探讨中国神经重症监护专业的发展。

The development of the neurocritical care specialty in China based on the analysis of neurocritical care unit volume and quality.

作者信息

Su Yingying, Teng Junfang, Pan Suyue, Jiang Wen, Wang Furong, Tian Fei, Jing Jing, Huang Huijin, Cao Jie, Hu Huaiqiang, Liu Liping, Li Wei, Liang Cheng, Ma Liansheng, Meng Xuegang, Tian Linyu, Wang Changqing, Wang Lihua, Wang Yan, Wang Zhenhai, Wang Zhiqiang, Xie Zunchun, You Mingyao, Yuan Jun, Zeng Chaosheng, Zeng Li, Zhang Le, Zhang Lei, Zhang Xin, Zhang Yongwei, Zhao Bin, Zhou Saijun, Zhou Zhonghe

机构信息

Departments of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.

The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

Brain Circ. 2024 Mar 21;10(1):67-76. doi: 10.4103/bc.bc_71_23. eCollection 2024 Jan-Mar.

DOI:10.4103/bc.bc_71_23

PMID:38655441

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11034439/

Abstract

PURPOSE

Through three neurocritical care unit (NCCU) surveys in China, we tried to understand the development status of neurocritical care and clarify its future development.

METHODS

Using a cross-sectional survey method and self-report questionnaires, the number and quality of NCCUs were investigated through three steps: administering the questionnaire, sorting the survey data, and analyzing the survey data.

RESULTS

At the second and third surveys, the number of NCCUs (76/112/206) increased by 47% and 84%, respectively. The NCCUs were located in tertiary grade A hospitals or teaching hospitals (65/100/181) in most provinces (24/28/29). The numbers of full-time doctors (359/668/1337) and full-time nurses (904/1623/207) in the NCCUs increased, but the doctor-bed ratio and nurse-bed ratio were still insufficient (0.4:1 and 1.3:1).

CONCLUSION

In the past 20 years, the growth rate of NCCUs in China has accelerated, while the allocation of medical staff has been insufficient. Although most NCCU hospital bed facilities and instruments and equipment tend to be adequate, there are obvious defects in some aspects of NCCUs.

摘要

目的

通过在中国进行的三次神经重症监护病房（NCCU）调查，我们试图了解神经重症监护的发展现状并阐明其未来发展方向。

方法

采用横断面调查方法和自填式问卷，通过以下三个步骤对NCCU的数量和质量进行调查：发放问卷、整理调查数据以及分析调查数据。

结果

在第二次和第三次调查中，NCCU的数量（76/112/206）分别增长了47%和84%。大多数省份（24/28/29）的NCCU位于三级甲等医院或教学医院（65/100/181）。NCCU的专职医生数量（359/668/1337）和专职护士数量（904/1623/207）有所增加，但医生床位比和护士床位比仍不足（分别为0.4:1和1.3:1）。