《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2022, Vol. 28 ›› Issue (12): 1365-1379.doi: 10.3969/j.issn.1006-9771.2022.12.001
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ZHANG Yuanmingfei,YANG Yanyan,ZHANG Na,LIU Jingyu,LIU Xiaoxie,ZHANG Zhiliang,ZHOU Mouwang()
Received:
2022-11-24
Revised:
2022-11-28
Published:
2022-12-25
Online:
2023-01-10
Contact:
ZHOU Mouwang
E-mail:zhoumouwang@163.com
CLC Number:
ZHANG Yuanmingfei,YANG Yanyan,ZHANG Na,LIU Jingyu,LIU Xiaoxie,ZHANG Zhiliang,ZHOU Mouwang. 2021 National Report on Rehabilitation Medicine Services, Quality and Safety in Medical Care System[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1365-1379.
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重点操作项目 | 委属委管医院 | 三级综合医院 | 二级综合医院 | 民营医院 | 康复医院 | |
---|---|---|---|---|---|---|
科年均脑卒中人数/n | 417.67 | 313.81 | 184.1 | 199.87 | 1574.41 | |
进行NIHSS评定/n(%) | 174.24(41.72) | 162.51(51.79) | 102.58(55.72) | 90.14(45.10) | 229.00(14.55) | |
进行Brunnstrom评定/n(%) | 410.45(98.27) | 288.62(91.67) | 158.71(86.21) | 169.32(84.72) | 1064.67(67.62) | |
科年均脑外伤人数/n | 48.81 | 31.68 | 15.75 | 27.29 | 85.81 | |
进行Glasgow评定/n(%) | 37.21(76.23) | 21.97(69.35) | 11.34(72.00) | 22.90(83.91) | 57.89(67.46) | |
科年均脊髓损伤人数/n | 88.86 | 27.61 | 8.55 | 15.89 | 300.08 | |
进行脊髓损伤神经学分类国际标准评定/n(%) | 87.61(98.59) | 26.94(97.57) | 6.40(74.85) | 15.44(97.17) | 296.04(98.65) | |
进行脊髓独立性评估/n | 38.47(43.29) | 12.71(46.03) | 3.35(39.18) | 7.18(45.19) | 128.00(42.67) | |
科年均失语症人数/n | 114.70 | 64.68 | 30.34 | 42.36 | 212.77 | |
进行失语症筛查简易试验/n(%) | 114.32(99.67) | 61.67(95.35) | 27.58(90.90) | 38.86(91.74) | 201.31(94.61) | |
进行语言康复训练/n(%) | 111.42(97.14) | 55.34(85.56) | 26.08(85.96) | 31.80(75.07) | 169.54(79.68) | |
科年均构音障碍人数/n | 95.10 | 53.45 | 28.7 | 37.12 | 210.77 | |
进行Frenchay评定/n(%) | 91.59(96.31) | 38.66(72.33) | 20.16(70.24) | 25.24(68.00) | 187.46(88.94) | |
进行言语康复训练/n(%) | 89.58(94.20) | 45.85(85.78) | 25.69(89.51) | 25.78(69.45) | 191.77(90.99) | |
科年均吞咽障碍人数/n | 172.85 | 97.83 | 48.88 | 64.98 | 319.62 | |
进行洼田饮水试验/n(%) | 172.5(99.80) | 95.09(97.20) | 43.70(89.40) | 61.21(94.20) | 284.69(89.07) | |
进行吞咽造影检查/n(%) | 53.17(30.82) | 15.16(15.94) | 3.37(7.71) | 6.26(10.23) | 82.85(29.10) | |
进行吞咽训练/n(%) | 170.74(98.98) | 88.95(93.54) | 41.96(96.02) | 42.52(69.47) | 247.00(86.76) | |
科年均神经源性膀胱人数/n | 84.9 | 34.22 | 12.31 | 18.65 | 332.77 | |
进行排尿日记/n(%) | 82.89(97.63) | 23.96(70.02) | 7.01(56.95) | 8.42(45.15) | 194.92(58.57) | |
进行尿流动力学检查/n(%) | 54.76(64.50) | 11.97(34.98) | 2.12(17.22) | 3.67(19.68) | 105.38(31.67) | |
进行间歇导尿/n(%) | 72.94(85.91) | 18.99(55.49) | 5.04(40.94) | 7.42(39.79) | 139.62(41.96) | |
科年均痉挛人数 | 226.33 | 100.40 | 59.26 | 68.10 | 461.92 | |
进行改良Ashworth评定/n(%) | 226.22(99.59) | 100.03(99.63) | 59.19(99.88) | 61.13(89.77) | 459.92(99.57) | |
进行神经阻滞治疗/n(%) | 20.33(8.98) | 9.32(9.28) | 6.14(10.36) | 9.97(14.64) | 23.77(5.15) | |
科年均挛缩人数/n | 107.88 | 50.3 | 30.31 | 27.91 | 259.15 | |
进行关节活动度评定/n(%) | 106.25(98.49) | 49.76(98.93) | 29.85(98.48) | 26.93(96.49) | 218.08(84.15) | |
进行关节松动术/n(%) | 105.93(98.19) | 48.67(96.76) | 30.19(99.60) | 26.84(96.17) | 217.38(83.88) | |
进行牵伸治疗/n(%) | 106.81(99.01) | 45.86(91.17) | 28.87(95.25) | 27.14(97.24) | 256.54(98.99) | |
科年均深静脉血栓形成(DVT)人数/n | 70.52 | 21.43 | 6.78 | 13.30 | 145.85 | |
所有出院患者中,进行DVT临床特征评分/Wells评分/n(%) | 481.79(52.48) | 117.41(16.19) | 38.35(6.55) | 36.80(6.88) | 215.00(4.83) | |
所有出院患者中,进行DVT预防措施/n(%) | 340.72(37.11) | 108.65(14.98) | 35.74(6.11) | 37.45(7.00) | 278.69(6.26) | |
疼痛人数/n | 258.85 | 220.39 | 230.17 | 172.10 | 704.00 | |
进行视觉模拟评分/n(%) | 252.23(97.44) | 194.33(88.18) | 162.77(70.72) | 126.11(73.28) | 513.31(72.91) | |
进行物理因子治疗/n(%) | 252.78(97.66) | 207.94(94.35) | 222.82(96.81) | 164.58(95.63) | 700.15(99.45) | |
进行注射治疗/n(%) | 47.39(18.31) | 58.25(26.43) | 85.03(36.94) | 63.22(36.73) | 59.38(8.43) | |
科年均认知功能障碍人数/n | 140.71 | 71.54 | 31.94 | 55.48 | 570.69 | |
所有出院患者中,进行认知功能筛查(MMSE/MoCA)/n(%)a | 159.16(17.34) | 91.55(12.62) | 34.43(5.88) | 52.06(9.72) | 202.62(4.55) | |
进行计算机辅助认知康复训练/n(%) | 87.89(62.46) | 42.92(59.99) | 12.51(39.17) | 27.53(49.62) | 319.38(55.96) | |
所有脑卒中出院患者中,进行认知功能筛查(MMSE/MoCA)/n(%) | 95.16(67.63) | 27.48(38.41) | 6.29(19.69) | 21.40(38.57) | 303.00(53.09) |
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康复护理指标 | 委属委管医院 | 三级综合医院 | 二级综合医院 | 民营医院 | 康复医院 | |
---|---|---|---|---|---|---|
脊髓损伤患者接受间歇性导尿健康教育人数/n | 82.70 | 20.09 | 5.58 | 13.46 | 254.31 | |
神经源性膀胱人数/n | 94.90 | 34.22 | 12.31 | 18.65 | 332.77 | |
间歇性导尿宣教率/% | 87.14 | 58.71 | 45.33 | 72.17 | 76.42 | |
人工髋关节置换术后患者接受体位指导人数/n | 19.80 | 11.04 | 5.37 | 5.75 | 32.31 | |
人工关节置换术后人数/n | 29.29 | 13.91 | 6.36 | 7.33 | 53.91 | |
人工关节置换术后体位指导宣教率/% | 67.60 | 79.37 | 84.43 | 78.44 | 59.93 | |
脑卒中后肩痛患者接受预防健康教育人数/n | 227.80 | 129.30 | 75.99 | 67.90 | 234.54 | |
脑卒中人数/n | 436.14 | 316.41 | 191.59 | 209.31 | 1606.33 | |
脑卒中后肩痛预防宣教率/% | 52.23 | 40.86 | 39.66 | 32.44 | 14.60 | |
脑卒中后吞咽障碍患者接受营养筛查人数/n | 167.89 | 88.08 | 35.74 | 35.29 | 139.46 | |
脑卒中后吞咽障碍患者人数/n | 172.85 | 97.83 | 48.88 | 64.98 | 319.62 | |
吞咽障碍营养筛查率/% | 97.13 | 90.03 | 73.12 | 54.31 | 43.63 | |
脑卒中后吞咽障碍患者接受进食指导人数/n | 163.16 | 92.16 | 45.13 | 51.07 | 167.00 | |
吞咽障碍进食指导率/% | 94.39 | 94.20 | 92.33 | 78.59 | 52.25 |
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