| 付庆国,朱小东,陈龙,杨海明,赵伟,刘志杰,庾旭娟.广西壮族自治区肿瘤放射治疗发展现状调查[J].中华放射医学与防护杂志,2015,35(5):360-363 |
| 广西壮族自治区肿瘤放射治疗发展现状调查 |
| Investigation on development status of radiotherapy in Guangxi Zhuang autonomous region |
| 投稿时间：2014-09-26 |
| DOI：10.3760/cma.j.issn.0254-5098.2015.05.010 |
| 中文关键词: 广西壮族自治区 放射治疗 发展现状 |
| 英文关键词:Guangxi Zhuang autonomous region Radiotherapy Development status |
| 基金项目: |
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| 中文摘要: |
| 目的 调查广西壮族自治区肿瘤放射治疗学科发展现状.方法 以现场调查为主,辅以电话或电子邮件联系等方式,调查广西医疗机构放疗学科设置、人员配备、放疗设备配置情况及业务规范化开展情况.结果 截至2014年8月底,广西共有40家医疗机构已开展放疗,正在筹建的5家,其中38家已开展三维适形放疗技术,23家开展调强放疗技术,5家开展容积图像引导技术.共有医用直线加速器48台,后装治疗机15台,γ刀/X刀4台.从事放疗的人员(不含护士)647人,其中,医生322人,物理师100人,技师213人,专职工程师12人.开放病床2 000~2 500张,2013年全区共有约2万名肿瘤患者接受放疗,日均治疗1 600~2 000人次.结论 广西现有放疗资源不足,放疗设备投入不够,接受放疗的肿瘤患者所占比例不高,需合理规划发展;各单位放疗质量参差不齐,需建立统一的诊疗规范,整体提高广西的放疗水平;医务人员不足,物理技术方面高素质人才缺乏,需大力培养和引进高素质的专技人员;在新技术的临床引进方面相较我国发达地区有所落后. |
| 英文摘要: |
| Objective To investigate the development status of tumor radiotherapy in Guangxi Zhuang autonomous region in order to provide reference for the decision-making of the competent administrative departments for public health. Methods A questionnaire survey was conducted by the aid of on-site inspection and telephone or Email investigation among the medical institutions in Guangxi to know the current status of radiotherapy units and settings, human resources, allocation of radiotherapy facilities, and standardization of medical practices. Results Up to the end of August 2014, radiotherapy was carried out in 39 hospitals, with other 5 hospitals under preparation for construction. Among these 40 hospitals were three-dimensional conformal radiotherapy in 38, intensity modulated radiation therapy (IMRT) in 23, and image guided radiation therapy (IGRT) in 5. There were 48 linear accelerators, 15 afterloading therapy apparatus, and 4 γ-knife or X-knife in Guangxi. There were 647 professional personnel (except nurses), including 322 radiation oncologists, 100 radiotherapy physicists, 213 radiotherapy technologists and 12 professional engineers. There were 2 000 to 2 500 hospital beds and 20 000 cancer patients had received radiotherapy in 2013. 1 600 to 2 000 people received treatment on average every day. Conclusions The present radiotherapy resources in Guangxi are insufficient and the input to radiotherapy equipment is deficient, with low proportion of cancer patients treated with radiotherapy. Because of the uneven radiotherapy quality among different hospitals, the reasonable planned development and unified diagnostic and treatment practices are required to improve radiotherapy level in Guangxi. For shortage of medical staff and high-quality physical and technical personnel, the improvements are needed by fostering and introduction of personnel. Compared with developed regions in China, the introduction of new technology is largely needed. |
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