| 宋涛,徐洪恩,李强,方敏,贾勇士,梁晓东,陈维军,吴树强,林白桦,袁勉.新型冠状病毒肺炎疫情期间浙江省某综合性三甲医院肿瘤放射治疗方案的实施[J].中华放射医学与防护杂志,2020,40(4):268-272 |
| 新型冠状病毒肺炎疫情期间浙江省某综合性三甲医院肿瘤放射治疗方案的实施 |
| Implementation of radiotherapy in a tertiary hospital in Zhejiang province during the epidemic of COVID-19 |
| 投稿时间：2020-02-12 |
| DOI：10.3760/cma.j.issn.0254-5098.2020.04.004 |
| 中文关键词: 新型冠状病毒肺炎 放射治疗 防护 感染 |
| 英文关键词:COVID-19 Radiation therapy Protection Infection |
| 基金项目: |
| 作者 | 单位 | E-mail | | 宋涛 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | | | 徐洪恩 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | | | 李强 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | | | 方敏 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | | | 贾勇士 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | jiayongshi@medmail.com.cn | | 梁晓东 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | | | 陈维军 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | | | 吴树强 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | | | 林白桦 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | | | 袁勉 | 浙江省人民医院 杭州医学院附属人民医院肿瘤中心放疗科, 杭州 310014 | |
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| 中文摘要: |
| 目的 探讨放疗科在新型冠状病毒肺炎（COVID-19）疫情期间实施放射诊疗活动的临床实践。方法 在疫情期间，严格实行消毒，加强体温监测，组织全体医护人员进行相关知识的培训，保障放射治疗诊治活动安全有序的开展。对疫情期间接受放射治疗患者的放疗目的，放疗等待时间以及医患满意度进行统计分析。结果 截至2020年2月11日，疫情期间浙江省人民医院放疗科共有60例患者接受放射治疗。与2019年同期（春节后）进行比较，放疗总体人数减少（占83.3%），其中姑息性放射治疗患者人数下降明显（5.0% vs. 20.8%）；而根治性放疗/放化疗和术前及术后放疗/放化疗人数无明显降低，不同年份进行比较，差异存在统计学意义（χ2=6.967，P<0.05）。新住院患者在疫情期间等候放疗的中位时间为2 d，与2019年相比，无明显延长（P>0.05）。医患对当前防控疫情措施总体满意。结论 采用多种防控手段相结合，并在充分考虑医疗安全以及患者获益情况下，能够在疫情期间开展放射诊疗活动。 |
| 英文摘要: |
| Objective To explore the clinical practice of delivering radiotherapy during the outbreak of 2019 novel coronavirus disease(COVID-19). Methods During this epidemic period, available method including but not limited to: strict disinfection, body temperature monitoring and staff training of relevant knowledge, were used to ensure the safety of radiotherapy treatment. Statistical analysis was performed to study the relevant data including proportion of patients receiving radiotherapy for different purposes, time from scanning to the first time of radiation delivery and degree of satisfaction in the view of staffs and patients, respectively. Results A total of 60 patients received radiation therapy in the department of radiotherapy of Zhejiang Provincial People's Hospital (2020-02-11). Compared with the same period in 2019 (after the Spring Festival), the total number of patients receiving radiotherapy was decreased from 72 to 60(83.3%). Among them, the number of patients receiving palliative radiation therapy decreased significantly, while the proportion of radical, preoperative and/or postoperative radiotherapy/radiochemotherapy did not significantly decrease. There was significant difference between two years (χ2=6.967, P<0.05). The median time for newly admitted patients to receive radiotherapy was two days, which was not significantly longer than the interval in 2019 (P>0.05). Staff and patients were generally satisfied with the current prevention measures. Conclusions Using a variety of prevention and control method, and taking full account of medical safety and patient benefits, radiation-related activities can be carried out during the epidemic. |
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