便携式早期清创冲洗器的卫生技术评估
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摘要
目的探讨便携式早期清创冲洗器的应用效果,为卫生决策部门提供参考。方法采用卫生技术评估方法,从技术特性、有效性、安全性、经济性等方面综合评估,数据处理应用SAS软件。结果便携式与其他清创冲洗设备污染物清除率相比提高5%以上,冲洗时间相比减少25%以上,成本效果比为便携式C/E=0.23,超声波C/E=0.35,脉冲式C/E=6.03。结论便携式早期清创冲洗器更加适用于野战环境,建议纳入军队卫生装备配备目录。
Objective To explore the application effect of a portable early debridement irrigator and provide evidence for the health decision-making department. Methods The health technology assessment method was used for comprehensive assessment from the technical characteristics,effectiveness,safety and economic aspects.The SAS software was used for data analysis. Results Compared with other debridement washing equipment,the pollutant removal rate of the portable early debridement irrigator was increased by more than 5% with the flushing time reduced by more than 25%.The cost-effectiveness ratio was C/E=0.23 for portable device,C/E=0.35 for ultrasonic device,C/E =6.03 for pulsed device. Conclusion Portable early debridement irrigator is more suitable for field environment,and it is recommended to be included in military health equipment directory.
Objective To explore the application effect of a portable early debridement irrigator and provide evidence for the health decision-making department. Methods The health technology assessment method was used for comprehensive assessment from the technical characteristics,effectiveness,safety and economic aspects.The SAS software was used for data analysis. Results Compared with other debridement washing equipment,the pollutant removal rate of the portable early debridement irrigator was increased by more than 5% with the flushing time reduced by more than 25%.The cost-effectiveness ratio was C/E=0.23 for portable device,C/E=0.35 for ultrasonic device,C/E =6.03 for pulsed device. Conclusion Portable early debridement irrigator is more suitable for field environment,and it is recommended to be included in military health equipment directory.
引文
[1]张鹭鹭,郭树森,江雷.军队卫生勤务学[M].上海:第二军医大学出版社,2017:286.
[2]张涛.一种现场早期清创冲洗器:中国,ZL 2012 2 0356638.5P[P].2012-07-23.
[3]张涛.冲洗器液体管路:中国,ZL 2014 2 0628353.1P[P].2014-10-28.
[4]翁伟峰,张阳,刘宁,等.便携式创伤脉冲冲洗装置清创效果的实验研究[J].骨科,2010,13(3):113-115.
[5]吴庆,张伟,邓铮,等.脉冲冲洗器在四肢清创术中的应用效果[J].实用临床医学,2013,14(1):38-39.
[6]陈菁,赖西南,王丽丽,等.低强度超声波对污染伤口的细菌清除和促愈合作用的实验研究[J].第三军医大学学报,2000,22(11):1035-1037.
[7]张寰波,魏蔚,郑宏宇.低强度超声波对开放性创口的冲洗效果[J].中国组织工程研究与临床康复,2011,15(24):4516-4518.
[8]张涛,李开源,任少波,等.便携式早期清创冲洗器的研制[J].医疗卫生装备,2017,38(3):18-21.
[9]李晨,李兴艳,田林强,等.脉冲冲洗器在清创术中应用[J].骨科,2012,3(3):161-162.
[10]徐铭,张涛,安郁宽,等.便携式清创冲洗器清创效果的实验研究[J].解放军护理杂志,2016,33(20):73-76.
[11]张涛,田万成,鱼敏.战创伤早期冲洗的意义及各型野战清创冲洗设备比较分析[J].人民军医,2017,60(6):535-539.
[12]刘建伟,殷作明,黄永红,等.UWI-Ⅱ型超声波创伤冲洗机在高原清创术中的应用[J].创伤外科杂志,2004,6(2):159-160.
[13]龙宏波,叶晓慧,谭思炜.归一化加权平均值算法在测量中的应用[J].电光与控制,2010,17(12):68-70.
[14]杨满喜.体系作战能力评估基本问题研究[M].北京:国防大学出版社,2016:94-98.
[15]陈洁,于德志.卫生技术评估[M].北京:人民卫生出版社,2013:247-257.
[2]张涛.一种现场早期清创冲洗器:中国,ZL 2012 2 0356638.5P[P].2012-07-23.
[3]张涛.冲洗器液体管路:中国,ZL 2014 2 0628353.1P[P].2014-10-28.
[4]翁伟峰,张阳,刘宁,等.便携式创伤脉冲冲洗装置清创效果的实验研究[J].骨科,2010,13(3):113-115.
[5]吴庆,张伟,邓铮,等.脉冲冲洗器在四肢清创术中的应用效果[J].实用临床医学,2013,14(1):38-39.
[6]陈菁,赖西南,王丽丽,等.低强度超声波对污染伤口的细菌清除和促愈合作用的实验研究[J].第三军医大学学报,2000,22(11):1035-1037.
[7]张寰波,魏蔚,郑宏宇.低强度超声波对开放性创口的冲洗效果[J].中国组织工程研究与临床康复,2011,15(24):4516-4518.
[8]张涛,李开源,任少波,等.便携式早期清创冲洗器的研制[J].医疗卫生装备,2017,38(3):18-21.
[9]李晨,李兴艳,田林强,等.脉冲冲洗器在清创术中应用[J].骨科,2012,3(3):161-162.
[10]徐铭,张涛,安郁宽,等.便携式清创冲洗器清创效果的实验研究[J].解放军护理杂志,2016,33(20):73-76.
[11]张涛,田万成,鱼敏.战创伤早期冲洗的意义及各型野战清创冲洗设备比较分析[J].人民军医,2017,60(6):535-539.
[12]刘建伟,殷作明,黄永红,等.UWI-Ⅱ型超声波创伤冲洗机在高原清创术中的应用[J].创伤外科杂志,2004,6(2):159-160.
[13]龙宏波,叶晓慧,谭思炜.归一化加权平均值算法在测量中的应用[J].电光与控制,2010,17(12):68-70.
[14]杨满喜.体系作战能力评估基本问题研究[M].北京:国防大学出版社,2016:94-98.
[15]陈洁,于德志.卫生技术评估[M].北京:人民卫生出版社,2013:247-257.