Medical network status, June 29: patients with primary diseases and large hospital, from the age ratio, patients are mainly concentrated in 51-70 age group, 43%, 16%, over the age of 71 combined accounted for 59%, geriatrics accounted for Great Wall at the grassroots level. A further observation is that the proportion of patients between the ages of 31 and 50 is also larger, accounting for 37 per cent, compared with just 4 per cent of patients under 30. , on the other hand, although the national vigorously promote grading diagnosis and treatment, but the "hardware equipment backwardness, the brain drain at the grass-roots level, lack of check project" such as the status quo for basic-level hospital diagnosis of national policy and the heart is unable to do. Therefore, the key to solving the urgent need of primary medical care should be the disease inspection of middle and elderly people and the improvement of the medical level of primary hospitals.
First, the advantage of the detection of dynamic DR in the digestive tract diseases of the elderly
The incidence of digestive tract diseases is high in the world, and the elderly and the elderly have a higher incidence of digestive diseases. Most of the inspections in China are on the shoulders of grassroots hospitals.
In old people, for example, the digestive tract in esophageal diseases, the most representative is hemangioma, another long-term reflux esophagitis, esophageal lateral extrusion, certain central nervous diseases, etc. Also can appear the symptom of swallowing disorders. Although esophageal examination method has endoscopy (endoscopy and colonoscopy referred digestive endoscopy), ultrasound, CT, MRI, X-ray barium imaging (oral and enema) and inspection, etc., but such as CT, MRI equipment purchase cost is higher, general standing at a larger hospital, less basic-level hospitals purchasing. In addition, all kinds of inspection methods have advantages and disadvantages.
Endoscopy is necessary to intuit through the pharynx, and most people feel sick or unwell; After the colonoscopy enters the intestine, some people have varying degrees of abdominal pain. In particular, the elderly and patients with severe cardiac function, such as risk of shock and other such as shock, and internal perforators are not suitable for endoscopic examination, and there are large medical risks. It is difficult to detect ulcers of mucosal defects with ultrasonography and can not be detected by mucosal erosion. What matters is that an ultrasound scan does not detect early gastric cancer. It is impossible to understand the bacteria in the stomach and whether it is cancerous. It is not sensitive to the subtle symptoms, and there is a large risk of missed diagnosis alone. Dynamic DR of X line barium imaging (oral and enema) check, check the convenience and low requirements for the elderly body, is applicable to any check of digestive tract symptom, belongs to no side effects, no traumatic examination.
Although endoscopy has been described as a "gold standard" for clinical diagnosis of gastrointestinal mucosa, it is a traumatic examination for patients, especially for older adults. And ultrasound found early gastric cancer, is not sensitive to the symptoms of stomach body small, so in comparison of dynamic DR X-ray barium meal examination is the most suitable for the elderly in the digestive tract disease inspection way. Especially with the national popularity of the visual dynamic DR, a dynamic DR will be the Gospel of middle-aged and old people.
2. Dynamic DR helps to expand the inspection program of primary hospitals and improve medical level
Due to the dynamic DR not only facilitate the digestive tract imaging examination in the elderly, but also have digital filmmaking, digital fluoroscopy, digital gastrointestinal angiography, visual point, and other functions, in clinic, is a top-notch inspection equipment. Compared with the traditional DR equipment, in addition to the basic shooting check, can also be used in many clinical departments, increase grass-roots hospital check project, the grass-roots hospital revenue and improve the diagnostic accuracy of extraordinary significance. For example, can be used in the digestive department, check chronic gastritis, stomach ulcer, colitis, colitis and so on; In gynecological use, can check the tubal obstruction, tubal adhesion, fallopian tube water and other chronic fallopian tube disease causes infertility; In the use of anal colon, the function of barium double contrast and defectography (DFG) can be applied to check the small lesions of the large intestine, such as small polyp, early cancer, and ulcer, etc. In addition, it can be used in many departments such as hepatobiliary surgery and physical examination. At the same time, the function of millisecond slice in perspective and contrast enhanced the detection rate of lesion inspection to a certain extent, which was both "incremental" and "qualitative", and was a good choice for the primary hospital.
The selection of dynamic DR conforms to the development of The Times
From the perspective of the development of X ray photography system, medical imaging field from analog digital imaging, indirect to direct digital imaging has passed 100 years of history, has been in the direction of the imaging speed faster and more accurate diagnosis. In the 20th century, the rapid development of medical technology, and the people under the background of the era of the pursuit of better health, dynamic DR is born, it is shouldering the general field of precision medical era mission, combines many functions in one, let the disease under the multimode, all-round and dynamic DR images. In recent years, a large number of dynamic DR installations in the market indicate that dynamic DR is rapidly replacing the general DR and is the future development direction of the future. With the development of dynamic technology and the rapid growth of dynamic DR production, the cost of procurement has been reduced, and it is possible to popularize dynamic DR in a large number of primary hospitals.
It can be seen that dynamic DR is no longer the exclusive province of high grade hospitals, and the primary hospitals need and can be equipped with dynamic DR. |
