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中华重症医学电子杂志 ›› 2025, Vol. 11 ›› Issue (02) : 148 -151. doi: 10.3877/cma.j.issn.2096-1537.2025.02.009

学科建设

呼吁重症医学科医师回到床旁
周东旭1, 刘曼莉2, 吴险峰3, 张龙久4, 付江泉5, 唐艳6, 魏成义7, 马朋林1,()   
  1. 1. 550018 贵阳,贵黔国际医院重症医学科
    2. 550002 贵阳,贵州省人民医院重症医学科
    3. 561000 贵州安顺,贵州省安顺市人民医院ICU
    4. 553000 贵州六盘水,贵州省六盘水市人民医院ICU
    5. 550004 贵阳,贵州医科大学附属医院EICU
    6. 550004 贵阳,贵州医科大学附属医院重症医学科(B区)
    7. 551700 贵州毕节,贵州省毕节市第一人民医院ICU
  • 收稿日期:2025-03-11 出版日期:2025-05-28
  • 通信作者: 马朋林

An initiative to bring intensive care unit physicians back to the bedside

Dongxu Zhou1, Manli Liu2, Xianfeng Wu3, Longjiu Zhang4, Jiangquan Fu5, Yan Tang6, Chengyi Wei7, Penglin Ma1,()   

  1. 1. Department of Critical Care Medicine,Guiqian International Hospital,Guiyang 550018,China
    2. Department of Critical Care Medicine,Guizhou Provincial People's Hospital,Guiyang 550002,China
    3. Department of Intensive Care Unit,Anshun City People's Hospital,Anshun 561000,China
    4. Department of Intensive Care Unit,Liupanshui City People's Hospital,Liupanshui 553000,China
    5. Department of Emergency Intensive Care Unit,the Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China
    6. Department of Critical Care Medicine (Zone B),the Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China
    7. Department of Intensive Care Unit,the First People's Hospital of Bijie City,Bijie 551700,China
  • Received:2025-03-11 Published:2025-05-28
  • Corresponding author: Penglin Ma
引用本文:

周东旭, 刘曼莉, 吴险峰, 张龙久, 付江泉, 唐艳, 魏成义, 马朋林. 呼吁重症医学科医师回到床旁[J/OL]. 中华重症医学电子杂志, 2025, 11(02): 148-151.

Dongxu Zhou, Manli Liu, Xianfeng Wu, Longjiu Zhang, Jiangquan Fu, Yan Tang, Chengyi Wei, Penglin Ma. An initiative to bring intensive care unit physicians back to the bedside[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2025, 11(02): 148-151.

和其他临床专科相类似,ICU 青年医师更依赖于在计算机上获取相关信息进行临床决策,而相对忽视床旁临床诊疗实践,这是一个普遍的临床现象。生物、信息、材料、计算机等先进科技的飞速发展为临床医学的诊断与治疗带来了革命性的进步可能是其重要原因之一,阻碍ICU 青年医师回到床旁的因素还包括对重症问题的认知和临床经验不足、工作负荷过重以及职业倦怠等。当前,源自中国ICU 的相关研究缺乏,未来研究需要深入分析减少ICU 医师床旁实践时间的因素,并探索促使他们回到床旁的可能对策。

Similar to other clinical specialties,young ICU physicians commonly rely more on computer-based information for clinical decision-making while relatively neglecting bedside practice.This phenomenon may be largely attributed to the revolutionary advances in clinical diagnosis and treatment brought by rapid developments in biotechnology,information technology,materials science and computer technology.Other contributing factors include insufficient cognitive understanding of critical care issues,lack of clinical experience,excessive workload,and professional burnout.Currently,there is a notable paucity of relevant studies in Chinese ICUs.Future research should comprehensively analyze factors reducing ICU physicians'bedside time and explore effective strategies to promote their return to bedside care.

图1 危重症的发生、干预与预后。危重症是某些原发疾病在发展过程中,机体内发生了一系列病理生理学变化,这些变化引起了威胁生命安全的多器官功能损害,导致一个普通疾病转变为危重症。在ICU,有益的重症医疗决策干预可能逆转这些病理生理变化,患者存活的概率增加,相反,无效/有害的重症医疗干预不能逆转,甚至可能加剧不良预后的发生
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