中国医美麻醉现状与未来Current Situation and the Future of Anesthesia for Plastic and Cosmetic Surgery in China
姜虹;黄宇光;
JIANG Hong;HUANG Yuguang;Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine;Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences &Peking Union Medical College;
摘要(Abstract):
中国现已成为全球第二整形美容大国,然而医美麻醉相关安全问题却十分严峻。虽然公立医院在麻醉业务能力、学术水平、学科建设方面更为规范,但非公立医美机构的规模和数量逐渐占据行业主导地位。随着中国整形美容协会麻醉与镇静镇痛分会的成立以及《医疗整形美容麻醉安全规范》的制定,非公立医美机构的非法医疗场所、非资质人员从事麻醉和非正规供药渠道等“三非”问题已有所好转,但从业人员紧缺问题短期内仍无法解决。随着国家政策法规的出台、服务理念的提升、行业行为的逐步规范以及从业者培训力度的加强,我国医美麻醉行业面貌将进一步改善。
Currently, China has the second largest plastic and cosmetic market in the world. Although public hospitals are more standardized in terms of business capability, academic level, and discipline construction, more and more private institutions gradually dominate the industry. With the establishment of the Chinese Society for Anesthesia, Sedation and Analgesia of Plastics and Aesthetics, and the publication of “Specifications for Safe Practice of Cosmetic Anesthesia”, some security issues have been improved although the shortage of practitioners cannot be solved in a short term. With the improvement in the service concept of the practitioners of plastic and cosmetic anesthesia, the innovation of medical technology, the standardization of clinical behavior, and the promotion of training, the overall appearance of anesthesia for plastic and cosmetic surgery in China will be further improved.
关键词(KeyWords):
整形;美容;麻醉;医疗安全
plastic surgery;cosmetic surgery;anesthesia;medical safety
基金项目(Foundation):
作者(Authors):
姜虹;黄宇光;
JIANG Hong;HUANG Yuguang;Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine;Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences &Peking Union Medical College;
参考文献(References):
- [1] 佚名.感谢女医士吉凌汉医愈面病[N].申报,1910- 01- 24(23).
- [2] 曹丽莉.民国时期的医疗美容整形术及其受众考察[J].医学与哲学,2021,42:69- 72+81.Cao LL.Medical Cosmetic Plastic Surgery and Its Audience in the Republic of China[J].Yixue Yu Zhexue,2021,42:69- 72+81.
- [3] 张涤生,李青峰.我国整形外科现状与二十一世纪展望[J].中华整形烧伤外科杂志,1997(1):1- 4.
- [4] 黄宇光,刘喜梅.正面满足群众医美需求,共建美好生活[N].人民政协报,2020- 05- 13(006).
- [5] 祝俊.医美市场:乱象丛生洗牌在即[J].中国品牌,2019(8):76- 79.
- [6] 严佳,申乐,姜虹,等.中国整形美容手术麻醉行业现状调查[J].协和医学杂志,2022,13:440- 448.Yan J,Shen L,Jiang H,et al.A Survey of the Current Status of Anesthesiology for Plastic and Cosmetic Surgery in China[J].Xiehe Yixue Zazhi,2022,13:440- 448.
- [7] 刘小加,谭军,李高峰,等.医疗美容安全影响的因素分析与管理策略研究[J].中国美容医学,2017,26:113- 115.Liu XJ,Tan J,Li GF,et al.Analysis of the Influence Factors and Management Strategy of Medical Cosmetology Safety[J].Zhongguo Meirong Yixue,2017,26:113- 115.
- [8] Keyes GR,Singer R,Iverson RE,et al.Mortality in outpatient surgery[J].Plast Reconstr Surg,2008,122:245- 250;discussion 251- 253.
- [9] Apfel CC,Korttila K,Abdalla M,et al.A factorial trial of six interventions for the prevention of postoperative nausea and vomiting[J].N Engl J Med,2004,350:2441- 2451.
- [10] 黄宇光.强化医美行业规范和监管[J].北京观察,2021(4):38.
- [11] 朱斌,姚兰.中国医疗美容麻醉的问题与对策初探[J].麻醉安全与质控,2020,4:311- 314.
- [12] 艾瑞咨询.中国医疗美容行业洞察白皮书(2020年)[C].艾瑞咨询系列研究报告,2020:190- 236.
- [13] 国家卫生健康委,网信办,公安部,等.关于印发打击非法医疗美容服务专项整治工作方案的通知[EB/OL].(2021-06-11) [2022-04-08].http://www.gov.cn/zhengce/ zhengceku/2021- 06/11/content_5617048.htm.
- [14] 中国整形美容协会.医疗整形美容麻醉安全规范[EB/OL].(2021- 07- 15) [2022- 04- 08].http://www.ttbz.org.cn/StandardManage/Detail/48976.
- [15] 国家卫生健康委,发展改革委,教育部,等.关于印发加强和完善麻醉医疗服务意见的通知[EB/OL].(2018- 12- 31) [2022- 04- 08].http://www.gov.cn/zhengce/zhengceku/2018- 12/31/content_5435335.htm.
- [16] 国家卫生健康委.关于印发麻醉科医疗服务能力建设指南(试行)的通知[EB/OL].(2019- 12- 16) [2022- 04- 08].http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptX xgk.htm?id=7b8bee1f538e459081c5b3d4d9b8ce1a.
- [17] 中华医学会麻醉学分会,中国医师协会麻醉学医师分会,中国心胸血管麻醉学会,等.完善麻醉学科内涵提升医疗服务能力——关于加速推进“全面加强麻醉医疗服务能力建设”联合倡议书[EB/OL].(2020- 08- 08)[2022- 04- 08].http://www.cnmia.org/DynamicDetail_FB41129 BAC854B06825BD9C093AC285B.html.
- 姜虹
- 黄宇光
JIANG Hong- HUANG Yuguang
- Department of Anesthesiology
- Shanghai Ninth People's Hospital
- Shanghai Jiao Tong University School of Medicine
- Department of Anesthesiology
- Peking Union Medical College Hospital
- Chinese Academy of Medical Sciences &Peking Union Medical College
- 姜虹
- 黄宇光
JIANG Hong- HUANG Yuguang
- Department of Anesthesiology
- Shanghai Ninth People's Hospital
- Shanghai Jiao Tong University School of Medicine
- Department of Anesthesiology
- Peking Union Medical College Hospital
- Chinese Academy of Medical Sciences &Peking Union Medical College