RESUMO
Objective To learn the present hospital expenditures of medical devices maintenance for improvement recommendations. Methods An investigation was made to the clinical engineering sections of 33 hospitals in 2018, including 11 Beijing hospitals and 22 Zhejiang hospitals. Indicator values of maintenance expenditure were obtained, and the data were subject to descriptive statistics. Results The mean of beds of these hospitals was 1514. 13 ± 710. 99, that of medical devices was 8120. 90 ± 6488. 63, that of original value of these devices was 843 ± 496 million yuan, and that of maintenance cost was 17. 35 ± 11. 92 million yuan. This indicated the cost of service ratio as 2. 02％. Conclusions Training of engineers should be strengthened at the sections, for more in-house maintenance. Informationization should be enhanced for precision maintenance. Multi-channel maintenance model should be introduced to further lower the costs.
RESUMO
Objective To observe the effect of Antivirus Compound Capsule in protecting liver and reducing enzyme level in chronic type B hepatitis and acute hepatic injury caused by D-GlaN.Methods Mice model was established by intraperitoneal injecting of D-GlaN 800mg/Kg.The level of ALT and AST was obviously increased after 48hours.Pathological test proved to be acute liver cell damage.Clinically 117 cases of chronic hepatitis B was recruited into a control group(57 cases)and a treatment group(60 cases).The treatment group was treated with Antivims Compound Capsule and Silymarin tablet,and the control group was treated with Silymarin tablet.Besides,both groups were infused with diammonium Compound Capsule Can obviously reduce level of AST(P＜0.001、＜0.01、＜0.01、＜0.001);Three dosage levels of Antivirus Compound Capsule can obviously reduce the degree hepatic pathological changes caused by D-GlaN induced(P＜0.01、＜for the treatment group andtlle control group) between the two groups with P＞0.02.while there was obvious difference of negative conversion rate of AST.[92.98%(53/57)and 78.9%(45/57)for the treaunent group and the consul group]between the two groups with P＜0.01.Conclusion Antivirus Compound Capsule is effective in protecting liver and reducing enzyme level of patients with chronic hepatitis B and acute hepatic injury caused bv D-GlaN.