上海市白内障手术率调查及相关因素分析
朱明明;朱剑锋;邹海东;何鲜桂;赵蓉;陆丽娜
【期刊名称】《中华医学杂志》 【年(卷),期】2013(093)047
【摘要】目的 探讨上海市白内障手术情况及制约上海市防治白内障盲工作发展的关键因素.方法 通过“上海市白内障复明手术数据库”统计上海市2006至2012年白内障手术相关数据,计算上海市白内障手术率(CSR),分析城区与郊区,以及不同类型医疗机构间白内障手术量的差异及变化情况.结果 2006至2012年间上海市CSR由1741上升至2313.截至2012年,城区CSR已达6013,而近郊区及远郊区分别仅为460及584.郊区可完成白内障手术的医院数量明显少于城区,但郊区医院的平均年白内障手术量仅为城区医院(748例)的1/3.民营医院白内障手术数量增长迅速,2012年时平均白内障手术量(1921例)已近三级医院2倍.超声乳化白内障吸除术是目前上海市最主要的白内障手术方式,其所占比例在2012年已达98.40％.结论 截至2012年,上海市白内障手术率仍明显滞后于社会发展水平,郊区白内障手术率低是制约上海市整体白内障手术率上升的主要影响因素.%Objective To explore the cataract surgical rate (CSR) of Shanghai from 2006 to 2012 and examine its influencing factors.Methods As of 2003,a cataract surgery registration form had been filled by physicians after every cataract surgery in Shanghai.The local eye disease prevention team then entered the relevant information into the Shanghai Cataract Operations Database.Based upon this database,CSR of Shanghai was calculated.And the number of cataract
surgeries was compared between Shanghai urban and suburban districts as well as among different medical institutions.Results The overall CSR in Shanghai increased from 1741 in 2006 to 2313 in 2012.In 2012,CSR in urban districts reached 6013 while it stood at 460 and 584 in inner and outer suburb districts respectively.The number of hospitals performing cataract surgery in urban districts was much more than that in suburbs.And the average number of cataract surgeries per hospital per year in suburbs was only one third of that (748 cases) in urban areas.The number of cataract surgeries at in private hospitals increased rapidly during the past 7 years.The number of 1921 cases was nearly twice as many as that at tertiary hospitals in 2012.Phacoemulsification surgery was the most popular surgical choice for cataract removal,accounting for 98.40％ of total cataract surgeries in 2012.Conclusion Until 2012,CSR in Shanghai dropped below the target of World Health Organization (WHO).A low level of CSR in suburbs is a major influencing factor for the overall level of CSR in Shanghai. 【总页数】4页(3737-3740) 【关键词】白内障;盲;白内障手术率
【作者】朱明明;朱剑锋;邹海东;何鲜桂;赵蓉;陆丽娜
【作者单位】200040 上海市眼病防治中心;200040 上海市眼病防治中心;200040 上海市眼病防治中心;200040 上海市眼病防治中心;200040 上海市眼病防治中心;200040 上海市眼病防治中心
【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_national-medical-journal-china_thesis/0201255032223.html 【相关文献】
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上海市白内障手术率调查及相关因素分析
