CAJ | 학술논문

目的了解全球地震医学证据现状及汶川地震相关医学证据生产和传播情况,比较分析医学期刊发表的地震相关文献,为震后医疗应急管理、救治和防疫证据的生产和传播提供参考.方法系统检索MEDLINE 和CBM 数据库(数据库起始至2009 年9 月),收集国内外医学期刊发表的地震相关文献,检出文献用EndNote 软件管理和剔重,采用EXCEL 软件录入资料及绘制图表,并使用SPSS 13.0 软件进行描述性统计分析.结果汶川地震前,国内外地震相关医学研究少且面窄;国内研究更少,滞后国外20 年以上.汶川地震后,中文文献急剧增加,2008 年8 月达高峰,文献量是震前近50 年的6.9 倍,发表在378 种期刊上,涉及领域更广、更深入;国外地震相关医学研究变化不大.结论汶川地震前,中文地震相关医学研究证据量少且面窄,震后医学证据生产和传播组织得力、方法科学、时间及时、传播广泛,已生产和传播了人类迄今地震医疗救援最多的证据;为全球地震灾害医疗救援提供了第一手证据.我国今后应继续加强灾害医学建设,对康复、灾后重建及卫生防疫证据生产与传播给予足够重视.
목적 료해전구지진의학증거현상급문천지진상관의학증거생산화전파정황,비교분석의학기간발표적지진상관문헌,위진후의료응급관리、구치화방역증거적생산화전파제공삼고.방법 계통검색MEDLINE 화CBM 수거고(수거고기시지2009 년9 월),수집국내외의학기간발표적지진상관문헌,검출문헌용EndNote 연건관리화척중,채용EXCEL 연건록입자료급회제도표,병사용SPSS 13.0 연건진행묘술성통계분석.결과 문천지진전,국내외지진상관의학연구소차면착;국내연구경소,체후국외20 년이상.문천지진후,중문문헌급극증가,2008 년8 월체고봉,문헌량시진전근50 년적6.9 배,발표재378 충기간상,섭급영역경엄、경심입;국외지진상관의학연구변화불대.결론 문천지진전,중문지진상관의학연구증거량소차면착,진후의학증거생산화전파조직득력、방법 과학、시간급시、전파엄범,이생산화전파료인류흘금지진의료구원최다적증거;위전구지진재해의료구원제공료제일수증거.아국금후응계속가강재해의학건설,대강복、재후중건급위생방역증거생산여전파급여족구중시.
Objective To provide references for production and dissemination of evidence in the fields of medical emergency management, treatment, and prevention of epidemics after May 2008 Wenchuan earthquake by systematically reviewing, analyzing, and comparing quake related papers in medical journals. Methods We systematically searched MEDLINE and CBM (Chinese Biomedical Literature) databases (range: from inception to Sept. 2009). Quake related papers were imported into EndNote software, checked for duplication, and categorized by predefined standards. Descriptive statistical analysis was performed by SPSS 13.0. Results There were relatively fewer quake related articles globally before the occurrence of the Wenchuan earthquake, and the quantity of papers in MEDLINE was four times thanthat in CBM. In contrast, the quantity of Chinese quake articles increased rapidly after Wenchuan earthquake, peaking in Aug. 2008 at 6.9 times the average during the 50 years before the quake. The quake related papers in CBM appeared in 378 journals covering a diverse range of subject matter. Meanwhile, there was little change in the quantity of quake relatedarticles in MEDLINE database. Conclusions The effort of producing and disseminating Wenchuan earthquake related medical research has been effectively organized and conducted in a scientific and timely manner, producing the largest in number of quake related medical papers in human history. It has provided first-hand guidance for disaster medical relief around the globe. We should strengthen the systematic construction of disaster medicine, and make an effort to summarize and disseminate evidence in the fields of rehabilitation, system reestablishment, and prevention of epidemics.