中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
1期
64-68
,共5页
火车医院%大学医院%人群结构%白内障术后眼内炎%发生率
火車醫院%大學醫院%人群結構%白內障術後眼內炎%髮生率
화차의원%대학의원%인군결구%백내장술후안내염%발생솔
Train hospital%University hospital%Population structure%Endophthalmitis after cataract surgery%Incidence
目的 比较火车医院和大学医院的白内障手术患者人群结构特征以及术后眼内炎的发生率.方法 对2006~2011年在北京大学人民医院眼科承担的健康快车防肓项目(火车医院)和北京大学人民医院眼科同期收治的白内障手术患者进行回顾性分析,比较其人群的结构特征和白内障术后眼内炎的发生率.结果 火车医院实施白内障手术12495例,平均年龄(68.30±9.48)岁,女性占60.18%;同期大学医院收治白内障手术10 862例,平均年龄(66.09±17.76)岁,女性占54.29%.与火车医院相比,大学医院白内障患者中50岁以下各年龄段和80岁以上者均高于火车医院(P<0.01).火车医院发生术后眼内炎3例,发生率为0.024%;大学医院发生眼内炎3例,发生率为0.0276%,两者差异无统计学意义(x2=0.027,P=0.869,P>0.05).结论 火车医院接诊的白内障患者中女性比例较高,大学医院收治的白内障患者复杂病例较多.在手术技术水平、围手术期管理一致的前提下,火车医院与大学医院的白内障术后眼内炎发生率相同.
目的 比較火車醫院和大學醫院的白內障手術患者人群結構特徵以及術後眼內炎的髮生率.方法 對2006~2011年在北京大學人民醫院眼科承擔的健康快車防肓項目(火車醫院)和北京大學人民醫院眼科同期收治的白內障手術患者進行迴顧性分析,比較其人群的結構特徵和白內障術後眼內炎的髮生率.結果 火車醫院實施白內障手術12495例,平均年齡(68.30±9.48)歲,女性佔60.18%;同期大學醫院收治白內障手術10 862例,平均年齡(66.09±17.76)歲,女性佔54.29%.與火車醫院相比,大學醫院白內障患者中50歲以下各年齡段和80歲以上者均高于火車醫院(P<0.01).火車醫院髮生術後眼內炎3例,髮生率為0.024%;大學醫院髮生眼內炎3例,髮生率為0.0276%,兩者差異無統計學意義(x2=0.027,P=0.869,P>0.05).結論 火車醫院接診的白內障患者中女性比例較高,大學醫院收治的白內障患者複雜病例較多.在手術技術水平、圍手術期管理一緻的前提下,火車醫院與大學醫院的白內障術後眼內炎髮生率相同.
목적 비교화차의원화대학의원적백내장수술환자인군결구특정이급술후안내염적발생솔.방법 대2006~2011년재북경대학인민의원안과승담적건강쾌차방황항목(화차의원)화북경대학인민의원안과동기수치적백내장수술환자진행회고성분석,비교기인군적결구특정화백내장술후안내염적발생솔.결과 화차의원실시백내장수술12495례,평균년령(68.30±9.48)세,녀성점60.18%;동기대학의원수치백내장수술10 862례,평균년령(66.09±17.76)세,녀성점54.29%.여화차의원상비,대학의원백내장환자중50세이하각년령단화80세이상자균고우화차의원(P<0.01).화차의원발생술후안내염3례,발생솔위0.024%;대학의원발생안내염3례,발생솔위0.0276%,량자차이무통계학의의(x2=0.027,P=0.869,P>0.05).결론 화차의원접진적백내장환자중녀성비례교고,대학의원수치적백내장환자복잡병례교다.재수술기술수평、위수술기관리일치적전제하,화차의원여대학의원적백내장술후안내염발생솔상동.
Objective To compare the population structure of patients for cataract operation and the incidence of endophthalmitis after cataract surgery between the train hospital and the university hospital.Methods The patients for cataract operation at the Healthlife Express (train hospital) and Department of Ophthalmology (university hospital),People's Hospital,Peking University (DOPHPU) from 2006 to 2011,which both undertook by the ophthalmologists from DOPHPU,were retrospectively reviewed.The population structure of these patients and the incidence of endophthalmitis after cataract surgery between the train hospital and the university hospital were compared.Results From 2006 to 2011,12495 cataract operations at the train hospital and 10862 at the university hospital were performed by the ophthalmologists from DOPHPU.The average age of patients at the train hospital was 68.30±9.48 years,and the percentage of female patients was 60.18%.Those for patients at the university hospital were 66.09±17.76 years and 54.29%.The university hospital had more young patients (0-50 years old) and old patients (over 80 years old).The incidence of endophthalmitis after cataract surgery at the train hospital was 0.0240%.It was not significant different from that of the university hospital (0.0275%,x2=0.027,P =0.869).Conclusions The differences of the population structure of patients for cataract operation between the train hospital and the university hospital indicate the diversities of economic condition and health awareness between the city and countryside in China.With the same surgeons and same perioperative management,the incidences of endophthalmitis after cataract surgery of the train hospital and university hospital are not significant different.