CAJ | 학술논문

目的了解江苏省2012年白内障手术率(CSR)及其影响因素,探讨进一步提高我国CSR的方法.方法通过政府网站查阅2012年江苏省13个市(地级)和南通市7个县(市、区)上报于卫生部白内障复明手术信息报告系统的白内障手术数量和各地国内生产总值(GDP)、人均GDP,计算CSR.采用Spearman相关方法分析全省各市(地级)、南通市各县(市、区)GDP与根据上报数据计算得到的CSR的相关性,同时用卡方检验方法分析各地公立医院与民营医院及其完成白内障手术比例的差异.结果 2012年江苏省共上报白内障手术74 143例,全省CSR为939例/百万人群/年,其中,南通市最高(1362例/百万人群/年),宿迁市最低(129例/百万人群/年).各市(地级)CSR与地区GDP呈正相关(spearman r=0.59,P=0.03),与地区人均GDP不相关(spearman r=0.50,P=0.08).南通市各县(市、区)CSR与其GDP、人均GDP均不相关(spearman r=-0.04,P=0.94;spearman r=-0.29,P=0.53).南通市民营眼科机构共9家(33.3％)、手术4557例(45.9％),其中,民营眼科机构比例最高的如皋市(71.4％)的CSR已达到3317例/百万人群/年.结论社会经济水平与CSR有一定关系,医院“主动下乡筛查白内障患者”、“减免手术费用”模式有助于提高我国的CSR.
목적 료해강소성2012년백내장수술솔(CSR)급기영향인소,탐토진일보제고아국CSR적방법.방법 통과정부망참사열2012년강소성13개시(지급)화남통시7개현(시、구)상보우위생부백내장복명수술신식보고계통적백내장수술수량화각지국내생산총치(GDP)、인균GDP,계산CSR.채용Spearman상관방법분석전성각시(지급)、남통시각현(시、구)GDP여근거상보수거계산득도적CSR적상관성,동시용잡방검험방법분석각지공립의원여민영의원급기완성백내장수술비례적차이.결과 2012년강소성공상보백내장수술74 143례,전성CSR위939례/백만인군/년,기중,남통시최고(1362례/백만인군/년),숙천시최저(129례/백만인군/년).각시(지급)CSR여지구GDP정정상관(spearman r=0.59,P=0.03),여지구인균GDP불상관(spearman r=0.50,P=0.08).남통시각현(시、구)CSR여기GDP、인균GDP균불상관(spearman r=-0.04,P=0.94;spearman r=-0.29,P=0.53).남통시민영안과궤구공9가(33.3％)、수술4557례(45.9％),기중,민영안과궤구비례최고적여고시(71.4％)적CSR이체도3317례/백만인군/년.결론 사회경제수평여CSR유일정관계,의원“주동하향사사백내장환자”、“감면수술비용”모식유조우제고아국적CSR.
Objective To survey the cataract surgery rate (CSR) according to the report data and its influencing factors of Jiangsu Province in 2012 so as to further improve CSR in China.Methods Through government websites in 2012,gross domestic product (GDP) and GDP per capital of 13 cities in Jiangsu Province and 7 counties of Nantong City reported to the Ministry of Health in China were collected to calculate CSR.The relationship between GDP and CSR of Jiangsu Province and Nantong City were analyzed with Spearman' s rank correlation,and the differences in the proportion of cataract surgery between government and private hospitals were analyzed by Chi-square test.Results CSR in Jiangsu Province in 2012 was 939 cases per million population per year.Nantong City had the highest CSR (1362 cases per million population per year) and Suqian City the lowest (129 cases per million population per year).The GDP of 13 cities in Jiangsu Province had a positive correlation with CSR (spearman r =0.59,P =0.03),but there was no significant correlation with GDP per capital (spearman r =0.50,P =0.08).No significant correlation existed between GDP,GDP per capital and CSR of 7 counties of Nantong City (spearman r =-0.04,P =0.94 ; spearman r =-0.29,P =0.53).The proportion of private hospitals of Nantong was 33.3％ and surgery cases were 4557 (45.9％).The CSR of Rugao County in 2012 was 3317 cases per million population per year.Conclusion Socioeconomic level may be related with CSR.Providing village cataract screening services and lowering surgical costs help to boost CSR in China.