中国玻璃体切割手术开展状况分析  

A survey of vitrectomy performed in China's Mainland

作　　者：杨一涛[1] 蒋贻平[1] 杨辉[1] 曾祥云[1] 

机构地区：[1]赣南医学院第一附属医院眼科,赣州341000

出　　处：《中华眼底病杂志》2010年第6期552-555,共4页Chinese Journal of Ocular Fundus Diseases

摘　　要：目的 分析目前我国玻璃体切割手术（PPV）开展状况,探讨PPV开展与经济发展之间的关系.方法 利用文献计量法,以中国知网资源总库为数据源对1993年至2009年间国内所有期刊中有关玻璃体、视网膜的文献进行检索,获得目前我国各省市已开展PPV医院的相关资料.部分医院资料不完整者,以〈中国医院大全〉为蓝本,通过互联网对各省地级市以上医院进行检索,通过电子邮件、电话等方式与各医院眼科进行联系,以确定其是否开展PPV.国内生产总值（GDP）、人口及经济排名参照2009年国家统计局颁布的〈中国统计年鉴〉.采用卡方检验进行各地市之间PPV开展率及开展PPV医院占有率的比较,采用双变量相关分析方法进行PPV开展率与平均GDP间相关系数的计算.结果 本研究共检索出符合要求的文献4632篇.分析结果表明,我国目前已开展PPV的医院共340个,涉及除港、澳、台以外的22个省、5个自治区及4个直辖市.地级市PPV开展率位居前5位的省份依次是山东、浙江、河北、江苏和广东,PPV开展率分别为93.75%、90.00%、90.00%、83.33%和75.00%.各省会城市、直辖市每万人的开展PPV医院占有率比较,差异有统计学意义（χ2=181.153,P=0.000）.不同地级市之间平均PPV开展率比较,差异有统计学意义（χ2=749.217,P=0.000）.目前全国共有民营眼科医院210家,能开展PPV的医院有62家,占所有能开展PPV医院总数的18.23%.62家中有39家位于地级市.各地级市平均PPV开展率与平均GDP间的相关系数为0.842（P=0.000）.结论 PPV在我国已较为普及,但开展医院地域分布不均 PPV开展与经济发展密切相关 民营眼科医院在PPV的推广中发挥了一定的作用.Objective To investigate how many hospitals can perform vitrectomy and its relationship to economic development in China. Methods Bibliometric data of retina-vitreous literatures were searched from the China National Knowledge Infrastructure （CNKI） academic databases. We used pars plana vitrectomy （PPV） as a keyword and defined address as China's Mainland, limited years to 1993 - 2009. From those data we analyzed which hospital performed PPV. We also communicated with some hospitals by phone, email to confirm if they were performing PPV. Gross domestic product （GDP）, population data and economic development ranking were extracted from the China Statistical Yearbook 2009 （National Bureau of Statistics of China）. PPV carry-out rate, PPV-hospital shares and their relationships with the GDP in each regional municipality were analyzed. Results All together this study retrieved 4632 articles meet our requirements. There were 340 hospitals carrying out PPV in China's Mainland, located in 22 provinces, five autonomous regions and four metropolitan municipalities. The top five provinces with higher PPV carry-out rate were Shandong （93.75%）, Zhejiang （90. 00%）, Hebei province （90. 00%）, Jiangsu （83.33%） and Guangdong （75.00%）. There was significant difference in per capita share of PPV-hospitals between different cities （χ2= 181. 153, P= 0. 000） and in the PPV carry out rate between different cities （χ2=749. 217, P=0. 000）. There were 210 private eye hospitals in China, 62 hospitals （18. 23%） of them could perform PPV included 39 hospitals located in regional-level cities. The coefficient correlation between PPV and GDP of different provinces was 0. 842 （P = 0. 000）. Conclusions Vitrectomy is widely performed in China's Mainland, but geographical distribution of PPV-performing hospitals is uneven. PPV performance is closely related with regional economic development, and private hospitals play certain roles in promoting the application of vitrectomy.

关 键 词：玻璃体切除术/利用 玻璃体切除术/统计学和数值数据 文献计量学 

分 类 号：R779.6[医药卫生—眼科]