门诊重症疑难眼病的会诊现状  

Present situation of the consultation for severe eye disease in outpatients

作　　者：左雅静[1] 刘荣娇[1] ZUO Yajing LIU Rongjiao(Department of VIP Outpatient, Zhongshan Ophthalmic Centerj Sun Yat-sen University, Guangzhou 510060, China)

机构地区：[1]中山大学中山眼科中心特需门诊,广州510060

出　　处：《Eye Science》2017年第3期161-166,共6页眼科学报（英文版）

摘　　要：目的:了解中山大学中山眼科医院门诊重症疑难眼病会诊的现状,探讨门诊重症疑难眼病会诊亚专科的分布情况及会诊效果,为建立科学的门诊重症疑难眼病会诊体系提供支持和依据,同时也为合理安排会诊流程提供依据。方法:对中山大学中山眼科医院2016年3月至2017年4月收集的2 6 5例门诊重症疑难病例,通过时间、地区、性别、年龄、会诊原因、会诊亚专科、会诊后的转归及效果等方面进行统计分析,所有数据均通过Excel软件进行录入,根据分析目的和资料的类型,采用相应的统计指标进行描述,并进行统计推断,检验水准为α=0.05。结果:2016年3月至2017年4月期间中山大学中山眼科医院门诊重症疑难眼病会诊人数265例。在地区分布中,广东省地区最多,为145例,外国最少,为3例。人群分布中,男167例,女98例,男女比例为1.70:1。年龄分布中,30~44岁及45~59岁的病例数最多,均为53例(20%),70岁以上老年病例最少,为13例(4.9%)。中山大学中山眼科医院门诊重症疑难眼病会诊中,2 0 1 6年3月至2 0 1 7年4月期间,各眼科亚专科共参加会诊714次,眼底外科参加会诊次数最多,为147次(20.5%),结膜科参加会诊的次数最少,为1次(0.1%)。在分析会诊原因方面,因诊治涉及多个专科而会诊的病例数最多,为1 6 1例,因病因不明会会诊的病例最少,为2 0例;会诊后比会诊前明确治疗方案的病例数增加1 9 0例。结论:中山大学中山眼科医院门诊组织实施重症疑难眼病会诊使明确治疗方案率大幅提高,在提高疑难眼病治疗效果方面起到一定的促进作用。Objective： To understand the current situation of the consultation for outpatients with severe eye disease in Zhongshan Ophthalmic Center, and to explore the distribution and effects of sub-specialty consultation for outpatients with severe eye disease. To set up a scientific system of the consultation for outpatients with severe eye disease, and also provide a basis for reasonable arrangement of consultation process. Methods： We analyzed 265 severe cases from March 2016 to April 2017 in Zhongshan Ophthalmic Center by time, region, gender, age, cause of consultation, sub-specialt）5 and outcomes after consultation. And all data was analyzed by Excel software, according to the purpose and the type of data, and the corresponding statistical index and statistical inference, inspection level for ci=0.05. Results： ~aere were 265 cases with severe eye disease from March 2016 to April 2017. As for the regional distribution, Guangdong province was the largest, with 14S cases, while the lowest number was from foreign countries, which was 3 cases. In the population distribution, 167 cases were males, 98 were females and the ratio was 1.70. In age distribution, patients aged from 30 to 44 years and 45 to 59 years predominated and the number of cases were both 53, accounting for 20% of the total number. Patients over 70 were the least which were 13 cases, accounting for 4.9% of the total number. From March 2016 to April 2017, all sub-specialties attended consultation for 714 times, as Ocular Fundus Department attended the most, accounting for 20.5% of the total number while Conjunctive Department attended the least, for only one, accounting for 0.1% of the total number. As for the reason of the consultation, the number of cases involving multiple specialties was the largest, with 161 cases, while the lowest number of cases due to unexplained causes, which were 20 cases. The number of cases of explicit treatment was increased by 190 after consultation. Conclusion： Consultations organized by Zhongshan Ophthalmic Cente

关 键 词：重症疑难眼病 会诊 现状分析 

分 类 号：R77[医药卫生—眼科]