我国2017年小肠镜临床应用状况调查研究
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1.南方医科大学南方医院消化内科;2.北京空军总医院消化内科;3.云南省人民医院消化内科;4.江苏省鼓楼医院消化内科;5.南方医科大学南方医院消化科

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云南省创新团队计划项目 编号(2018HC006)


The clinical application of enteroscopies in China: a national survey in 2017
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Affiliation:

Department of Gastroenterology, Guangdong Provincial Key Laboratory of Gastroenterology, Institute of Gastroenterology of Guangdong Province, Nanfang Hospital, Southern Medical University

Fund Project:

Yunan Provincial Innovation Group of Science and Technology(2018HC006)

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    摘要:

    目的 调研小肠镜在中国的应用状况,为小肠镜技术的普及和推广提供新的线索。方法 本研究是一项抽样调查研究。2017年1月1日至2017年7月31日进行调查问卷设计,并于5月1日至7月31日在广东省进行预调查,收集和反馈问题。2017年8月30日至2017年12月30日于中国大陆地区开展抽样调查研究。通过电子和纸质调查问卷的形式向各医疗单位发送并收集数据。本研究共调查医院385家,接受应答者373家,数据缺失者7家,实际分析数据366家(95.1%)。分析开展小肠镜诊治的医院情况和小肠镜医师基本情况,并采用卡方检验对东西部地区的数据进行统计比较。结果 受调研单位中拥有小肠镜的占47.0%(172/366),主要集中于三级医院89.5%(154/172)。拥有独立小肠镜操作间的占65.1%(112/172),拥有用于小肠镜检查X线的单位占48.8%(84/172)。共有124名专业的小肠镜医生,女性占42.7%(53/124);中高级职称者占40.3%(50/124);医师年龄集中于31~40岁和41~50岁。43.0%(74/172)的单位仅有1~2名小肠镜操作医师, 各单位年操作小肠镜诊断例次≤50例次者占51.2%(88/172),治疗例次少于10例次者占51.7%(89/172)。15.3%(19/124)小肠镜医师未接受正规培训。东部地区拥有小肠镜的单位数量[111(51.6%) 比61(40.4%),P = 0.034]和小肠镜医师的培训方面(P = 0.031)优于中西部。结论 中国大陆地区各单位小肠镜年诊疗例次偏低、小肠镜医师相对缺乏。开展规范化的小肠镜培训是重要的任务。

    Abstract:

    Objective To investigate the clinical application of enteroscopies in China, and to further provide evidence for popularization and promotion of enteroscopies. Methods The survey was designed between January 1st, 2017 and July 31th, 2017 with pre-survey in Guangdong Province between May 1st, 2017 and July 31st, 2017. It was conducted in Chinese mainland between August 30th, 2017 and December 30th, 2017. Data were collected through the online survey and reality survey at 385 hospitals. A total of 373 hospitals gave feedbacks and 7 hospitals were unqualified for further analysis after data checking, so 366 hospitals were included for final analysis, with an responding rate of 95.1%. Information on practice status of hospitals with enteroscopies and enteroscopists were collected. The chi-squared test was used for comparison of data between eastern and central and western regions. Results The hospitals owning enteroscopies account for 47.0% (172/366), 154/172 (89.5%) were tertiary referral hospitals, 112/172 (65.1%) established enteroscopy unit, and 84/172 (48.8%) owned X-ray exclusive for enteroscopy. The proportion of enteroscopists with senior title was 40.3% (50/124), female enteroscopists accounted for 42.7% (53/124). Most enteroscopists aged 31-40 and 41-50 years. 43.0% hospitals employed only 1-2 enteroscopists (74/172). The diagnositc cases per year was less than 50 cases in 51.2% hospitals (88/172). The therapeutic cases per year were less than 10 cases in 51.7% hospitals (89/172). Nineteen of 124 (15.3%) of enteroscopists didn’t receive standard training. The number of hospitals performing enteroscopies in eastern regions was higher than that in central and western regions [111(51.6%) VS 61(40.4%), P = 0.034]. The training background of enteroscopists in eastern regions was better than that in central and western regions(P = 0.031). Conclusion Low number of patients treated and shortage of enteroscopists are obvious in Chinese Mainland, especially in central and western regions. Standard training of enteroscopists is impending.

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乔伟光,宁守斌,万苹,等.我国2017年小肠镜临床应用状况调查研究[J].中华消化内镜杂志,2019,36(8):572-576.

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  • 收稿日期:2018-09-30
  • 最后修改日期:2019-07-31
  • 录用日期:2018-11-12
  • 在线发布日期: 2019-08-29
  • 出版日期: 2019-08-29
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