2017年中国肠镜临床应用情况全国调查

中华消化内镜杂志 Pub Date : 2019-08-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.08.007

Wei-guang Qiao, Shoubin Ning, P. Wan, Yiyang Zhang, Yang Bai, Zhenyu Chen, Wen-xin Tan, Fachao Zhi

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引用次数: 0

摘要

目的了解肠镜学在我国的临床应用情况，为肠镜学的普及和推广提供依据。方法本次调查设计于2017年1月1日至2017年7月31日，预调查时间为2017年5月1日～2017年07月31日。它于2017年8月30日至2017年12月30日在中国大陆进行。数据是通过对385家医院的在线调查和现实调查收集的。共有373家医院进行了反馈，7家医院经数据核查不符合进一步分析条件，纳入366家医院进行最终分析，应答率为95.1%。卡方检验用于比较东部、中部和西部地区的数据。结果拥有肠镜检查的医院占47.0%（172/366），154/172（89.5%）为三级转诊医院，112/172（65.1%）设有肠镜检查室，84/172（48.8%）拥有肠镜专用X线。具有高级职称的肠镜医师占40.3%（50/124），女性肠镜医师为42.7%（53/124）。大多数年龄在31-40岁（50.8%）和41-50岁（27.4%）的肠镜医生，43.0%（74/172）的医院只雇佣了1-2名肠镜医生。51.2%的医院（88/172）每年的诊断病例少于50例。51.7%的医院（89/172）每年的治疗病例少于10例。124名肠镜医生中有19名（15.3%）没有接受标准培训。东部地区进行肠镜检查的医院数量高于中西部地区[111家（51.6%）VS 61家（40.4%），P=0.034]。东部地区肠镜医生的培训背景优于中西部地区。未经培训的内镜医生在东部地区占10.5%，在中西部地区占22.9%，差异有统计学意义（P=0.031）。肠镜医生的标准培训即将到来。关键词：肠镜检查；肠镜医生；标准培训；问卷调查

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

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 a 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 accounted for 47.0% (172/366), 154/172 (89.5%) were tertiary referral hospitals, 112/172 (65.1%) established enteroscopy units, 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 (50.8%) and 41-50 years (27.4%). 43.0% (74/172) hospitals employed only 1-2 enteroscopists. The diagnostic cases per year were 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. Untrained endoscopists accounted for 10.5% in eastern regions, while those accounted for 22.9% in central and western regions with significant difference(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. Key words: Enteroscopy; Enteroscopist; Standard training; Questionaire survey

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.