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[2012年江苏省白内障手术率及其影响因素]

[Cataract surgery rate and its impacting factors in Jiangsu Province in 2012].

作者信息

Guan Huai-jin, Zhang Xiao-jun, Zhu Rong-rong, Yang Mei

机构信息

Department of Ophthalmology, Affiliated Hospital, Nantong University, Nantong 226001, China. Email:

出版信息

Zhonghua Yi Xue Za Zhi. 2013 Dec 17;93(47):3733-6.

Abstract

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.

摘要

目的

根据报告数据调查2012年江苏省白内障手术率(CSR)及其影响因素,以便进一步提高我国的CSR。

方法

通过2012年政府网站,收集江苏省13个市及南通市7个县上报至中国卫生部的国内生产总值(GDP)和人均GDP,以计算CSR。采用Spearman等级相关分析江苏省和南通市GDP与CSR之间的关系,用卡方检验分析政府医院和民营医院白内障手术比例的差异。

结果

2012年江苏省CSR为每年每百万人口939例。南通市CSR最高(每年每百万人口1362例),宿迁市最低(每年每百万人口129例)。江苏省13个市的GDP与CSR呈正相关(Spearman秩相关系数r = 0.59,P = 0.03),但与人均GDP无显著相关性(Spearman秩相关系数r = 0.50,P = 0.08)。南通市7个县的GDP、人均GDP与CSR之间无显著相关性(Spearman秩相关系数r = -0.04,P = 0.94;Spearman秩相关系数r = -0.29,P = 0.53)。南通市民营医院比例为33.3%,手术病例为4557例(45.9%)。2012年如皋县CSR为每年每百万人口3317例。

结论

社会经济水平可能与CSR有关。在中国,提供乡村白内障筛查服务和降低手术费用有助于提高CSR。

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