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目的了解新疆眼科医疗现状和存在问题,为眼科医疗服务发展提供参考依据。方法对新疆地区所有已经注册的公立或民营的医疗机构眼科(含五官科)采用问卷调查,运用Excel2003建立数据库,SPSS16.0软件进行统计分析。结果 2010年新疆地区在册的各类眼科医疗机构有107所,眼科卫技人员1 672人,其中眼科医师525人;眼科医疗机构实际开放床位1 709张,床位使用率在90%以上者有37所;2010年每名眼科医师年门诊量为1 872人次,年眼科急诊量为62人次,年收住入院病人约93人次;被调查的医疗机构眼科开展各类眼科手术共43 580例,其中白内障手术占46.59%,抗青光眼手术占11.01%,翼状胬肉手术13.60%。结论新疆医疗机构眼科存在区域分布不均衡、眼科医师梯队不合理、手术技术差异大等问题,制定区域卫生规划,加强眼科医师和护士的规范化培训,充分利用眼科各类资源,提高眼科医疗质量和服务水平。
Objective To understand the current situation and existing problems of ophthalmology in Xinjiang and provide reference for the development of ophthalmic medical services. Methods All the registered public or private medical institutions in Xinjiang ophthalmology (including ENT) were surveyed using Excel2003 to establish a database, SPSS16.0 software for statistical analysis. Results In 2010, there were 107 ophthalmic medical institutions registered in Xinjiang, with 1 672 eye technicians, including 525 ophthalmologists, 1 709 open ophthalmology clinics and 37 70% bed occupancy rates In 2010, each ophthalmologist took out 1 872 outpatients a year, with annual eye emergency volume of 62 person-times and year-end admission of about 93 hospitalized patients. A total of 43 580 ophthalmologic operations were carried out in ophthalmic clinics under investigation, of which Cataract surgery accounted for 46.59%, anti-glaucoma surgery accounted for 11.01%, pterygium surgery 13.60%. Conclusion The distribution of ophthalmology in Xinjiang medical institutions is unbalanced, the ophthalmologists’ echelon is unreasonable and the technical differences are great. The regional health planning is formulated to enhance the standardized training of ophthalmologists and nurses. The ophthalmology resources should be fully used to improve the quality of ophthalmology and medical care Service Level.