中国循环杂志2024,Vol.39Issue(3) :228-233.DOI:10.3969/j.issn.1000-3614.2024.03.003

中国颈动脉内膜剥脱术现状和地区差异

Current Status and Regional Differences of Carotid Endarterectomy Surgery in China

国家心血管系统疾病医疗质量控制中心血管外科工作组 舒畅 罗明尧
中国循环杂志2024,Vol.39Issue(3) :228-233.DOI:10.3969/j.issn.1000-3614.2024.03.003

中国颈动脉内膜剥脱术现状和地区差异

Current Status and Regional Differences of Carotid Endarterectomy Surgery in China

国家心血管系统疾病医疗质量控制中心血管外科工作组 舒畅 罗明尧
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摘要

近年来,中国颈内动脉内膜剥脱术(CEA)不断完善和发展,但是仍然存在一些问题.本研究利用 2021 年医院质量监测系统(HQMS)的数据,对全国各地区开展的共 10 783 例CEA进行了统计分析.结果显示,CEA患者的平均年龄为(65.8±7.9)岁,男性占比 82%,女性占比 18%.85%患者通过门诊途径入院,14%患者通过急诊途径入院.92%手术在三级医院完成,8%手术在二级医院完成.东部地区手术量占全国的 66%,中部地区占 23%,西部地区占11%.CEA患者常见的合并症有高血压 7 499 例(70%)和糖尿病 3 436 例(32%).中国CEA有关数据存在一定的地区差异,应加大对术者和围术期管理团队的培训.此外,中国CEA整体规模尚小,还有很大的发展空间.

Abstract

Carotid endarterectomy(CEA)surgery is wildly used now in China,but there are still some significant problems related to CEA application.This study analyzed 10 783 CEA cases in various Chinese regions based on data from the Hospital Quality Monitoring System(HQMS)in 2021.The results showed that the average age of CEA patients was(65.8±7.9)years old,82%were men and 18%were women.The majority of patients(85%)were admitted via outpatient visit,with a minority(14%)admitted via the emergency department.The vast majority of surgeries(92%)were completed in tertiary hospitals,and a small proportion(8%)were completed in secondary hospitals.66%of surgery was performed in eastern region,23%in the central region,and 11%in the western region of China.Common comorbidities in CEA patients included hypertension(7 499 cases,70%)and diabetes(3 436 cases,32%).There are certain regional differences in data related to CEA in China,and training for surgeons and perioperative management teams should be improved.In addition,the overall performed CEA cases in China are still less than expected,and there is still a lot of room for further development.

关键词

颈动脉内膜剥脱/颈动脉狭窄/医疗资源/医疗质量

Key words

carotid endarterectomy/carotid stenosis/medical resource/medical quality

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基金项目

中央高水平医院临床科研业务费项目(零余额 2023-GSP-RC-13)

出版年

2024
中国循环杂志
中国医学科学院

中国循环杂志

CSTPCDCSCD北大核心
影响因子:2.803
ISSN:1000-3614
参考文献量16
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