朱晋花,金皎,陈晓霞
ZHU Jinhua,JIN Jiao,CHEN Xiaoxia

• 1:贵州医科大学

摘要(Abstract)：

目的:调查贵州省少数民族集中地区基层医院医生对地中海贫血的认识及诊治现状。方法:对贵州省黔南布依族苗族自治州、黔东南苗族侗族自治州等多地乡镇卫生院、县、市医院的156名医生进行问卷调查,分别从不同职称基层医院医生诊断地中海贫血的依据、对于地中海贫血治疗方法的认识以及其获取医学相关知识的途径进行统计比较。结果:回收152份有效问卷,不同职称医生对于地中海贫血诊断依据的选择比例比较,差异有统计学意义(P<0.05);初级职称医生选择"输血联合祛铁"治疗比例少于中级职称和高级职称,不同职称医生对地中海贫血治疗方法的选择比例比较,差异有统计学意义(P<0.05),151名医师(99.3%)表示未使用过铁螯合剂;基层医院医生主要通过书籍、学术会议、手机APP及微信公众平台及网络搜索等多种途径获取医学相关知识。结论:贵州省少数民族集中地区基层医院医生对地中海贫血的认识水平不足,需加强基层医院医生的继续教育以提高诊治水平。
Objective: To investigate the knowledge of physicians and treating status on thalassemia in primary hospitals of ethnic areas in Guizhou province. Methods: The survey of 156 primary physicians in minority of Guizhou province was conducted with the se If-designed questionnaires. The 156 primary physicians of different technical title come from the clinics of towns,counties and cities in Qiannan Buyei and Miao Autonomous prefecture as well as Qiandongnan Miao and Dong Autonomous prefecture. The treatment and medical relevant knowledge of thalsssemia were statistically compared by the SPSS 17. 0 statistical software for the data analysis of the samples. Result: The total 152 questionnaires were retrieved and valid. The results showed that 104( 68. 4%) primary physicians choose physical examination,blood routine examination,red cell morphology and MCH/MCHC in aspect of diagnosis. In aspects of therapy,51( 33. 6%) primary physicians did not know well the standardized treatment of thalsssemia. The degree of understanding of standardized treatment for thalassemia was statistically significant. 151( 99. 3%) primary physicians never used iron chelator. The physicians could mainly get the medical relevant knowledge from the medical books,academic conference and APP of mobile phone etc. Conclusions: The primary physicians of ethnic areas in Guizhou province have a lit-tle knowledge of thalassemia and are lack of awareness. It is necessary to improve the level of diagnosis and treatment by reinforcing the continuing education of primary physicians.

关键词(KeyWords)： 少数民族;贵州;基层医院;地中海贫血;诊断;治疗
national minority;Guizhou;primary hospitals;thalassemia;diagnosis;treatment

Abstract:

Keywords:

基金项目(Foundation): 贵阳市科技局创新团队基金(GY2015-17)

作者(Author): 朱晋花,金皎,陈晓霞
ZHU Jinhua,JIN Jiao,CHEN Xiaoxia

DOI: 10.19367/j.cnki.1000-2707.2017.06.015

参考文献(References)：

• [1]喻芳,钟春琍,周强,等.贵州少数民族地区β-地中海贫血的分子流行病学研究[J].中华医学遗传学杂志,2010(6):700-703.
• [2]方建培,许吕宏.规范儿童重型β地中海贫血的诊治[J].中华儿科杂志,2010(3):166-169.
• [3]中华医学会儿科学分会血液学组《中华儿科杂志》编辑委员会.重型β地中海贫血的诊断和治疗指南[J].中华儿科杂志,2010(3):186-189.
• [4]周崇启.试论贵州布依族文化传承与中小学校园文化建设[J].民族教育学研究,2013(6):111-115.
• [5]胡亚美,汪载芳.诸福棠实用儿科学[M].7版.北京:人民卫生出版社,2002:1763-1772.
• [6]Antoine S,Ali T.Iron overload in transfusion-dependent thalassemia[J].Hematology,2015(5):311-312.
• [7]李长刚,刘四喜,王缨,等.重型地中海贫血患儿心脏及肝脏铁沉积状态的多中心研究[J].中华儿科杂志,2012(2):90-93.
• [8]Angelucci E,Barasi G,Camaschella C,et al.Itailian society of hematology practice guidelines for the management of iron overload in thalassemia major and related disorders[J].Haematologica,2008(93):741-752.
• [9]John C.Wood,Guidelines for quantifying iron overload[J].Hematology Am Soc Hematol Educ Progam,2014(1):210-215.
• [10]中华医学会血液学分会/中国医师协会血液科医师分会.铁过载诊断与治疗的中国专家共识[J].中华血液学杂志,2011(8):572-574.
• [11]方建培,许吕宏.中国地中海贫血的诊治现状和挑战[J].临床儿科杂志,2012(11):35-38.

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