摘要
目的本研究旨在评估中国风湿科医生对肌肉骨骼超声（MSUS）的应用、认知与需求，了解MSUS应用受限的原因，并比较2011年及2015年MSUS应用情况及医生认知度的变化。方法通过在2011年及2015年风湿病年会随机发放调查问卷的方式进行调查研究。问卷分为人口学信息、MSUS应用情况、对MSUS的认知及需求3部分。计量资料2组间比较采用t检验，计数资料采用χ2检验，以P〈0.05为差异有统计学意义。结果2011年共发放问卷350份，回收有效问卷319份。2015年共发放问卷467份，回收有效问卷459份。在临床工作中应用过MSUS的医生，2015年比2011年明显增多（78.0%与60.5%，χ2=27.873，P〈0.01）。调查对象中，能够亲自操作MSUS的风湿科医生，2015年比2011年明显增多（22.2%与6.3%，χ2=26.223，P〈0.01）。2015年，99.8%的调查对象认为MSUS在风湿科临床工作中有重要价值，与2011年98.7%比例相当。2015年，87.1%的风湿科医生表示有意愿学习MSUS，与2011年88.1%的比例相当。2011年及2015年，限制MSUS在风湿科医生中开展的最主要原因前3位均为缺少相关培训（61.4%与38.6%），学习及操作时间有限（18.8%与26.1%）；没有资金购买设备（10.7%与23.5%）。结论绝大多数的中国风湿科医生意识到MSUS在指导风湿病的诊断及治疗中具有重要价值。MSUS在我国风湿科应用虽然比较有限，但能够掌握该技术的风湿科医生日渐增多。限制MSUS开展的最主要因素为缺少相关培训以及有限的学习操作时间。强调MSUS的重要性，推广标准化培训，有利于其在国内的普及应用，有助于推动我国风湿病的诊疗进展。
ObjectiveMusculoskeletal ultrasound （MSUS） is helpful in the diagnosis and therapeutic effect evaluation of rheumatic diseases. It was widely used in developed countries and regions. However the application of MSUS in China was limited. This study was performed to describe and compare the application and demand of MSUS in China between 2011 and 2015.MethodsThree hundred and fifty and 467 questionnaires were randomly distributed at the Chinese Rheumatology Association Annual Meeting in 2011 and 2015. Statistical analyses were performed using t test and Chi-square test. P values less than 0.05 were considered stastically significant.ResultsThree hundred and nineteen and 459 of questionnaires were completed. More respondents used MSUS for patient management in 2015 than in 2011 [（78.0% vs 60.5%, χ2=27.873, P〈0.01]. In addition, more rheumatologists indicated that they perform MSUS by themselves in 2015 than in 2011 （22.2% vs 6.3%, χ2=26.223, P〈0.01）. 98.7% of the respondents in 2011 agreed that MSUS play a crucial role in clinical practice which was comparable to 2015（99.8%）. Most of them expected to learn and master this skill （88.1% in 2011 and 87.1% in 2015）. Lack of training was the principal reason for limited use of MSUS in China. In addition, rheumatologists expressed that they did not have enough time to learn and practice MSUS and did not have plenty of money to buy the ultrasound machines.ConclusionAlthough the application of MSUS in Chinese rheumatologists is limited, the number us users are increased gradually. Most of them have realized the value of MSUS. The most important reason to restrict the use of MSUS is lack of training. So it is meaningful to promote the standard training of MSUS in China.
出处
《中华风湿病学杂志》
CSCD
北大核心
2017年第11期743-747,共5页
Chinese Journal of Rheumatology
基金
首都临床特色应用研究项目（2151100004015019）
关键词
肌肉骨骼超声
中国风湿科医生
应用
需求
Musculoskeletal ultrasound
Chinese rheumatologists
Application
Demand
