医学期刊发表地震相关文献的比较研究
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摘要
目的了解全球地震医学证据现状及汶川地震相关医学证据生产和传播情况,比较分析医学期刊发表的地震相关文献,为震后医疗应急管理、救治和防疫证据的生产和传播提供参考。方法系统检索MEDLINE和CBM数据库(数据库起始至2009年9月),收集国内外医学期刊发表的地震相关文献,检出文献用EndNote软件管理和剔重,采用EXCEL软件录入资料及绘制图表,并使用SPSS13.0软件进行描述性统计分析。结果汶川地震前,国内外地震相关医学研究少且面窄;国内研究更少,滞后国外20年以上。汶川地震后,中文文献急剧增加,2008年8月达高峰,文献量是震前近50年的6.9倍,发表在378种期刊上,涉及领域更广、更深入;国外地震相关医学研究变化不大。结论汶川地震前,中文地震相关医学研究证据量少且面窄,震后医学证据生产和传播组织得力、方法科学、时间及时、传播广泛,已生产和传播了人类迄今地震医疗救援最多的证据;为全球地震灾害医疗救援提供了第一手证据。我国今后应继续加强灾害医学建设,对康复、灾后重建及卫生防疫证据生产与传播给予足够重视。
Objective To provide references for production and dissemination of evidence in the fields of medical emergency management,treatment,and prevention of epidemics after May 2008 Wenchuan earthquake by systematically reviewing,analyzing,and comparing quake related papers in medical journals.Methods We systematically searched MEDLINE and CBM(Chinese Biomedical Literature) databases(range:from inception to Sept.2009).Quake related papers were imported into EndNote software,checked for duplication,and categorized by predefined standards.Descriptive statistical analysis was performed by SPSS 13.0.Results There were relatively fewer quake related articles globally before the occurrence of the Wenchuan earthquake,and the quantity of papers in MEDLINE was four times than that in CBM.In contrast,the quantity of Chinese quake articles increased rapidly after Wenchuan earthquake,peaking in Aug.2008 at 6.9 times the average during the 50 years before the quake.The quake related papers in CBM appeared in 378 journals covering a diverse range of subject matter.Meanwhile,there was little change in the quantity of quake related articles in MEDLINE database.Conclusions The effort of producing and disseminating Wenchuan earthquake related medical research has been effectively organized and conducted in a scientific and timely manner,producing the largest in number of quake related medical papers in human history.It has provided first-hand guidance for disaster medical relief around the globe.We should strengthen the systematic construction of disaster medicine,and make an effort to summarize and disseminate evidence in the fields of rehabilitation,system reestablishment,and prevention of epidemics.
Objective To provide references for production and dissemination of evidence in the fields of medical emergency management,treatment,and prevention of epidemics after May 2008 Wenchuan earthquake by systematically reviewing,analyzing,and comparing quake related papers in medical journals.Methods We systematically searched MEDLINE and CBM(Chinese Biomedical Literature) databases(range:from inception to Sept.2009).Quake related papers were imported into EndNote software,checked for duplication,and categorized by predefined standards.Descriptive statistical analysis was performed by SPSS 13.0.Results There were relatively fewer quake related articles globally before the occurrence of the Wenchuan earthquake,and the quantity of papers in MEDLINE was four times than that in CBM.In contrast,the quantity of Chinese quake articles increased rapidly after Wenchuan earthquake,peaking in Aug.2008 at 6.9 times the average during the 50 years before the quake.The quake related papers in CBM appeared in 378 journals covering a diverse range of subject matter.Meanwhile,there was little change in the quantity of quake related articles in MEDLINE database.Conclusions The effort of producing and disseminating Wenchuan earthquake related medical research has been effectively organized and conducted in a scientific and timely manner,producing the largest in number of quake related medical papers in human history.It has provided first-hand guidance for disaster medical relief around the globe.We should strengthen the systematic construction of disaster medicine,and make an effort to summarize and disseminate evidence in the fields of rehabilitation,system reestablishment,and prevention of epidemics.
引文
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3赵鲁平,张标,徐巍,等.四川省德阳市人民医院1950例汶川地震伤员救援组织指挥纪实.中国循证医学杂志,2009,9(2):147-151.
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5李红樱,代小舟,刘蔚,等.5.12汶川大地震2196例住院伤员综合分析.实用医院临床杂志,2008,5(6):26-28.
6王正国,张连阳.汶川特大地震医学救援的经验教训与发展建议.解放军医学杂志,2009,34(2):121-124.
7王正国.地震灾害的特点及其所致创伤的救治.中华创伤杂志,2008,24(6):401-404.
8刘健新.公路桥梁抗震设计细则.[2009-09-21].Available from:URL:http://www.ccroadedu.com/picture/productphoto/2008109190551.pdf.
9石应康,郑尚维.区域性国家级医院在汶川地震医疗救援中的战略支撑作用,中国循证医学杂志,2008,8(6):380-382.
10中国偱证医学杂志.[汶川地震医疗救援]栏目下的文章目录.[2009-09-21].Available from:URL:http://www.cjebm.org.cn/oa/scriptlsit.aspx-kind=Column&colid=83.
2谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析.中国循证医学杂志,2008,8(8):591-5961.
3赵鲁平,张标,徐巍,等.四川省德阳市人民医院1950例汶川地震伤员救援组织指挥纪实.中国循证医学杂志,2009,9(2):147-151.
4薛力,陈敏,尹代红,等.成都市第三人民医院563例汶川地震伤员救治分析.中国循证医学杂志,2008,8(8):597-601.
5李红樱,代小舟,刘蔚,等.5.12汶川大地震2196例住院伤员综合分析.实用医院临床杂志,2008,5(6):26-28.
6王正国,张连阳.汶川特大地震医学救援的经验教训与发展建议.解放军医学杂志,2009,34(2):121-124.
7王正国.地震灾害的特点及其所致创伤的救治.中华创伤杂志,2008,24(6):401-404.
8刘健新.公路桥梁抗震设计细则.[2009-09-21].Available from:URL:http://www.ccroadedu.com/picture/productphoto/2008109190551.pdf.
9石应康,郑尚维.区域性国家级医院在汶川地震医疗救援中的战略支撑作用,中国循证医学杂志,2008,8(6):380-382.
10中国偱证医学杂志.[汶川地震医疗救援]栏目下的文章目录.[2009-09-21].Available from:URL:http://www.cjebm.org.cn/oa/scriptlsit.aspx-kind=Column&colid=83.
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