妇科腹部手术患者疾病分类的帕累托分析  

Pareto Analysis of Classification of Diseases of Gynecological Abdominal Surgery

作　　者：曹立幸 陈志强 欧爱华 程兰 周晴晴 杨玲 

机构地区：[1]广州中医药大学第二附属医院,广州市510120

出　　处：《中国病案》2011年第2期44-45,共2页Chinese Medical Record

基　　金："十一五"国家科技支撑计划项目(2008BAI53B031);广东省科技计划项目(93013)

摘　　要：目的分析妇科行腹部手术的住院患者不同年龄段疾病构成及影响因素,为不同年龄阶段妇科腹部手术疾病的临床医疗管理及科研工作提供参考。方法收集妇科行腹部手术的住院病例信息,进行疾病的ICD-10编码,采用描述性分析及帕累托图分析方法。结果青春期腹部手术主要疾病因素为卵巢良性肿瘤与异位妊娠,累积构成比为77.3%;生育期腹部手术主要疾病因素依次为子宫肌瘤、异位妊娠、子宫内膜异位症及不孕症,累积构成比为69.5%;围绝经期患者腹部手术疾病主要影响因素依次为子宫肌瘤、子宫腺肌病、卵巢良性肿瘤,盆腔炎性疾病、子宫脱垂及子宫内膜恶性肿瘤,累积构成比为83.6%;老年期患者腹部手术疾病主要疾病因素依次为子宫脱垂、卵巢良性肿瘤,累积够成比为78.4%。结论妇科行腹部手术的疾病构成存在年龄差异,应结合年龄特点,有针对性的加强医疗管理及开展相关围手术期科研工作。Objective To analyze the diseases composition and influential factors of gynecologic abdominal surgery inpatients in different stage of ages,which is aimed to provide reference for gynecology and perioperative research work of different stage of ages.Methods Collecting the gynecologic abdominal surgery cases during 2007-2009.The diseases identities of the included cases were coded with ICD-10 and analyzed with descriptive analysis and Pareto diagram analysis.Results The major diseases of the patients in the group who were adolescent were ovarian benign tumor and ectopic pregnancy,in which the cumulative percent was 77.3%.The major diseases of the patients in the group who were in the period of duration were uterine myoma、 ectopic pregnancy 、 endometriosis and infertility,in which the cumulative percent was 69.5%.The major diseases of the patients in the group who were climacteric were uterine myoma、uterine adenomyosis、ovarian benign tumor、 pelvic inflammatory disease、uterine prolapse and endometrial carcinoma,in which the cumulative percent was 83.6%.The major diseases of the patients in the group who were gerontic were uterine prolapse and ovarian benign tumor,in which the cumulative percent was 78.4%.Conclusion There was age difference existing in the prevalence of gynecologic abdominal surgery diseases,we should combined with the features of all age groups,and efforts should be aimed to enhance the quality of medical management with the outcomes of related perioperative research.

关 键 词：妇科腹部手术 疾病构成 帕累托图 

分 类 号：R713[医药卫生—妇产科学]