379776份气滞血瘀证住院病案首页基本情况浅析  

Basic data analysis on the first pages of 379 776 inpatients’ medical records with diagnosis of qi stagnation and blood stasis pattern

作　　者：王骁[1] 祖亮华[2] 竺丽明[3] 窦丹波[3] 苏励[1] 高洁[1] 张怀琼[4] 

机构地区：[1]上海中医药大学附属龙华医院,上海200030 [2]上海中医药大学,上海200030 [3]上海中医药大学附属曙光医院,上海200021 [4]上海市卫生局中医药发展办公室,上海200040

出　　处：《中华中医药杂志》2013年第6期1794-1797,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局中医药行业科研专项资助项目(No.201107011);国际中医药管理局国际合作司资助项目(No.ZZYZK2011-国际司A001-001)~~

摘　　要：目的:初步探讨住院病案首页气滞血瘀证与第一中医疾病诊断和第一西医ICD-10编码间的相关情况。方法:用Microsoft sqlserver 2000查询分析器在2000年至2009年10年间全国中医医院医疗质量监测中心病案首页信息数据库中筛选入院证候诊断为气滞血瘀证的病案并作简单分析。结果:纳入统计的379 776份病案中,男女比例1.38∶1,该证候在0岁至110岁的年龄区间皆可发生,发病高峰集中于31岁至50岁年龄段。入院第一中医疾病诊断涉及739个病名诊断,频次排名前20位病名诊断中,气滞血瘀证病案数量高度集中于骨折等外伤性疾病,亦与肢体经络痹病、瘕病、中风等病关系密切。入院第一西医疾病(ICD-10)诊断涉及7 073个病名诊断,频次排名前20位病名诊断中,气滞血瘀证病案数量高度集中于骨折、脑震荡等外伤性疾病,与关节退变所致的脊髓型颈椎病和腰椎间盘脱出等病关系密切。纳入本研究的全部病案记录出院证候诊断高度集中于气滞血瘀证,占99.93%。结论:气滞血瘀证男性患者数量略高于女性,该证候在0岁至110岁年龄阶段均可发生,中医病名诊断与外伤、骨折、痹病、中风等高度相关,ICD-10诊断与外伤、骨折及关节退变高度相关,出院证候诊断高度集中于气滞血瘀证。Objectives： To explore basic relevance between qi stagnation and blood stasis pattern and the first admitted diagnosis of TCM disease code or the first admitted diagnosis of ICD-10 code on the first pages of medical record for inpatients. Methods： Screening the medical records with admitted diagnosis of qi stagnation and blood stasis pattern in the data base of National Monitoring Center of TCM Service Quality during 2000 to 2009 by Microsoft sqlserver 2000 then conduct basic data analysis. Results： Among the 379 776 screened medical records, male patients： female is 1.38：1, the pattern could possibly occur to patients at any age from 0 to 110 years＇ old. While the peak of morbidity has been found during the age of 30-50 years＇ old. Regarding the first admitted diagnosis of TCM disease, there were 739 different codes. Among the top 20 TCM codes of them, medical records of qi stagnation and blood stasis pattern were highly concentrated in bone fracture or other trauma related conditions, they also strongly related to conditions of limbs and meridians, such as impediment disease, abdominal mass and wind stroke. Regarding the first admitted diagnosis of ICD-10, there were 7 073 different codes. Among the top 20 TCM codes of them, medical records of qi stagnation and blood stasis pattern were highly concentrated in bone fracture and concussion, they also strongly related to conditions of joint degeneration, such as other spondylosis with myelopathy and lumbar and other intervertebral disc disorders with myelopathy. 99.93% of the discharge diagnosis on patterns of all the screened medical records above were highly concentrated in qi stagnation and blood stasis pattern. Conclusion： There were slightly more male patients of qi stagnation and blood stasis pattern than female ones. The pattern could possibly occur to patients at any age from 0 to 110 years＇ old. The TCM disease diagnosis were highly related to trauma, bone fracture, impediment disease and wind stroke, etc. The ICD-10 codes were highly re

关 键 词：气滞血瘀证 住院病案 基本情况 

分 类 号：R197.3[医药卫生—卫生事业管理]