大型三甲医院分院神经内科住院患者疾病构成特点  

Characteristics of disease composition of inpatients in neurology department of a large tertiary hospital branch

作　　者：罗媛媛 周东[1] 吴欣桐[1] 郝晓婷[1] LUO Yuanyuan;ZHOU Dong;WU Xintong;HAO Xiaoting(Department of Neurology, West China Hospital, Sichuan University,Chengdu 610041,China;Department of Neurology, Chengdu Shangjin Nanfu Hospital, Branch of West China Hospital, Sichuan University,Chengdu 611700,China)

机构地区：[1]四川大学华西医院神经内科,四川成都610041 [2]四川大学华西医院上锦分院·成都上锦南府医院神经内科,四川成都611700

出　　处：《西部医学》2019年第6期867-872,共6页Medical Journal of West China

基　　金：国家自然科学基金(81420108014)

摘　　要：目的分析大型三甲医院分院神经内科住院患者的疾病构成及相关特点,为临床诊治工作提供科学客观依据.方法收集四川大学华西医院上锦分院?成都上锦南府医院神经内科2012年4月1日~2018年3月31日住院患者的病历资料,共收治17104例患者,其中男性8667例(50.67%),女性8437例(49.33%),年龄4~100岁,平均(52.37士17.75)岁,以首页的主要诊断即第一诊断按照WHO国际统一疾病分类法(ICD-10)并结合神经内科“Mid-nights”定性原则作为疾病分类标准,采用SPSS 22.0软件进行数据统计、分析.结果脑血管疾病、中枢神经系统感染性疾病、头晕和眩晕、神经系统疾病相关的精神障碍、周围神经疾病所占比例依次为20.45%、11.76%、8.46%、7.43%、7.40%.2012年~2018年神经内科罕见病所占比例依次为5.05%、8.33%、9.66%、10.28%、10.79%、11.26%、11.44%.结论大型三甲医院分院神经内科位列前五的病种为脑血管疾病、中枢神经系统感染性疾病、头晕和眩晕、神经系统疾病相关的精神障碍、周围神经疾病,罕见病所占比例呈逐年升高趋势,各级医院神经内科应加强卒中中心的发展及对罕见病的认识,推进双向转诊及分级诊疗,以使患者能最大获益.Objective To analyze the disease composition and the relevant characteristics of inpatients in neurology department in a large tertiary hospital branch and provide scientific and objective basis for clinical diagnosis and treatment. Methods In this study, the demographic and clinical data of inpatients in Neurology Department of Chengdu Shangjin Nanfu Hospital, a branch of West China Hospital of Sichuan University, from April 1st, 2012 to March 31st, 2018, were collected. The main diagnosis of the home page was considered equally as the first diagnosis, which was based on the WHO International Classification of Diseases (ICD-10) and combined with the "Midnights" qualitative principle of neurology, was taken as the disease classification standard. The SPSS 22.0 software was used for statistical analysis. Results 17,104 patients [8,667 (50.67%) male;8,437(4933%)female. The mean±SD age was 52.37±17.75 years old. The average hospitalization duration were 10.32±8.05 days.The proportions of cerebrovascular disease, central nervous system infection, dizziness, mental disorder related to neirologic disease, and peripheral nerve disease were 20.45%, 11.76%, 8.46%, 7.43%, 7.40%, respectively. From 2012 to 2018, the proportions of rare diseases were 5.05%, 8.33%, 9.66%, 10.28%, 10.79%, 11.26% and 11.44%, severally.Conclusion The top five diseases in the neurology department of a large third grade hospital were cerebrovascular disease, central nervous system infection, dizziness, mental disorder related to neirologic disease, and peripheral nerve disease. The proportion of rare diseases was increasing year by year. The neurology department in the hospitals at all levels should strengthen the development of stroke centers and cognition of rare diseases, implement two-way referral and hierarchical diagnosis and treatment, so as to maximize the benefits of patients.

关 键 词：神经内科疾病构成 神经内科临床路径疾病 神经内科罕见病 

分 类 号：R195.4[医药卫生—卫生统计学]