台州市某三级综合医院2011年-2019年出院患者疾病谱分析  

Disease Spectrum Analysis of Discharged Patients from a Tertiary General Hospital in Taizhou City from 2011 to 2019

作　　者：冯学强 张雪峰[2] 窦连杰 李扬眉[4] 朱凤才[1,2] Feng Xueqiang;Zhang Xuefeng;Dou Lianjie;Li Yangmei;Zhu Fengcai(School of Public Health,Nanjing Medical University,Nanjing 211166,Jiangsu Province,China;不详)

机构地区：[1]南京医科大学公共卫生学院,江苏省南京市211166 [2]江苏省疾病预防控制中心,江苏省南京市210029 [3]安徽医科大学公共卫生学院,安徽省合肥市230032 [4]台州市立医院,浙江省台州市318000

出　　处：《中国病案》2021年第7期53-56,共4页Chinese Medical Record

摘　　要：目的分析台州市某三级综合医院住院病例疾病谱的构成及变化,为卫生资源的合理配置、疾病防治策略的科学制定提供依据。方法收集某院2011年1月1日-2019年12月31日住院患者信息,包括性别、年龄、入院日期、出院日期、ICD-10编码等,采用描述性研究方法分析某院住院患者疾病谱构成及变化趋势。结果某院9年内共收治住院患者464400例,且呈逐年上升趋势,其中男性216697例,女性247703例,男女性别比为1:1.14;年龄集中在60岁及以上年龄组,占比35.88%;疾病谱前10位占住院患者的83.05%;呼吸系统疾病最为常见,构成比为16.08%,多见于儿童和老年人,其次为妊娠分娩和产褥期(12.26%)、循环系统疾病(10.28%);女性最常见的疾病为妊娠分娩和产褥期,共30632例,占女性住院患者的22.98%。结论住院人次逐年升高,呼吸系统疾病、妊娠分娩和产褥期、循环系统疾病等仍是重点关注的疾病,应结合疾病谱变化及其人群年龄、性别等分布特点进行疾病防治,合理利用卫生资源。Objectives To analyze the composition and changes of disease spectrum of inpatients in a tertiary general hospital of Taizhou city,so as to provide basis for rational allocation of health resources and formulation of scientific disease prevention and control strategies.Methods To collect the information of the front page of medical records in our hospital from January 1st,2011 to December 31st,2019,including gender,age,date of admission,date of discharge,ICD-10 code and other information.Descriptive research method was used to analyze the composition and trend of disease spectrum of inpatients in our hospital.Results There were 464400 inpatients in our hospital in 9 years,and the trend was increasing year by year,including 216697 males and 247 females 703 cases,the ratio of male to female was 1:1.14;The age was concentrated in the age group of 60 years and above,accounting for 35.88%;The top 10 disease spectrum accounted for 83.05%of hospitalized patients;respiratory system diseases were the most common,accounting for 16.08%,most common in children and the elderly,followed by pregnancy and childbirth and puerperium(12.26%),circulatory system diseases(10.28%);The most common diseases in women were pregnancy and childbirth.There were 30632 cases in puerperium,accounting for 22.98%of female inpatients.Conclusions The number of inpatients was increasing year by year.Respiratory system diseases,pregnancy,delivery and puerperium,circulatory system diseases were still the focus of attention.We should combine the changes of disease spectrum and the distribution characteristics of population age and gender to carry out disease prevention and control,and make rational use of health resources.

关 键 词：疾病谱 住院患者 年龄 性别 

分 类 号：R197.3[医药卫生—卫生事业管理]