2017年-2020年某院妇科疾病谱构成及帕累托图分析  

Pareto Chart Analysis on the Gynecological Disease Spectrum Composition of Discharged Patients of a Hospital From 2017 to 2020

作　　者：滕支梅 袁冬兰[1] 王玲[1] 王东华[1] Teng Zhimei;Yuan Donglan;Wang Ling;Wang Donghua(Taizhou People's Hospital,Taizhou 225300,Jiangsu Province,China;不详)

机构地区：[1]泰州市人民医院,江苏省泰州市225300

出　　处：《中国病案》2021年第11期51-54,共4页Chinese Medical Record

基　　金：江苏省妇幼健康科研项目(F201925)。

摘　　要：目的分析某三甲医院妇科住院患者疾病构成情况,为临床诊疗、疾病防治提供理论依据。方法提取某院病案信息系统中2017年1月1日-2020年12月31日全部妇科出院患者的病案首页数据,共20233例。按照ICD-10标准分类,应用帕累托图对疾病构成进行分析。结果流产类、子宫肌瘤、恶性肿瘤化疗、女性生殖道息肉、子宫内膜异位、异位妊娠、卵巢输卵管和阔韧带的非炎性疾患、先兆流产、女性盆腔炎、子宫颈上皮内瘤变Ⅲ级是2017年-2020年妇科出院患者前10位疾病,共占75.41%。流产类位居首位,占(15.44%)。出院患者集中在40岁~49岁组,以子宫肌瘤最多(35.43%);其次是30岁~39岁和20岁~29岁组的患者,以流产类居多。不同年份、不同年龄出院患者妇科疾病谱分布不同,差异有统计学意义(P<0.001)。结论妇科出院患者疾病谱顺位变化不大,存在一致性。应根据出院患者的疾病谱构成,提高生殖健康知识宣传和体检筛查早癌的力度,降低妇科主要疾病发生率。Objectives To analyze disease constitution of discharged patients in gynecology department of a hospital in Taizhou,so as to provide theoretical basis for clinical diagnosis and disease prevention.Methods The information of home pages in the front pages of medical records January 1st,2017 to December 31st,2020 were extracted from hospital medical record information system,standardized disease names according to the WHO international classification of diseases(ICD-10),with a total of 20233 cases.The Pareto chart was used to analyze the composition of the diseases,Excel 2013 and SPSS20.0 were adopted for statistical analysis.Results The top ten gynecological diseases of inpatients from 2017 to 2020 were abortion,fibroid,chemotherapy for malignant tumor,polyps of female genital tract,endometriosis,ectopic pregnancy,non inflammatory diseases of ovary,fallopian tube and broad ligament,threatened abortion,female pelvic inflammatory disease,cervical intraepithelial neoplasia Ⅲ(CIN Ⅲ),accounted for 75.41%.Abortion was ranked first among the diseases,accounted for 15.44%.Discharged patients were mainly concentrated in 40〜49 years old group,with the fibroid in the majority(35.43%),followed by 30〜39 years old group and 20〜29 years old,with the abortion in the majority.The distribution of gynecological disease spectrum of discharged patients was different in different year and age groups,and the difference was statistically significant(P<0.001).Conclusions The order of disease spectrum in the past four years was relatively stable,and consistency existed.In order to reduce the incidence of major gynecological diseases according to the composition of disease spectrum of discharged patients,it was necessary to improve the propaganda of reproductive health knowledge and enhance the efforts of physical examination to screen early cancer.

关 键 词：疾病谱 妇科 帕累托图 

分 类 号：R711[医药卫生—妇产科学] R197.323[医药卫生—临床医学]