某大型综合性中医院妇科住院腹部手术主要病种及住院时间分析  

Main diseases and length of stay of inpatients undergoing abdominal surgery in gynecology department of a large general hospital of Traditional Chinese Medicine

作　　者：杨玲[1] 欧阳光 欧爱华[1] 邓霭静[1] 曹立幸[1] YANG Ling;OUYANG Guang;OU Aihua;DENG Aijing;CAO Lixing(Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广东省中医院,广州510120

出　　处：《实用医学杂志》2022年第2期228-233,共6页The Journal of Practical Medicine

基　　金：国家区域中医(专科)诊疗中心建设专项资金资助(编号:国中医药医政函(2018)205号);广东省中医院临床研究专项资助(编号:YN10101902);广东省中医院中医药科学技术研究专项资助(编号:YN2021MS01);广州中医药历史文化研究基地项目(编号:Y202103)。

摘　　要：目的分析某中医院妇科住院行腹部手术患者的疾病构成及影响因素,为妇科临床管理及开展围手术期科研工作提供参考依据。方法采用回顾性调查方法,收集2011-2020年妇科腹部手术病例,对其主要诊断进行ICD-10编码,运用描述性分析及帕累托图分析方法进行资料分析。结果 2011-2020年医院妇科腹部手术患者主要病种(A类疾病因素)为子宫肌瘤、子宫内膜异位症、卵巢良性肿瘤、异位妊娠、不孕症、子宫腺肌病、子宫恶性肿瘤,合占82.69%;B类疾病因素为子宫颈恶性肿瘤、盆腔炎性疾病、卵巢囊肿,合占10.14%;C类疾病因素为卵巢恶性肿瘤、子宫颈鳞状上皮内瘤变、子宫脱垂、女性生殖器发育异常、子宫内膜息肉、异常子宫出血、多囊卵巢综合征、葡萄胎、外阴恶性肿瘤及其他疾病,合占7.17%。2011-2020年妇科住院行腹部手术患者的中位住院时间为9 d(波动在6~37 d),平均住院时间相对最长疾病为子宫和卵巢恶性肿瘤。结论医院妇科住院行腹部手术的主要病种为子宫肌瘤、子宫内膜异位症、卵巢良性肿瘤、异位妊娠、不孕症、子宫腺肌病、子宫恶性肿瘤,腹部手术患者平均住院时间呈逐年下降趋势,有针对性加强相关的围手术期临床医疗管理及科研工作,对促进临床医疗工作质量的提高有重要意义。Objective To analyze the disease composition and influence factors of gynecological patients undergoing abdominal surgery in a hospital of traditional Chinese medicine,and to provide reference for clinical management of gynecology and scientific research during perioperative period. Methods A retrospective survey was used to collect gynecological abdominal surgery cases from 2011 to 2020,and icD-10 code to analyze the main diagnoses. Descriptive analysis and Pareto graph analysis were used to analyze the data. Results From 2011 to2020,the main diseasesof inpatients undergoing gynecological abdominal surgery were uterine fibroids,endometriosis,ovarian benign tumor,ectopic pregnancy,infertility,adenomyosis,uterine malignant tumor,accounting for82.69% of the total diseases. Type B disease factors were cervical malignant tumor,pelvic inflammatory disease and ovarian cyst,accounting for 10.14% of the total. Type C disease factors were ovarian malignant tumor,cervical squamous intraepithelial neoplasia,uterine prolapse,abnormal development of female genitalia,endometrial polyps,abnormal uterine bleeding,polycystic ovary syndrome,hydatidiform mole,vulva malignant tumor and other diseases,accounting for 7.17% of the total. From 2011 to 2020,the median length of hospital stay of gynecological inpatients undergoing abdominal surgery was 9 d( from 6 to 37 d),and the longest average length of hospital stay was related to uterine and ovarian malignant tumors. Conclusion The main diseases of gynecological inpatients undergoing abdominal surgery are uterine fibroids,endometriosis,benign ovarian tumor,ectopic pregnancy,infertility,adenomyosis and uterine malignant tumor. The average length of stay of inpatients undergoing abdominal surgery decreases year by year. It is of great significance to strengthen relevant perioperative medical management and scientific research to improve the quality of clinical medical work.

关 键 词：妇科腹部手术 疾病构成 帕累托图 ICD-10 住院时间 

分 类 号：R713[医药卫生—妇产科学]