某院消化内科2017—2021年住院患者疾病谱变化分析  

Analysis of Changes in the Disease Spectrum of Inpatients in the Department of Gastroenterology in a Hospital from 2017 to 2021

作　　者：房丽军 庄新英 贾化霞 FANG Lijun;ZHUANG Xinying;JIA Huaxia(Department of Medical Record Management,Zibo Municipal Hospital,Zibo,Shandong Province,255400 China;Department of Gastroenterology,Zibo Municipal Hospital,Zibo,Shandong Province,255400 China;Outpatient Department of Zibo Municipal Hospital,Zibo,Shandong Province,255400 China)

机构地区：[1]山东省淄博市市立医院病案管理科,山东淄博255400 [2]山东省淄博市市立医院消化内科,山东淄博255400 [3]山东省淄博市市立医院门诊部,山东淄博255400

出　　处：《中国卫生产业》2022年第16期218-221,共4页China Health Industry

摘　　要：目的了解某医院5年间消化内科疾病谱的变化,为医院及科室消化系统疾病的疾病防治、医疗资源配置提供依据。方法通过医院病案首页统计系统提取消化内科2017年1月—2021年12月住院患者12489份病案首页信息,对患者的性别、年龄、主要诊断、住院天数、住院费用进行统计。结果住院患者总例数呈上升趋势,男性住院患者多于女性患者,男性住院患者占比呈逐年上升趋势;年龄在60岁以前住院患者随年龄增长而逐渐增多,60岁以后随年龄增长而减少,50~69岁患者占比最多;疾病顺位中慢性胃炎、胃肠息肉、消化道出血、肝硬化、功能性肠病、急性胰腺炎历年均进入前10位,慢性胃炎、胃肠息肉历年位于1~2位;慢性胃炎、胃肠息肉、功能性肠病的历年平均住院日及平均住院费用比较,差异有统计学意义(P<0.05),肝硬化的历年平均住院日及平均住院费用比较,差异无统计学意义(P>0.05)。结论消化内科以常见病、多发病为主,高发年龄在50~69岁,应关注相关人群常见疾病的诊疗及疾病防治,采取相关措施控制住院费用的过快增长。Objective To understand the changes in the disease spectrum of gastroenterology in a hospital in the past five years,and to provide a basis for the prevention and treatment of digestive system diseases and the allocation of medical resources in hospitals and departments.Methods The homepage information of 12489 medical records of hospitalized patients discharged from the Department of Gastroenterology from January 2017 to December 2021 was extracted through the hospital medical record homepage statistical system.The gender,age,main diagnosis,hospitalization days,and hospitalization expenses of the patients were counted.Results The total number of inpatients showed an upward trend,male inpatients were more than females,and the proportion of male inpatients increased year by year.The number of hospitalized patients before the age of 60 gradually increased with age,and decreased with age after the age of 60,with the largest proportion of patients aged 50-69.In the disease ranking,chronic gastritis,gastrointestinal polyps,gastrointestinal bleeding,liver cirrhosis,functional bowel disease,and acute pancreatitis all ranked in the top 10 over the years,and chronic gastritis and gastrointestinal polyps ranked 1-2 over the years.The average hospitalization days and average hospitalization costs of chronic gastritis,gastrointestinal polyps,and functional bowel disease were compared,and the differences were statistically significant(P<0.05).There was no significant difference in the average hospitalization days and average hospitalization costs of liver cirrhosis over the years(P>0.05).Conclusion Gastroenterology is mainly characterized by common and frequently-occurring diseases,and the high incidence age is between 50 and 69 years old.Attention should be paid to the diagnosis and treatment of common diseases and disease prevention and treatment of related groups,and relevant measures should be taken to control the excessive growth of hospitalization costs.

关 键 词：消化系统 疾病谱 疾病顺位 平均住院日 平均住院费用 

分 类 号：R197.32[医药卫生—卫生事业管理]