某院耳鼻咽喉头颈部疾病住院患者疾病构成分析  

Analysis of Disease Composition of Inpatients with Otolaryngology Head and Neck Diseases in a Hospital

作　　者：李栋[1] 李燕萍[1] 丁永清[1] 辛运超 林昊 薛刚[1] Li Dong;Li Yanping;Ding Yongqing;Xin Yunchao;Lin Hao;Xue Gang(Department of Otolaryngology Head and Neck,The First Affiliated Hospital of Hebei North College,Zhangjiakou,075000,Hebei Province,China;不详)

机构地区：[1]河北北方学院附属第一医院耳鼻咽喉-头颈外科,河北省张家口市075000

出　　处：《中国病案》2023年第2期74-77,共4页Chinese Medical Record

基　　金：河北省医学科学研究重点课题计划(20180857)。

摘　　要：目的 分析某院耳鼻咽喉头颈部疾病住院患者疾病主要构成分布情况,旨为耳鼻喉科的疾病防治与科学建设提供理论指导。方法 以耳鼻咽喉头颈部住院患者为数据来源,从某医院病案管理系统中提取2014年1月1日到2021年12月31日期间耳鼻咽喉头颈外科住院患者8460例作为研究对象,共纳入8224例患者。观察2014年-2021年度耳鼻咽喉头颈部疾病住院患者分布、病种分布,城镇和农村耳鼻咽喉头颈部疾病住院患者病种分布、疾病分布部位及疾病年龄分布。结果 耳鼻咽喉头颈部病种前三位分布为扁桃体炎832例,慢性鼻窦炎800例,结节性甲状腺肿680例;城镇病种前三为结节性甲状腺肿392例,甲状腺恶性肿瘤385例,慢性鼻窦炎316例;农村病种分布前三为扁桃体炎515例,慢性鼻窦炎484例,慢性化脓性中耳炎402;与农村病种相比,城镇咽喉疾病和头颈部疾病占比显著较高,耳疾病和鼻疾病患病率显著较低(P<0.05);与城镇相比,农村20岁-39岁和60岁以上分布人数显著较高,40岁-59岁分布人数显著较低(P<0.05);咽喉、鼻和头颈部疾病所占比例最高均为2019年度;耳疾病所占比例最高为2020年度;结论 耳鼻咽喉头颈部住院患者的病种和病种分布均存在差异,年龄、城镇和农村因素均对耳鼻咽喉头颈部疾病的分布有影响,后期应从源头做好耳鼻咽喉头颈部疾病的防护工作。Objectives To analyze the distribution of main diseases of inpatients with otolaryngology head and neck diseases in a hospital, in order to provide theoretical guidance for disease prevention and scientific construction of otolaryngology department. Methods 8,460 inpatients in otolaryngology head and neck surgery from January 1st, 2014to December 31st, 2021 were extracted from a hospital medical record management system as the data source, and were included in the study 8224 patients. The distribution of inpatients and disease types of otolaryngology head and neck diseases from 2014 to 2021 was observed, as well as the distribution of disease types, disease locations and disease age distribution of inpatients with otolaryngology head and neck diseases in urban and rural areas. Results 832cases of tonsillitis,800 cases of chronic rhinosinusitis and 680 cases of nodular goiter were distributed among the top three otolaryngology head and neck diseases. The top three diseases in urban areas were 392 cases of nodular goiter,385 cases of thyroid malignancy, and 316 cases of chronic sinusitis. The top three disease types in rural areas were 515cases of tonsillitis, 484 cases of chronic sinusitis, and 402 cases of chronic suppurative otitis media. Compared with rural diseases, the proportion of throat diseases and head and neck diseases in urban areas was significantly higher,and the prevalence of ear diseases and nasal diseases was significantly lower(P<0.05). Compared with urban areas,the number of people aged 20-39 and those over 60 years old in rural areas was significantly higher, and the number of people aged 40-59 years was significantly lower(P<0.05). The highest proportion of throat, nose and head and neck diseases was in 2019, and the highest proportion of ear diseases was in 2020. Conclusions There were differences in the disease types and disease distribution of hospitalized patients with otolaryngology head and neck. Age, urban and rural factors all had an impact on the distribution of otolaryngology head an

关 键 词：耳鼻咽喉头颈外科 疾病分布 来源医院 

分 类 号：R197.323[医药卫生—卫生事业管理]