2013—2019年河南省肝脏疾病住院患者疾病谱变化  

Spectrum changes of liver disease in Henan province from 2013 to 2019

作　　者：陈文辉 陈昆仑 钱兴旺 关晨晨 翟文龙[1] CHEN Wen-hui;CHEN Kun-lun;QIAN Xing-wang;GUAN Chen-chen;ZHAI Wen-long(Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450052,China;不详)

机构地区：[1]郑州大学第一附属医院肝胆胰外科,河南郑州450052 [2]郑州大学医学院,河南郑州450052

出　　处：《中国临床研究》2023年第3期425-429,共5页Chinese Journal of Clinical Research

基　　金：中国工程科技发展战略河南研究院战略咨询研究项目(2020HENZT03)。

摘　　要：目的 分析近年河南省肝脏疾病(肝病)住院患者疾病谱的分布和变化趋势,为肝病的预防、治疗和管理提供科学依据。方法 采用分层整群抽样随机抽取2013—2019年河南省住院肝病患者数据,分析肝病患者情况、疾病构成及不同年份疾病变化情况。结果 与2013年相比,2019年肝病患者整体增幅62.86%,男性患者增幅(73.34%)高于女性(44.34%),患者平均年龄增加4.25岁,肝癌患者(23.28%)数量位居肝病首位,糖尿病、高血压为肝病患者主要并存症,乙型病毒性肝炎(乙肝)与肝病患病率有较高相关性,在肝癌、病毒性肝炎性肝硬化和肝衰竭患者中,有乙肝病史者均超过30%。结论 2013—2019年,河南省肝病住院患者呈增长趋势,以男性患者为主,河南肝病谱首位由慢性乙肝演变为肝癌,肝病防治工作依然严峻。Objective To analyze the distribution and changing trend of the spectrum of liver diseases in inpatients in Henan Province in recent years to provide a scientific basis for the prevention,treatment and management of liver diseases.Methods The data of inpatients with liver diseases in Henan Province from 2013 to 2019 were randomly selected by stratified cluster sampling to analyze the status of patients with liver diseases,disease composition and disease changes in different years.Results Compared with 2013,the number of patients with liver disease increased by 62.86%in 2019.The increase rate of male patients(73.34%)was higher than that of female patients(44.34%).The average age of patients increased by 4.25 years.The number of patients with liver cancer(23.28%)ranked first in liver disease.Diabetes and hypertension were the main complications of liver disease.There was a high correlation between hepatitis B and the prevalence of liver disease.In patients with liver cancer,viral hepatitis cirrhosis and liver failure,more than 30%of patients had a history of hepatitis B.Conclusion From 2013 to 2019,the number of hospitalized patients with liver disease in Henan Province has shown an increasing trend,mainly found in male patients.Liver cancer has become the first place in the spectrum of liver diseases.The prevention and treatment of liver diseases is still serious.

关 键 词：疾病谱 肝脏疾病 乙型病毒性肝炎 肝硬化 肝癌 

分 类 号：R575[医药卫生—消化系统]