青海省3家三甲综合医院骨科住院患者疾病构成分析  

Analysis of Disease Composition of Inpatients in Orthopedics Department in 3 Tertiary General Hospitals in Qinghai Province

作　　者：张静妮[1] 朱凌虹[1] 韩培[1] 刘彦民[1] 王勃[1] 吉莉[1] 车晓明[1] Zhang Jingni;Zhu Linghong;Han Pei;Liu Yanmin;Wang Bo;Ji Li;Che Xiaoming(Qinghai Provincial People's Hospital,Xining 810007,Qinghai Province,China;不详)

机构地区：[1]青海省人民医院,青海省西宁市810007

出　　处：《中国病案》2023年第7期82-85,共4页Chinese Medical Record

基　　金：青海省卫健委指导性计划课题(2021-wjzdx-23);青海省卫健委指导性计划课题(2017-wjzdx-15)。

摘　　要：目的分析青海省三甲综合医院骨科住院患者的疾病构成,为骨科医疗技术发展规划、亚专科建设及医疗资源合理配置提供参考依据。方法收集2017年1月1日-2020年12月31日所有骨科住院患者住院病案首页信息,依据国际疾病分类法(ICD-10)对骨科住院患者疾病诊断情况进行统计分析。结果共收集住院患者46749例(男28056例,女18693例),其中40岁~64岁组住院患者最多,占46.74%(21852/46749)。女性患者占比逐年上升(χ^(2)_(趋势)=63.18,P<0.001),≥65岁组患者占比逐年上升(χ^(2)_(趋势)=138.93,P<0.001)。居前10位的病种依次是取除内固定装置,小腿骨折,股骨骨折,腰部脊柱和骨盆骨折,腰椎间盘脱出,肩和上臂骨折,膝关节病,其他脊椎病,肋骨、胸骨和胸部脊柱骨折以及前臂骨折,共占63.63%(29748/46749)。取除内固定装置居男性疾病谱第1位,股骨骨折居女性第1位;股骨骨折居≥65岁年龄组疾病谱第1位,取除内固定装置均居其余年龄组第1位。结论取除内固定装置、小腿骨折和股骨骨折等是骨科住院患者高发病种,不同性别、不同年龄段骨科住院患者疾病分布不同,应根据骨科疾病构成特点加强骨科亚专科建设以提高诊疗水平,针对不同患者制定适宜健康教育和术后康复方法,以保障高原地区居民的身体健康。Objectives This study aims to analyze the disease composition of inpatients in orthopedic wards of three Tertiary Hospitals in Qinghai province,so as to provide data support for the development planning of orthopedic departments,the construction of subspecialties,and the rational allocation of medical resources.Methods Information on the medical record front pages of all orthopedic inpatients from January 1,2017 to December 31,2020 was collected and the disease diagnosis of orthopedic inpatients was statistically analyzed according to the International Classification of Diseases(ICD-10).Results Information from a total of 46,749orthopedic inpatients was collected,including 28,056 male inpatients and 18,693 female inpatients.Among them,the 40-64-year-old group had the most hospitalized patients,accounting for 46.74%(21,852/46,749).The proportion of female inpatients increased year by year(χ^(2)_(trend)=63.18,P<0.001).The proportion of inpatients aged above 65 increased year by year(χ^(2)_(trend)=138.93,P<0.001)as well.Among the orthopedic inpatients,the top 10 diseases were the removal of internal fixation devices,leg fracture,femoral fracture,fracture of the lumbar spine and pelvic,lumbar disc herniation,fracture of shoulder and upper arm,knee-joint disease,other spondylopathies,fracture of rib(s),sternum,and thoracic spine,and forearm fracture.All above accounted for 63.63%(29,748/46,749).The top 1 diseases were the removal of internal fixation devices and femoral fracture in males and females,respectively.The top 1 diseases were femoral fracture and removal of internal fixation devices among the orthopedic inpatients aged above 65 and other age groups,respectively.Conclusions Removal of internal fixation devices,calf fractures,and femoral fractures were high-incidence diseases among orthopedic inpatients.The disease distribution of orthopedic inpatients varies with gender and age.According to the characteristics of orthopedic diseases,hospitals should strengthen the construction of orthopedic sub-specialty to

关 键 词：骨科 住院患者 疾病构成 

分 类 号：R197.323[医药卫生—卫生事业管理]