2018—2022年某三甲医院住院患者神经系统疾病谱分析  

Analysisof neurological disease spectrum among hospitalized patients in a tertiary hospital from 2018 to 2022

作　　者：张宝珍[1] 陈淡芬 林静[1] 边壮[1] 许萍[1] ZHANG Baozhen;CHEN Danfen;LIN Jing;BIAN Zhuang;XU Ping(The Fifth Affiliated Hospitalof Sun Yat-sen University,Zhuhai 519000,China)

机构地区：[1]中山大学附属第五医院,广东珠海519000

出　　处：《现代医院》2024年第1期114-116,共3页Modern Hospitals

摘　　要：目的分析某三甲医院神经系统疾病近5年住院患者疾病谱变化规律,从而有效制定针对性的疾病防治策略。方法收集2018年1月1日—2022年12月31日某三甲医院神经系统疾病病例资料,采用ICD-10编码进行疾病分类,对病种、性别、年龄分布等情况进行分析。结果5年间收治神经系统疾病患者共9060例,2020年受新冠疫情影响出院患者最少,占15.96%;2022年最多,占24.05%;病例呈增长的趋势;各年龄段之间患者发病类别不同,神经系统疾病排名前10位的病种依次为:短暂性脑缺血发作、头痛、脊神经疾病、脑神经疾患、癫痫、帕金森病、睡眠障碍、瘫痪、脑的其他疾患、脑积水。结论医院可根据疾病谱分布特征制定不同年龄人群诊治技术,针对重点人群落实综合防治措施,有针对性地加强重点专科建设,合理配置卫生资源。Objective To analyze the changes in the disease spectrum of hospitalized patients with neurological diseases in a tertiary hospital in the past 5 years,in order to effectively develop targeted disease prevention and treatment strategies.Methods Collect case data of neurological diseases in a tertiary hospital from January 1,2018 to December 31,2022,and use ICD-10 coding for disease classification,and analyze the disease type,gender,age groups,and other factors.Results A total of 9060 patients with neurological diseases were admitted in the past five years.In 2020,the number of discharged patients affected by the COVID-19 was the smallest,accounting for 15.96%,and in 2022,the number was the largest,accounting for 24.05%.The number of cases showed an increasing trend.There was no statistically significant difference in the composition of male and female patients;There is a statistically significant difference in the number of cases among patients of different age groups,and the incidence categories are different;The top 10 diseases in the ranking of neurological diseases are:transient ischemic attack,headache,spinal nerve disease,neurological disorders,epilepsy,Parkinson’s disease,sleep disorders,paralysis,other brain diseases,hydrocephalus.The distribution of the top 10 diseases by gender has statistical significance.Conclusion The hospital can formulate the diagnosis and treatment technology for different age groups according to the distribution characteristics of disease spectrum,carry out comprehensive prevention and treatment measures for key groups,strengthen the construction of key specialties and allocate health resources properly.

关 键 词：神经系统疾病 住院患者 疾病谱 疾病顺位分析 

分 类 号：R741[医药卫生—神经病学与精神病学] R195.4[医药卫生—临床医学]