宁夏某三甲医院2018年-2022年妇科出院患者疾病谱分析  

Analysis of the Disease Spectrum of Patients Discharged from Gynaecology Departments in a Three A and Tertiary Hospital in Ningxia from 2018 to 2022b

作　　者：刘威 郎颖[1] 张彦杰 潘闯[3] 冯园园 Liu Wei;Lang Ying;Zhang Yanjie;Pan Chuang;Feng Yuanyuan(School of Humanities and Management,Ningxia Medical University,Yinchuan 750001,Ningxia Hui Autonomous Region,China;不详)

机构地区：[1]宁夏医科大学人文与管理学院,宁夏回族自治区银川市750001 [2]宁夏回族自治区人民医院,宁夏回族自治区银川市750002 [3]宁夏医科大学总医院,宁夏回族自治区银川市750003 [4]宁夏固原市人民医院,宁夏回族自治区固原市756000

出　　处：《中国病案》2024年第4期45-49,共5页Chinese Medical Record

基　　金：2023年宁夏回族自治区重点研发项目(2023BEG03008);宁夏卫生健康委高层次科技提升项目(2023-NWKYT-007)。

摘　　要：目的分析宁夏某三甲医院妇科出院患者疾病谱构成情况,为该地区妇科疾病防治和医疗资源的合理分配提供参考依据。方法采用回顾性分析方法,收集宁夏某三甲医院2018年1月1日-2022年12月31日妇科17603例出院患者的年龄、主要诊断、主要诊断编码等数据,利用Excel2021及SPSS21.0软件进行数据整理与分析,运用帕累托图对妇科出院患者的系统疾病构成进行分类分析,找出疾病谱中的主要因素,进行重点关注。结果五年间出院患者人数有所增长;出院患者前10位疾病分布依次为子宫平滑肌瘤2277例,恶性肿瘤化疗2157例,流产1973例,子宫颈上皮内瘤变1138例,女性生殖道息肉943例,子宫颈恶性肿瘤814例,卵巢良性肿瘤813例,卵巢恶性肿瘤790例,子宫内膜恶性肿瘤761例,子宫肌腺病759例;20岁以下组出院患者疾病主要以卵巢良性肿瘤为主,有99例,20岁~29岁组和30岁~39岁组疾病主要以流产为主,分别有874例和940例,40岁~49岁组疾病主要以子宫平滑肌瘤为主,有1244例,50岁~59岁组和60岁以上组主要疾病均以恶性肿瘤化疗为主,分别有749例,和521例,帕累托图显示,该院妇科出院患者构成因素为A类的主要为子宫平滑肌瘤等12种疾病(78.31%),构成因素为B类的主要为子宫内膜增生等4种疾病,构成因素为C类的主要为宫颈上皮内肿瘤等10种疾病(96.83%)。结论五年间该院妇科出院患者疾病谱变化不大,帕累托图中A类主要因素(主要疾病)与疾病顺位前十位的疾病均为妇科常见疾病,应该加强此部分疾病的治疗,同时加大女性疾病健康知识宣传,早筛查,早预防,早治疗,不断提升医疗服务质量,促进医院高质量发展。Objective To analyze the disease spectrum composition of the discharged gynecological patients in a Three A and Tertiary Hospital in Ningxia,and provide reference for the prevention and treatment of gynecological diseases and the rational allocation of medical resources in this area.Methods A retrospective analysis method was used to collect the age,main diagnosis and main diagnosis code data of 17603 discharged gynecological patients from a top-three hospital in Ningxia from January 1st,2018 to December 31st,2022.Excel2021 and SPSS21.0 software were used to organize and analyze the data.Pareto diagram was used to classify and analyze the composition of systemic diseases in discharged gynecological patients,find out the main factors in the spectrum of diseases,and pay special attention to them.Results The number of patients discharged from the hospital increased during the five-year period;the top 10 diseases of patients discharged from the hospital were,in order of distribution,2277 cases of uterine smooth muscle tumor,2157 cases of chemotherapy for malignant tumor,1973 cases of miscarriage,1138 cases of cervical intraepithelial neoplasia,943 cases of polyp in the female genital tract,814 cases of cervical malignant neoplasms,813 cases of benign tumors of ovary,790 cases of malignant tumors of ovary,761 cases of malignant tumors of endometrium,and 761 cases of endometrial malignant tumor of ovary 761 cases,uterine adenopathy 759 cases;Discharged patients in the group under 20 years old were mainly discharged with benign tumor of ovary,there were 99 cases,the group of 20-29 years old and the group of 30-39 years old were mainly discharged with miscarriage,there were 874 cases and 940 cases,the group of 40-49 years old were mainly discharged with uterine smooth fibroid,there were 1,244 cases,and the groups of 50-59 years old and more than 60 years old were mainly discharged with chemotherapy for malignant tumors,the group of 50-59 years old and more than 60 years old.The Pareto chart showed that the discharged gyn

关 键 词：妇科 疾病谱 帕累托分析 

分 类 号：R197.3[医药卫生—卫生事业管理] R711[医药卫生—公共卫生与预防医学]