粤西某三甲医院内分泌科门诊患者疾病谱及动态趋势分析  

Analysis of disease spectrum and dynamic trend of outpatients in endocrinology department of a Class A tertiary hospital in western Guangdong

作　　者：陈健峰 蔡佻航 陈俏容 关则雄 CHEN Jianfeng;CAI Tiaohang;CHEN Qiaorong;GUAN Zexiong(Department of Information,People's Hospital of Yangjiang,Guangdong Province,Yangjiang 529500,China;Department of Endocrinology,People's Hospital of Yangjiang,Guangdong Province,Yangjiang 529500,China;Department of Nuclear Medicine,People's Hospital of Yangjiang,Guangdong Province,Yangjiang 529500,China)

机构地区：[1]广东省阳江市人民医院信息科,广东阳江529500 [2]广东省阳江市人民医院内分泌科,广东阳江529500 [3]广东省阳江市人民医院核医学科,广东阳江529500

出　　处：《中国当代医药》2024年第24期139-143,共5页China Modern Medicine

基　　金：广东省阳江市医疗卫生类科技计划项目(SF2023023)。

摘　　要：目的分析某三甲综合医院内分泌科门诊就诊患者数据,了解该地区内分泌科门诊患者疾病类型、结构变化及其动态趋势。方法收集2019年1月1日至2022年12月31日阳江市人民医院内分泌科门诊就诊患者性别、年龄、疾病诊断、就诊时间等信息资料,进行描述性分析。结果内分泌科门诊患者有效数据共108066例,呈逐年增多趋势,男女性别比0.64︰1,平均年龄(51.63±18.68)岁。>55岁以上患者占比为52.33%,35~<55岁患者占比为28.17%,25~<35岁患者占比为9.33%。排位居首位是2型糖尿病,占比为64.85%,第2位是甲状腺功能亢进,占比为14.39%,甲状腺功能减退症由第5位逐年上升至第3位,中枢性性早熟由第7位上升至第4位,甲状腺结节由第10位上升至第6位。结论对内分泌科门诊患者疾病谱及动态趋势分析,可明确患者的疾病构成情况、变动趋势。内分泌科应本着“内强技术,外优服务”的理念,契合医联体下属单位构建社区卫生服务中心与三甲医院医联体管理模式,设立糖尿病护理小组和糖尿病专科护理门诊,提高患者治疗的依从性、减轻患者心理压力,提高生活质量。Objective To analyze the data of patients in the outpatient department of endocrinology of a Class A tertiary general hospital,and understand the disease types,structural changes and dynamic trends of the outpatient department of endocrinology in this region.Methods From January 1,2019 to December 31,2022,the gender,age,disease diagnosis,visit time and other information of patients in the Department of Endocrinology,People's Hospital of Yangjiang were collected for descriptive analysis.Results A total of 108066 patients in the Department of Endocrinology had valid data,which showed an increasing trend year by year.The gender ratio was 0.64︰1,and the average age was(51.63±18.68)years.The proportion of patients over 55 years old was 52.33%,the proportion of patients between 35 and<55 years old was 28.17%,and the proportion of patients between 25 and<35 years old was 9.33%.Type 2 diabetes ranked first,accounting for 64.85%,hyperthyroidism ranked second,accounting for 14.39%,hypothyroidism rose from the fifth to the third,central precocious puberty rose from the seventh to the fourth,and thyroid nodules rose from the tenth to the sixth.Conclusion The analysis of disease spectrum and dynamic trend of patients in endocrinology outpatients can clarify the disease composition and change trend of patients.In line with the concept of"internal strong technology,external excellent service",the Department of Endocrinology should build a community health service center and a Class A tertiary hospital medical alliance management model in accordance with the affiliated units of the medical alliance,and set up a diabetes nursing team and diabetes specialist nursing clinic,so as to improve the treatment compliance of patients,reduce the psychological pressure of patients and improve the quality of life.

关 键 词：内分泌门诊患者 疾病谱 动态趋势 病种构成 

分 类 号：R195.4[医药卫生—卫生统计学]