华北某三甲医院泌尿生殖系统疾病住院患者构成分析  

Analysis of the Composition of Inpatients with Genitourinary System Diseases in a Tertiary Hospital in North China

作　　者：刘俊飞 刘卫刚[1] 李桂英[1] 刘晓丽[1] 赵晓东 张晓斐 Liu Junfei;Liu Weigang;Li Guiying;Liu Xiaoli;Zhao Xiaodong;Zhang Xiaofei(Affiliated Hospital of Hebei University of Engineering,Handan 056002,Hebei Province,China;不详)

机构地区：[1]河北工程大学附属医院,河北省邯郸市056002

出　　处：《中国病案》2025年第3期62-64,共3页Chinese Medical Record

摘　　要：目的探讨泌尿生殖系统疾病住院患者构成,为医疗资源合理配置提供数据参考。方法收集2019年1月1日—2023年12月31日华北某三甲医院泌尿生殖系统疾病住院患者10558条电子病案首页,根据ICD-10类目及亚目分类,进行5年数量动态变化,不同性别的类目、亚目,不同年龄段泌尿生殖系统疾病的构成分析。结果2019-2023年泌尿生殖系统疾病患者数量5年中虽有波动起伏,但总体呈增长趋势,平均发展速度为111.32%,平均增长速度为11.32%;从类目角度看,慢性肾病(χ^(2)=56.888,P<0.05)、梗阻性和反流性尿路病(χ^(2)=126.640,P<0.05)、良性乳腺发育不良(χ^(2)=956.247,P<0.05)、肾病综合征(χ^(2)=132.686,P<0.05)、泌尿系统的其他疾患(χ^(2)=81.468,P<0.05)、乳房炎性疾患(χ^(2)=384.057,P<0.05)、肾和输尿管结石(χ^(2)=46.782,P<0.05)及未特指的肾衰竭(χ^(2)=5.186,P<0.05)在不同性别分数量构成差异均具有统计学意义;从亚目角度看,慢性肾衰竭(χ^(2)=13.386,P<0.05)、肾积水伴肾输尿管结石(χ^(2)=104.169,P<0.05)、慢性肾脏病5期(χ^(2)=23.671,P<0.05)、泌尿道感染(χ^(2)=94.135,P<0.05)、乳管扩张症(χ^(2)=458.735,P<0.05)和乳腺炎(χ^(2)=416.714,P<0.05)在男女数量构成差异有统计学意义;从不同年龄段角度分析,泌尿生殖系统疾病患者50~60岁病例数最高,占泌尿生殖系统疾病患者数量的20.34%,小于18岁、31~40岁、51~60岁、61~70岁、71~80岁及≥81岁在男性与女性数量分布差异有统计学意义。结论泌尿生殖系统疾病患者数量总体呈增长趋势,不同病种的患者数量在性别和年龄构成分布有所不同,需引起重视。Objectives This study aims to investigate the composition of inpatients with diseases of genitourinary system and provide data reference for rational allocation of medical resources.Methods A total of 10,558 electronic medical record front pages of patients with genitourinary system diseases in a tertiary hospital in North China from January 1,2019 to December 31,2023 were collected.The data were classified according to ICD-10 categories and subcategories,and the dynamic changes in quantity over a five-year period were analyzed,as well as the categories and subcategories of different genders and the composition of urogenital system diseases in different age groups.Results Although the number of patients with genitourinary system diseases fluctuated in the five years from 2019 to 2023,it showed an overall growth trend,with an average development rate of 111.32% and an average growth rate of 11.32%.From the perspective of categories,there were statistically significant differences in the number of chronic kidney disease(χ^(2)=56.888,P<0.05),obstructive and reflux uropathy(χ^(2)=126.640,P<0.05),benign breast dysplasia(χ^(2)=956.247,P<0.05),nephrotic syndrome(χ^(2)=132.686,P<0.05),other diseases of the urinary system(χ^(2)=81.468,P<0.05),inflammatory diseases of the mastitis(χ^(2)=384.057,P<0.05),kidney and ureteral stones(χ^(2)=46.782,P<0.05)and unspecified renal failure(χ^(2)=5.186,P<0.05)in different genders.From the perspective of subcategories,there were statistically significant differences in the number of males and females in chronic renal failure(χ^(2)=13.386,P<0.05),hydronephrosis with nephroureteral stones(χ^(2)=104.169,P<0.05),chronic kidney disease stage 5(χ^(2)=23.671,P<0.05),urinary tract infection(χ^(2)=94.135,P<0.05),duct ectasia(χ^(2)=458.735,P<0.05)and mastitis(χ^(2)=416.714,P<0.05).From the perspective of different age groups,the number of patients with genitourinary system diseases was highest in the 50-60 age group,accounting for 20.34% of the number of patients with genitourinary

关 键 词：泌尿生殖系统疾病 疾病构成 住院患者 特征 

分 类 号：R691[医药卫生—泌尿科学]