中国循证医学杂志

中国循证医学杂志

西藏自治区人民医院 2014~2015 年住院患者疾病构成分析

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目的 调查西藏自治区人民医院住院患者的疾病构成,为研究用药合理性提供基线数据。 方法 提取该院信息管理系统 2014~2015 年出院患者的病历资料,用国际编码 ICD-10 标化患者出院疾病分类,分析住院患者一般情况、出院主要诊断和单病种分布情况。采用 Excel 2007 软件,计算频数、构成比和累计构成比。 结果 ① 2014 年出院患者共 19 177 例、男性∶女性为 1.07∶1,涵盖 ICD-10 全部 21 种系统疾病;2015 年出院患者共 20 970 例、男性∶女性为 1.05∶1,涵盖 ICD-10 编码的 20 种系统疾病。② 两年构成比大于 10% 疾病有 3 类:损伤中毒外因引起疾病、消化系统疾病、妊娠分娩和产褥期患者疾病。③ 两年疾病分类构成比 5%~10% 的疾病有 5 类:呼吸系统疾病、循环系统疾病、影响健康状态和保健机构接触的因素—肿瘤形态学、泌尿生殖系统疾病和肿瘤。④ 2014 年排名前十位的单病种有:单胎顺产、肺部感染、肿瘤化疗、2 型糖尿病、胆囊结石伴慢性胆囊炎、支气管肺炎、胆囊结石、新生儿吸入性肺炎、高原性肺水肿、胎膜早破;2015 年排名前十位单病种有:单胎顺产、肺部感染、肿瘤化疗、2 型糖尿病、支气管肺炎、胆囊结石伴慢性胆囊炎、胆囊结石、新生儿吸入性肺炎、恶性肿瘤维持性化疗和缺铁性贫血。 结论 西藏自治区人民医院住院患者疾病构成具有一定的地域特殊性。

Objective To investigate the inpatients disease constitution of the Tibet autonomous region people’s hospital, to provide baseline date for further rational drug use analysis. Methods The medical records of inpatients from 2014 to 2015 were collected from hospital information system. Diseases were classified based on international Classification of Diseases Coding (ICD-10). We analyzed the general situation, main discharge diagnosis and single diseases. Distribution of inpatients frequency, constituent ratio, cumulative frequency of diseases were calculated by Microsoft office 2007. Results (1) A total of 19 177 patients were discharged in 2014, sex ratio (male : female) was 1.07 : 1, involving all 21 system disease of ICD-10; 20 970 inpatients were discharged in 2015, the sex ratio was 1.05 : 1, covering 20 system diseases of ICD-10. (2) The constituent ratio of 3 diseases were over 10%: exogenous injury or poisoning, digestive disease and diseases concerning pregnancy, childbirth and puerperium. (3) The constituent ratio of 5 diseases were between 5% to 10%: respiratory diseases, circulatory system disease, the factors influencing health status and health care institutions contact-tumor morphology, genitourinary system disease, and tumor. (4) In 2014, the top of 10 single diseases based on constituent ratio were singletons natural birth, lung infection, chemotherapy, type 2 diabetes, gallstones with chronic cholecystitis, bronchial pneumonia, gall bladder stones, neonatal aspiration pneumonia, high altitude pulmonary edema, premature rupture of membranes; in 2015, the top 10 main single diseases included singletons natural birth, lung infection, tumor chemotherapy, type 2 diabetes, gallstones with chronic cholecystitis, bronchial pneumonia, cholelithiasis, neonatal aspiration pneumonia, cancer maintenance chemotherapy, iron deficiency anemia. Conclusion The inpatients disease composition of the Tibet autonomous region people’s hospital has certain regional specificity.

关键词: 西藏自治区人民医院; 住院患者; 疾病构成

Key words: Tibet autonomous region people’s hospital; Inpatient; Disease constitution

引用本文: 索朗央宗, 李幼平, 张伶俐, 喻佳洁, 曾力楠, 刘丹, 泽碧, 白玛央宗, 达瓦平措. 西藏自治区人民医院 2014~2015 年住院患者疾病构成分析. 中国循证医学杂志, 2017, 17(3): 255-261. doi: 10.7507/1672-2531.201608009 复制