摘要
目的通过回顾性分析某三甲医院2013年-2016年出院患者的疾病谱及其变化趋势,进一步了解疾病谱变化规律,为医院管理、决策、专科建设等提供科学参考依据。方法收集某三甲医院2013年-2016年出院患者病案首页资料,对其主要诊断按国际疾病分类标准(ICD-10)进行编码分类,对疾病构成居前50位病种进行统计分析,该院2013年-2016年出院患者总数258 016人次。结果疾病顺位前10位(超过前50位的50%)分别是其它医疗照顾(主要为肿瘤患者的化疗等)、呼吸系统疾病(主要为未特指的支气管肺炎)、循环系统疾病(慢性缺血性心脏病)、慢性阻塞性肺病急性加重、脑梗塞、非胰岛素依赖性糖尿病、心绞痛、肝胆系统结石、痔、乳腺良性肿瘤、慢性肾病或者腰椎间盘疾患。结论前50位的总构成比之和占所有疾病的50%,表明此为医院收治患者最主要的疾病,医院应加强对这些疾病的关注,合理配备卫生资源。
Objective Through the retrospective analysis of the disease spectrumand change tendency in a three grade hospital during 2013 and 2016, to further understand the changes of disease spectrum, and to provide scientific reference for hospital management, decision-making,college construction.Methods Thefront sheet of medical record data of discharged patientsin a three grade hospital during 2013 and 2016 were collected, andthe main diagnostics were coded according to the international classification of diseases（ICD-10）.The top 50 diseases of disease constitute were analyzed. The hospital had a total of 258 016 discharged patients during 2013 and 2016.Results The top 10 system disease were other medical care, respiratory system disease, circulatory system diseases, chronic obstructive pulmonary disease, cerebral infarction, non insulin dependent diabetes,angina pectoris, hepatolith, hemorrhoids, breast benign tumor, chronic kidney disease（CKD） or lumbar disorders.Conclusion the top 50 ofthe total structure accounted for 50% of all system diseases. It suggests thatthe main system diseases in the hospital. hospital should do well in the prevention and treatment of these diseases and providewith health resources rationally.
出处
《中国病案》
2017年第8期74-76,共3页
Chinese Medical Record
关键词
出院患者
疾病谱
构成
分析
Discharged patients
Disease spectrum
Constitution
Analysis
