摘要
目的回顾性分析某三甲医院肾内科近5年住院患者的疾病构成,为医院肾内科临床细化管理及未来的临床医学实践提供科学的数据支持。方法从病案首页信息系统中检索2014年1月-2018年12月肾内科住院的患者,对其主要诊断、年龄、性别、出院日期进行分类整理和归纳总结。结果2014-2018年肾内科住院患者总数逐年增长,其中男性患者占57.2%,女性患者占42.8%;45~59岁年龄组最多,占总数的33.4%;其次为60~75岁组,占32.1%;然后是18~44岁组,占28.8%;>75岁组,占4.8%;<18岁组的患者最少,仅占0.9%。构成疾病前5位的依次为肾病综合征,占36.9%,慢性肾炎,占18.1%,慢性肾衰竭,占15.6%,继发性肾病,占13.4%,IgA肾病,占3.9%,这5种疾病构成了肾内科住院患者疾病的87.9%。肾内科从2014-2018年收治的继发性肾脏疾病的患者中,构成疾病前3位的依次为糖尿病性肾病,构成比为39.1%,狼疮性肾病,构成比为18.4%,过敏紫癜性肾炎,构成比为10.8%。结论分析结果反映了某三甲医院肾内科疾病的构成和分布特色,可为今后肾内科发展及流行病学研究提供直观数据。
Objective To provide scientific data support for the clinical refinement management of hospital nephrology and future clinical medical practice,with retrospective analysis of the characteristics of the disease composition of hospitalized patients in the Department of Nephrology in a third-grade class-A hospital in the past 5 years.Methods Patients admitted to the Department of Nephrology from January 2014 to December 2018 were retrieved from the home page information system of the hospital.The main diagnosis,age,sex,and discharge date were classified and summarized.Results From 2014 to 2018,the total number of inpatients in the Department of Nephrology increased year by year,male patients accounted for 57.2%and female patients accounted for 42.8%.The number of the age group of 45-59 years old was the most,which accounted for 33.4%of the total;followed by the age group of 60-75 years old,which accounted for 32.1%;then the age group of 18-44 years old,which accounted for 28.8%;the over 75-year-old group,which accounted for 4.8%;the patients in the under 18-year-old group had the least number of patients,only accounting for 0.9%.The top five diseases constituted of nephrotic syndrome,accounting for 36.9%;chronic nephritis,accounting for 18.1%;chronic renal failure,accounting for 15.6%;secondary nephropathy,accounting for 13.4%;IgA nephropathy,accounting for 3.9%.These five diseases constituted 87.9%of the diseases of inpatients in the Department of Nephrology.Among the patients with secondary kidney disease admitted to the Department of Nephrology from 2014 to 2018,the top three diseases were diabetic nephropathy,with a composition ratio of 39.1%;lupus nephropathy with a composition ratio of 18.4%;allergic purpuric nephritis,with a composition ratio of 10.8%.Conclusion Eventually,the results of this study reflect the composition and distribution characteristics of the Department of Nephrology in a third-grade class-A hospital,which provide visual data for the future development of Nephrology and epidemiological stud
作者
郝冬芳
刘文虎
HAO Dongfang;LIU Wenhu(Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China;Department of Nephropathy,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China)
出处
《长春中医药大学学报》
2020年第1期123-126,共4页
Journal of Changchun University of Chinese Medicine
基金
北京市医院管理局临床医学发展专项经费资助项目(ZYLX201824)
关键词
肾内科
住院患者
疾病构成
分析
Department of Nephrology
inpatients
disease composition ratio
analysis
