摘要
目的基于医疗机构就诊电子信息系统(health information system,HIS)数据分析北京市西城区带状疱疹发病情况。方法利用HIS系统对2019年北京市西城区全部42家医疗机构带状疱疹病例进行回顾性调查。经查重后筛选出现住址为西城区的门诊病例和住院病例,以首次就诊的门诊病例和首次住院病例为分子,以西城区常住人口为分母,分别估算年发病率和年住院率。结果首次就诊的门诊病例3982例,女性2327例(58.44%),≥50岁3109例(78.08%)。估算年发病率为3.38‰,发病率随年龄增长而增高的趋势。首次住院病例138例,女性76例(55.07%),≥50岁129例(93.48%)。估算年住院率为11.70/10万。次要诊断住院病例99例,次要诊断的主要住院原因为心血管疾病21例(21.21%),肺炎/慢性阻塞性肺疾病19例(19.19%),脑卒中9例(9.09%),糖尿病5例(5.05%)。结论北京市西城区带状疱疹发病以≥50岁人群为主,女性发病率高于男性,发病率低于北京市现有数据。该病应成为老年健康重点关注的公共卫生问题。
Objective This study aimed to understand the incidence of herpes zoster(HZ)in Xicheng district of Beijing,based on the health information system(HIS)of medical institutions.Methods A retrospective survey of HZ cases in all 42 medical institutions in 2019 was conducted using HIS.After excluding duplicate cases,outpatient cases and inpatient cases currently residing in Xicheng district were selected as subjects in this study.Taking the first outpatient cases and the first inpatient cases as the numerator,and the resident of Xicheng district as the denominator,the annual incidence rate and the annual hospitalization rate were estimated respectively.Results A total of 3982 first-diagnosed cases in outpatient clinics were investigated,of which 2327(58.44%)were female and 3109(78.08%)were over 50 years old.The estimated annual incidence was 3.38/1000,and the incidence increased with age.A total of 138 first-time hospitalized cases were identified,of which 76(55.07%)were female and 129(93.48%)were over 50 years old.The estimated annual hospitalization rate was 11.70/100000.The secondary diagnoses had 99 cases,the main hospitalization reasons for secondary diagnoses were cardiovascular disease in 21 cases(21.21%),pneumonia/chronic obstructive pulmonary disease in 19 cases(19.19%),stroke in 9 cases(9.09%)and diabetes in 5 cases(5.05%).Conclusions Most herpes zoster cases are over 50 years old in Xicheng district of Beijing,and the incidence is higher in females than in males.The overall estimated incidence rate is lower than available data of Beijing.HZ should become a public health issue for the elderly.
作者
王青海
周蔓
王旭
王庆
孙洪亚
WANG Qing-hai;ZHOU Man;WANG Xu;WANG Qing;SUN Hong-ya(Xicheng District Center for Disease Prevention and Control,Beijing 100035,China)
出处
《首都公共卫生》
2022年第1期49-51,共3页
Capital Journal of Public Health
基金
北京市西城区优秀人才培养资助项目(编号:201926)。
关键词
带状疱疹
发病率
住院率
Herpes zoster
Incidence
Hospitalization rate
