摘要
目的分析佛山市某三甲妇幼医院住院患者疾病谱构成及变化情况,为当地妇女儿童常见疾病预防、治疗提供依据。方法收集某院2013—2022年出院患者病案首页相关等资料,按照国际疾病分类ICD-10进行分类统计,比较不同出院年份组别住院患者的年龄、性别、疾病谱顺位变化情况。结果2022年出院患者较2013年平均增长速度为9%。出院患者以女性成年期患者为主,占比65.2%。成年女性患者主要因“妊娠、分娩和产褥期”住院,“女性肿瘤”和“泌尿生殖系统”疾病构成增加。儿童患者男女性别比为1.9∶1。十年间“呼吸系统疾病”和“起源于围生期的某些情况”位于儿童患者疾病谱的前两位,“症状、体征类不可归在他处者”和“神经系统疾病”排位增长较快。结论“妊娠、分娩和产褥期类疾病”是妇幼保健机构的主要病种,需继续保障医疗资源,同时加强对女性肿瘤救治能力。儿童呼吸系统疾病和起源于围生期的某些情况是需要重点建设的学科,儿童神经系统疾病因增长较快也需要予以关注。
Objective To analyze the composition and change of the disease spectrum of inpatients in a third-level women’s and Children’s Hospital in Foshan City,so as to provide evidence for the prevention and treatment of common diseases among local women and children and promote the development of maternal and child health work.Methods The primary diagnosis and other medical data of home page of inpatients from 2013 to 2022 were collected and classified according to the International Classification of Diseases(ICD-10),and the changes of age,gender and disease spectrum of hospitalized patients in different discharge year groups were compared.Results The average increase rate of patients discharged from hospital in 2022 compared with 2013 is 9%.The majority of discharged patients were female adults,accounting for 65.2%.Adult female patients are mainly hospitalized for pregnancy,childbirth and puerperium,neoplasms,and genitourinary diseases,the composition of gynecological neoplasms and genitourinary diseases increased.Most of the hospitalized children were boys,with a sex ratio of 1.9∶1.Respiratorydiseases and some conditions originating in the perinatal period in the decade from 2013 to 2022 were in the top two of the disease spectrum of pediatric patients,and the ranking of Symptoms,signs and anomal clinical and laboratory findings,not elsewhere classified and neurological diseases increased rapidly.Conclusion Pregnancy,childbirth,puerperal and other special female health conditions are still the main reasons for female hospitalization.It is necessary to continue to guarantee medical resources and strengthen the diagnosis and treatment ability of female tumor.Children’s respiratory diseases and certain conditions originating in the perinatal period are still disciplines that need to be focused,while children’s neurological diseases also need to continue to focus on due to their rapid growth.
作者
何瑞雪
苏晞
邓璐莎
HE Ruixue;SU Xi;DENG Lusha(Foshan Maternal and Child Health Care Hospital,Foshan 528000,China)
出处
《现代医院》
2023年第12期1916-1919,共4页
Modern Hospitals
关键词
疾病谱
住院妇女
住院儿童
Disease spectrum
Hospitalized woman
Hospitalized children
