摘要
目的分析2018年至2022年期间南方医科大学南方医院行膝关节镜手术患者的流行病学特征。方法回顾性分析2018年1月至2022年12月期间南方医科大学南方医院行膝关节镜手术治疗的2 481例患者资料。采集不同年份间患者的性别、年龄、疾病诊断、患者居住地、住院时间和住院费用等, 分析患者的流行病学特点。结果 2 481例患者中, 男1 427例, 女1 054例;年龄35.9(26.0, 51.4)岁。2018年至2022年收治的病例数依次为344、339、344、632、822例。不同年份间患者性别、年龄比较差异均无统计学意义(P>0.05)。疾病诊断前3位分别为膝关节和韧带脱位、扭伤和劳损(40.2%, 998/2 481), 膝关节内紊乱(30.7%, 761/2 481), 滑膜炎和腱鞘炎(5.5%, 136/2 481)。不同年份之间患者疾病诊断构成、患者居住地构成、住院时间、住院费用比较差异均有统计学意义(P<0.05)。男、女性患者的主要疾病诊断分别为膝关节和韧带脱位、扭伤和劳损(47.3%, 675/1 427), 膝关节内紊乱(32.2%, 339/1 054)。广州市患者从2018年的22.4%(77/344)逐步上升至2022年的55.8%(459/822)。2020、2021、2022年的患者住院时间显著短于2018、2019年, 2021年的患者住院时间显著短于2020年, 2022年的患者住院时间显著短于2021年, 差异均有统计学意义(P<0.05)。2018年至2021年的患者住院费用呈增长趋势, 其中2019、2020、2021、2022年均较2018年显著增多, 但2022年的患者住院费用较2021年显著减少, 差异均有统计学意义(P<0.05)。结论 2018年至2022年膝关节镜手术量呈逐年上升趋势, 且男性多于女性。男性患者的主要疾病诊断为膝关节损伤。广州市患者占比呈上升趋势, 住院时间有缩短趋势, 住院费用从2022年开始下降。
Objective To analyze the epidemiological characteristics of the patients who underwent knee arthroscopy in Nanfang Hospital,Southern Medical University between 2018 and 2022.Methods A retrospective study was conducted to analyze the data of 2,184 patients who had undergone knee arthroscopy from January 2018 to December 2022 in Nanfang Hospital,Southern Medical University.The data of the patients'gender,age,disease diagnosis,place of residence,hospitalization time,and hospitalization costs were collected to analyze the epidemiological characteristics of the patients.Results Of the 2,481 patients,1,427 were males and 1,054 females with an age of 35.9(26.0,51.4)years.From the year 2018 to the year 2022,respectively,344,339,344,632,and 822 patients were admitted.No statistically significant differences were found in the comparison of the patients'gender or age between years(P>0.05).The top 3 diseases diagnosed were dislocation,sprain and strain of the knee joint and ligaments(40.2%,998/2,481),intra-articular disorder of the knee(30.7%,761/2,481),and synovitis and tenosynovitis(5.5%,136/2,481).The differences were statistically significant in disease diagnosis,place of residence,hospitalization time,and hospitalization costs between the years(P<0.05).The main disease diagnosed was dislocation,sprain and strain of the knee joint and ligaments for males(47.3%,675/1,427)and intra-articular disorder of the knee for females(32.2%,339/1,054).The proportion of patients coming from Guangzhou gradually increased from 22.4%(77/344)in 2018 to 55.8%(459/822)in 2022.The hospitalization time for the patients in 2020,2021,and 2022 was significantly shorter than that in 2018 and 2019,showing a significant decrease from 2020 to 2021 and from 2021 to 2022(P<0.05).The hospitalization costs for the patients showed an increasing trend from 2018 to 2021,with a significant increase in 2019,2020,2021,and 2022 in comparison with 2018,but the costs were significantly decreased in 2022 compared with 2021(all P<0.05).Conclusions From 2018 to 202
作者
周启蒙
谭伟潮
Zhou Qimeng;Tan Weichao(Department of Medical Quality Management,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2023年第12期1090-1094,共5页
Chinese Journal of Orthopaedic Trauma
关键词
膝关节
关节镜检查
国际疾病分类法
年龄
性别
流行病学研究
Knee joint
Arthroscopy
International classification of diseases
Age
Gender
Epidemiologic studies
