1、某三甲医院 20162021 年内科住院患者疾病谱分析刘彩芳冯素花郭慧玲广州医科大学附属第六医院/清远市人民医院广东清远511518【摘要】目的分析某三甲医院住院内科疾病谱的变化，为本区域疾病防治工作及医院内科系统疾病防治提供参考依据。方法自某三甲医院病案管理信息系统内收集 20162021 年内科住院患者病案信息，采用 Excel 表格进行数据整理与分析，统计 20162021 年内科住院患者分布、患者年龄分布及患者性别分布情况。结果20162021 年内科住院患者疾病前 3 位均为循环系统、呼吸系统及消化系统疾病，其他系统疾病排位顺序不一;0 9 岁群体中占比前三的为呼吸系统、某些传染病和
2、寄生虫、内分泌、营养和代谢;10 19 岁群体中占比前三的为呼吸系统、消化系统、内分泌、营养和代谢;20 29 岁群体中占比前三的为消化系统、呼吸系统、某些传染病和寄生虫;30 39 岁群体中占比前三的为消化系统、呼吸系统、泌尿系统;40 49 岁群体中占比前三的为消化系统、循环系统、内分泌、营养和代谢;50 59 岁群体中占比前三的为循环系统、消化系统、内分泌、营养和代谢;60 69 岁群体中占比前三的为循环系统、呼吸系统、消化系统;70 79 岁群体中占比前三的为循环系统、呼吸系统、消化系统;80 岁群体中占比前三的为循环系统、呼吸系统、消化系统。20162021 年整体而言占比前三的为循
3、环系统、呼吸系统及消化系统疾病;男性群体中占比前三的为循环系统、呼吸系统、消化系统疾病;女性群体中占比前三的为循环系统、消化系统、呼吸系统疾病。结论20162021 年间某三甲医院内科疾病谱存在一定变化，但总体仍以循环系统、呼吸系统及消化系统疾病最为常见，且不同年龄群体疾病谱差异明显，不同性别间差异较小，可为当地疾病防控管理提供一定参考。【关键词】内科住院;疾病谱;呼吸系统;循环系统;消化系统;神经系统;临床特征中图分类号:197 323 1文献标志码:Adoi:10 3969/j issn 1671 332X 2023 02 016Disease spectrum analysis of i
4、nternal medicine inpatients in a tertiary hospital from 2016 to 2021LIU Caifang，FENG Suhua，GUO HuilingThe Sixth Affiliated Hospital(Qingyuan People s Hospital)，Guangzhou Medical University，Qingyuan 511518，China【Abstract】ObjectiveTo analyze the changes in the disease spectrum in the internal medicine
5、 department of a tertiaryhospital so as to provide a reference for disease prevention and treatment in this region as well as the internal medicine system ofthe hospital MethodsInformation on internal medicine inpatient cases from 2016 to 2021 was collected from within the medicalrecord management i
6、nformation system of a tertiary hospital，and data were collated and analyzed by using Excel to make statisticson the distribution of patient wards，age and gender from 2016 to 2021 esultsFrom 2016 to 2021，the top three diseases ofinternal medicine inpatients were those involving circulatory system，re
7、spiratory system and digestive system，while the diseasesinvolving other systems were ranked in a different order The top three diseases in the 0-9 years old group were those involving therespiratory system，some infectious diseases and parasites diseases，and those related to endocrine，nutrition and m
8、etabolismThe top three disease in the group aged 10-19 years were those involving respiratory system，digestive system，and those related toendocrine，nutrition and metabolism The top three diseases in the 20-29 ages group were those involving digestive system and re-spiratory system，and those related
9、to some infectious diseases and parasites The top three diseases in the 30-39 ages group werethose involving digestive system，respiratory system and urinary system The top three diseases in the 40-49 ages group were in-volving digestive system and circulatory system，and those related to endocrine，nu
10、trition and metabolism The top three diseasesin the 50-59 ages group were involving circulatory system and digestive system，and those related to endocrine，nutrition and me-tabolism The top three diseases in the 60-69 ages group were involving circulatory system，respiratory system and digestive sys-t
11、em The top three diseases in the 70-79 ages group were involving circulatory system，respiratory system and digestive systemThe top three in the over 80 years group were involving circulatory system，respiratory system and digestive system In the malepopulation，the top three diseases involved circulat
12、ory system，respiratory system and digestive system，while in the female，thetop three involved circulatory system，digestive system and respiratory system ConclusionFrom 2016 to 2021，there were somechanges in the disease spectrum of a tertiary hospital However，in general，the diseases involving circulat
13、ory，respiratory and di-gestive system were still the most common The differences in disease spectrum among different age groups were obvious，and thedifferences between different genders were small The paper may provide some reference for local disease prevention and controlmanagement【Key words】Inter
14、nal medicine inpatient;Disease spectrum;espiratory system;Circulation system;Digestive system;Nervous system;Clinical features712现代医院 2023 年 2 月第 23 卷第 2 期Modern Hospitals Feb 2023 Vol 23 No 2内科为临床医学的一个专科，也是其他临床医学的基础，包含消化内科、呼吸内科、神经内科、心血管内科等多个分支，涵盖疾病的种类多而杂1 2。疾病谱是指在整个疾病类型构成中按疾病患病率高低排列的顺序，能够一定程度上反映某地区
15、一个时期内疾病的分布情况，也是综合反映医疗单位服务水平的重要指标3 4。随着国民经济及卫生事业的不断发展，人们生活方式及环境的巨大变化，内科住院患者的疾病构成也发生了巨大变化5 6。对此，临床应及时开展相关研究，明晰本地区近年来疾病顺位情况，以便于了解影响当地居民健康的重点疾病，并辅助当地医疗卫生服务系统工作的制定，从而保障居民健康生活。鉴于此，本研究旨在分析某三甲医院 20162021 年内科住院患者疾病谱，为临床明确医疗工作重点提供参考。报告如下。1资料与方法11一般资料自某三甲医院病案管理信息系统内收集 20162021 年于我院治疗的所有内科住院患者病案首页信息，包括患者疾病诊断、年龄
16、、性别等多方面资料。1 2方法按国际疾病分类(ICD-10)标准对系统进行分类，采用 Excel 表格进行数据整理与分析，将 20162021 年内科住院患者的信息导入后，按不同年龄、性别等排列，若发现病例信息有误，则需及时改正相关信息并补充至数据库内。1 3观察指标20162021 年内科住院患者分布情况:包括患者循环系统、呼吸系统、消化系统、神经系统等不同疾病的顺位情况及构成比。20162021 年内科住院患者年龄分布情况:包括患者在不同年龄群体中的分布情况。20162021 年内科住院患者性别分布情况:包括患者在不同性别群体中的分布情况。1 4统计学方法采用 Excel 表格统计数据，SPSS 22 0 软件分析数据，计数资料以百分数表示。2结果2 120162021 年内科住院患者分布情况20162021 年内科住院患者疾病前三位均为循环系统、呼吸系统及消化系统，其他系统疾病排位顺序不一。见表 1。表 120162021 年内科住院患者分布情况疾病系统2016 年顺位例数构成比/%2017 年顺位例数构成比/%2018 年顺位例数构成比/%循环系统(I00-I99)14 801