摘要
目的 分析宁夏某三甲医院490 913例出院患者性别、年龄及疾病谱变化,为明确地区医疗工作重点,合理配置医疗资源以及重点学科建设提供理论支撑.方法 采用回顾性分析方法,对宁夏某三甲医院2018年1月1日-2022年12月31日出院的490 913例出院患者的年龄、性别等疾病谱等进行分析研究,利用Excel2021及SPSS21.0软件进行数据整理与分析,P＜0.05差异具有统计学意义.结果 五年间出院患者中,男性患者231 123例(47.08％),女性患者259 790例(52.92％),男女比例1:1.13;不同年度,疾病谱前10位的疾病除顺位排序不同外,未出现其他种类疾病;呼吸系统疾病(44.41％)在0岁～14岁组中疾病谱顺位第1,15岁～44岁组中疾病谱顺位第1的是妊娠、分娩和产褥期类疾病(32.61％),而循环系统疾病在44岁～59组和60岁及以上组中,疾病谱顺位均位列第1.疾病谱性别分类中,循环系统、呼吸系统、消化系统、眼和附器疾病在男女性出院患者疾病顺位中均处于前五位,而妊娠、分娩和产褥期疾病在女性出院患者疾病顺位中处于第1位.结论 呼吸系统疾病、循环系统疾病、消化系统疾病和眼和附器疾病、妊娠、分娩和产褥期类疾病仍是当前医院医疗救治的重点防治工作,应当结合疾病谱和人群特点等因素,合理配置资源,从而促进医院高质量发展.
Abstract
Objectives This study aims to analyze the changes in gender,age,and disease spectrum of 490,913 discharged patients from a tertiary hospital in Ningxia,so as to provide theoretical support for clarifying regional medical work priorities,rationally allocating medical resources,and building key disciplines.Methods A retrospective analysis method was used to analyze the age,gender and other disease spectrum of 490,913 discharged patients from a tertiary hospital in Ningxia from January 1,2018 to December 31,2022.The data collation and analysis were carried out by Excel2021 and SPSS21.0 software.P＜0.05 difference was statistically significant.Results Among the patients discharged from the hospital in the past five years,231,123 were male patients(47.08％)and 259,790(52.92％)were female patients,with a male-to-female ratio of 1:1.13.In different years,except for the different order of the top 10 diseases in the disease spectrum,there were no other types of diseases.Respiratory diseases(44.41％)ranked first in the disease spectrum in the 0-14 age group.Pregnancy,childbirth and puerperium diseases(32.61％)ranked first in the disease spectrum in the 15-44 age group.Circulatory system diseases ranked first among the 44 to 59-year-old group and the 60-year-old and above group.In the gender classification of disease spectrum,circulatory system,respiratory system,digestive system,ocular and appendage diseases were among the top five diseases in discharged patients of both sexes,while pregnancy,childbirth and puerperal diseases ranked first among female discharged patients.Conclusions Respiratory system diseases,circulatory system diseases,digestive system diseases,ocular and appendage diseases,diseases during pregnancy,childbirth and puerperium are still the focus of current hospital medical treatment.Resources should be reasonably allocated based on factors such as disease spectrum and population characteristics,so as to promote the development of hospitals.
基金项目
宁夏回族自治区重点研发项目(2023)(2023BEG03008)
宁夏卫生健康委高层次科技提升项目(2023-NWKYT-007)
NETL
NSTL
万方数据