林芝某医院骨科住院患者疾病特点
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摘要
目的调查林芝某院骨科住院疾病谱,为该地区骨科疾病防治及合理配置医疗资源提供依据。方法检索某院骨科2017年10月-2018年6月住院病案423份,采用国际疾病分类(ICD-10),对患者性别、年龄、职业、入院原因、骨折类型等进行统计,并按是否手术分为手术组和非手术组进行统计分析。结果男性315例,女性108例,性别比为2.917:1,平均年龄为40.7±17.3岁,农民与工人占比最多为66.9%,入院原因中外伤最常见,为75.4%。骨折排名前5位的是肋骨骨折(17.3%)、胫腓骨骨折(15.7%)、股骨骨折(12.5%)、椎体骨折(12.2%)、锁骨骨折(9.4%)。手术与未手术组中,男女构成比无统计学差异(P>0.05),藏族患者接受手术治疗多于非藏族患者(P<0.001),差异有统计学意义;合并内科疾病非手术组多于手术组(P<0.05),差异有统计学意义。结论外伤是骨科患者的主要入院原因,应采取相应预防措施。此外,非藏族患者倾向返回内地治疗,合并内科疾病患者多为保守治疗。
Objectives To investigate the inpatient disease spectrum of orthopedics in Nyingchi area, in order to provide evidence for the prevention and treatment of orthopaedic diseases in the area. Methods Inpatient medical records were investigated in the orthopaedics of the hospital from October 2017 to June 2018, data collected according to the International Classification of Diseases(ICD10),analyzed the following data,such as gender, age,occupation, reasons for admission, fracture ranking, and whether there is statistical significance between gender,ethnic, and medical diseases between the surgical and non-surgical groups.Results There were 315 males and 108 females with a sex ratio of 2.917:1 and an average age of 40.7±17.3. Farmers and workers accounted for the most(66.9%). The most common cause of admission was trauma(71.4%). The top five fractures were rib fracture(17.3%), tibiofibular fracture(15.7%), femoral fracture(12.5%), vertebral fracture(12.2%), and clavicular fracture(9.4%).There were no significant differences between men and women in the surgical and non-surgical groups(P>0.05). Tibetan patients received more surgical treatment than non-Tibetan patients(P<0.001),the difference was statistically significant. The non-surgical group had more medical diseases than the surgery group(P<0.05),the difference was statistically significant. Conclusions Trauma is the main reason for admission in orthopedic patients, so preventive measures should be taken. In addition, non-Tibetan patients tend to return to the mainland for treatment. Patients with medical diseases mostly tend to take conservative treatment.
Objectives To investigate the inpatient disease spectrum of orthopedics in Nyingchi area, in order to provide evidence for the prevention and treatment of orthopaedic diseases in the area. Methods Inpatient medical records were investigated in the orthopaedics of the hospital from October 2017 to June 2018, data collected according to the International Classification of Diseases(ICD10),analyzed the following data,such as gender, age,occupation, reasons for admission, fracture ranking, and whether there is statistical significance between gender,ethnic, and medical diseases between the surgical and non-surgical groups.Results There were 315 males and 108 females with a sex ratio of 2.917:1 and an average age of 40.7±17.3. Farmers and workers accounted for the most(66.9%). The most common cause of admission was trauma(71.4%). The top five fractures were rib fracture(17.3%), tibiofibular fracture(15.7%), femoral fracture(12.5%), vertebral fracture(12.2%), and clavicular fracture(9.4%).There were no significant differences between men and women in the surgical and non-surgical groups(P>0.05). Tibetan patients received more surgical treatment than non-Tibetan patients(P<0.001),the difference was statistically significant. The non-surgical group had more medical diseases than the surgery group(P<0.05),the difference was statistically significant. Conclusions Trauma is the main reason for admission in orthopedic patients, so preventive measures should be taken. In addition, non-Tibetan patients tend to return to the mainland for treatment. Patients with medical diseases mostly tend to take conservative treatment.
引文
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[5]Oei L,Zillikens M C,Dehghan A,et al.High bone mineral density and fracture risk in type 2 diabetes as skeletal complications of inadequate glucose control:the Rotterdam Study[J].Diabetes Care,2013,36(6):1619-1628.
[6]张松菁,严孙杰,杨立勇,等.骨密度与高血压、糖脂代谢紊乱的相关性[J].中华高血压杂志,2018(3):241-247.
[7]Schwartz A V,Sellmeyer D E,Strotmeyer E S,et al.Diabetes and bone loss at the hip in older black and white adults[J].JBone Miner Res,2005,20(4):596-603.
[8]孙琴,冯玉兰,邢学农.2型糖尿病合并骨质疏松症的相关因素分析[J].中华骨质疏松和骨矿盐疾病杂志,2013,6(1):34-36.
[2]高仕长,倪卫东,梁安林,等.多发性骨折的流行病学研究[J].创伤外科杂志,2009(6):494-496.
[3]杜国聪,秦君良,阿多,等.高原地区骨折愈合的影响因素分析[J].广东医学,2016(12):1823-1826.
[4]邬云红,德吉卓嘎,周瑶,等.日喀则地区人民医院5年内科住院患者疾病谱分析[J].中国卫生统计,2014(5):835-837.
[5]Oei L,Zillikens M C,Dehghan A,et al.High bone mineral density and fracture risk in type 2 diabetes as skeletal complications of inadequate glucose control:the Rotterdam Study[J].Diabetes Care,2013,36(6):1619-1628.
[6]张松菁,严孙杰,杨立勇,等.骨密度与高血压、糖脂代谢紊乱的相关性[J].中华高血压杂志,2018(3):241-247.
[7]Schwartz A V,Sellmeyer D E,Strotmeyer E S,et al.Diabetes and bone loss at the hip in older black and white adults[J].JBone Miner Res,2005,20(4):596-603.
[8]孙琴,冯玉兰,邢学农.2型糖尿病合并骨质疏松症的相关因素分析[J].中华骨质疏松和骨矿盐疾病杂志,2013,6(1):34-36.