某医院高压氧科2008年-2017年门急诊患者病种分析
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摘要
目的分析医院高压氧科门急诊患者2008年-2017年的主要病种构成及分布特征,为合理配置医疗资源提供参考。方法采用回顾性调查分析的方法,统计就诊患者前10位的病种,采用Cox-Stuard趋势性检验对各主要病种的年度变化趋势进行分析,采用行×列表资料的χ2检验对各主要病种与年龄、性别及季节就诊量等因素进行分层统计分析。结果 17 874例患者中,门诊17 153例,占95.97%,急诊721例,占4.03%;前10位病种占就诊总量的82.00%,耳鸣耳聋和一氧化碳中毒及后遗症位于前2位,构成比分别为32.01%和18.58%;各主要病种的年度就诊量呈上升趋势,10种主要病种在各年龄段、男女性别及不同季节间发病数量的差异具有统计学意义。结论分析高压氧科门急诊主要病种及分布特征,对于更好地发挥高压氧治疗的独特优势具有指导意义,可以提高卫生资源的利用效率,更合理地配置医疗资源,进而提高主要病种的医治质量。
Objective To analyze the disease constituent ratio of outpatients and emergency patients in the Department of Hyperbaric Oxygen, aiming to provide the reference for effectively allocating medical care resources.Methods To rank the top 10 diseases by retrospective analyzing methods.The yearly tendency analysis of the major diseases was performed with Cox-Stuart trend test. Stratified analyzing the correlation between the major diseases and age, gender and seasons were performed with line×row chi-square test. Results There were 17153(95.97%)outpatients and 721(4.03%) emergency patients among total 17874 ones. The total ratio of the top ten diseases was82.00% and tinnitus and deafness, as well as carbon monoxide poisoning were the top 2 diseases, with the ratio32.01% and 18.58%, respectively. The patients of the major diseases were increasing yearly and the difference between the major diseases and age, gender, and seasons were significant. Conclusions Analyzing the major diseases and the distribution will guild the hyperbaric oxygen to better play an specific roles in treatment. It was also can improve the efficiency and reasonably allocate the medical care resources and consequently to improve the medical quality.
Objective To analyze the disease constituent ratio of outpatients and emergency patients in the Department of Hyperbaric Oxygen, aiming to provide the reference for effectively allocating medical care resources.Methods To rank the top 10 diseases by retrospective analyzing methods.The yearly tendency analysis of the major diseases was performed with Cox-Stuart trend test. Stratified analyzing the correlation between the major diseases and age, gender and seasons were performed with line×row chi-square test. Results There were 17153(95.97%)outpatients and 721(4.03%) emergency patients among total 17874 ones. The total ratio of the top ten diseases was82.00% and tinnitus and deafness, as well as carbon monoxide poisoning were the top 2 diseases, with the ratio32.01% and 18.58%, respectively. The patients of the major diseases were increasing yearly and the difference between the major diseases and age, gender, and seasons were significant. Conclusions Analyzing the major diseases and the distribution will guild the hyperbaric oxygen to better play an specific roles in treatment. It was also can improve the efficiency and reasonably allocate the medical care resources and consequently to improve the medical quality.
引文
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[13]葛丽.700例脑卒中患者调查分析[J].中国病案,2003,4(11):37-38.
[14]黄博雅,包金风,宁荣霞.高压氧对一氧化碳中毒迟发性脑病防治的研究进展[J].中华航海医学与高气压医学杂志,2016,23(6):492-495.
[15]马丽霞,王广新,李楠.1998-2009年山东省住院儿童疾病谱变化规律的研究[J].中华临床医师杂志(电子版),2011,5(15):4445-4448.
[2]Lazarini PR,Camargo AC.Idiopathic sudden sensorineural hearing loss:etiopathogenic aspects[J].Braz J Otorhinolaryn gol,2006,72:554-561.
[3]王晓华.高压氧治疗突发性聋的研究进展[J].中华航海医学与高气压医学杂志,2013,20(2):137-139.
[4]任秀国,刘艳洁,李雪莲,等.亚低温联合高压氧治疗重度一氧化碳中毒的疗效观察及护理体会[J].中国病案,2018,19(1):100-102.
[5]Hui-jun H,Dan-Feng F.Should hyperbaric oxygen be used in acute carbon monoxide poisoning[J].Am J Emerg Med,2017,35(7):1030.
[6]杨洋,石孙君,向秀之,等.皮肤缺损皮瓣移植术后高压氧早期干预治疗的临床观察[J].中国美容医学,2017,26(3):52-54.
[7]林泉,刘为廷,李俊明,等.联合疗法治疗瘢痕疙瘩的疗效[J].中华医学美学美容杂志,2018,24(3):199-201.
[8]刘佳荣,张莉.突发性耳聋的发病机制[J].疾病监测与控制杂志,2018,12(4):323-326.
[9]王东华,滕支梅,马佳琪.某院2015年-2017年住院新生儿疾病谱分析[J].中国病案,2019,20(1):45-48.
[10]曹丰,王亚斌,薛万国,等.中国老年疾病临床多中心报告[J].中华老年多器官疾病杂志,2018,71(11):801-808.
[11]赵晓娟,任月红,张雅琼.142例脑出血病例统计分析[J].中国病案,2008,9(3):36-38.
[12]马锦华,高静,王珊珊,等.西安市2025例颅脑损伤住院患者临床及流行病学特点[J].创伤外科杂志,2017,19(6):411-416.
[13]葛丽.700例脑卒中患者调查分析[J].中国病案,2003,4(11):37-38.
[14]黄博雅,包金风,宁荣霞.高压氧对一氧化碳中毒迟发性脑病防治的研究进展[J].中华航海医学与高气压医学杂志,2016,23(6):492-495.
[15]马丽霞,王广新,李楠.1998-2009年山东省住院儿童疾病谱变化规律的研究[J].中华临床医师杂志(电子版),2011,5(15):4445-4448.