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目的分析成都市妇女儿童中心医院妇科2013年住院患者疾病和费用构成现状,了解住院患者的诊治需求,为进一步研究提供依据。方法收集该科2013年5 663例住院患者的病历资料,按WHO国际统一疾病分类法(ICD-10)标化疾病名,以出院记录的第一诊断为疾病分类标准,采用Excel软件进行数据整理和统计分析。结果 1该院妇科2013年住院患者以育龄期女性为主,其疾病谱可分为13类。位列前3位系统疾病依次是:妊娠/分娩和产褥期(50.19%)、泌尿生殖系统(29.31%)和肿瘤(15.54%)。2按ICD-10标准,妊娠/分娩和产褥期疾病前5位单病种依次为异位妊娠、人工流产、稽留流产、先兆流产、妊娠期剧吐;泌尿生殖系统前5位单病种依次为子宫内膜息肉、卵巢子宫内膜异位囊肿、子宫腺肌症、女性继发性不育和子宫粘连;肿瘤前5位单病种依次为子宫平滑肌瘤、卵巢良性肿瘤、卵巢畸胎瘤、宫颈恶性肿瘤、宫颈原位癌。3该科2013年人均住院日为6.31天,人均住院费用为6 051.10元,前3位住院费用构成包括药品费(28.82%)、手术费(26.32%)和检查费(20.09%)。结论 2013年成都市妇女儿童中心医院妇科住院患者多为育龄期女性,异位妊娠、人工流产、子宫平滑肌瘤等为该科常见病。患者平均住院日相对较短,住院费以药品费和手术费为主。基于女性常见病疾病负担,医院急需加大专科建设,挖掘自身优势,针对性地增加或调整人力、物力和财力投入,提高医疗服务质量和效率。
Objective To analyze the current situation of inpatients’ diseases and expenses in gynecology and gynecology of Chengdu Women and Children’s Central Hospital in 2013 so as to understand the demand of diagnosis and treatment of inpatients and provide the basis for further research. Methods The data of 5 663 hospitalized patients in the department in 2013 were collected. According to the WHO ICD-10 standardized disease name, the first diagnosis of discharge records was classified as disease classification, and the data was sorted by Excel software And statistical analysis. Results 1 The hospital gynecology 2013 inpatients to women of childbearing age, the disease spectrum can be divided into 13 categories. The top three systematic diseases were: pregnancy / childbirth and puerperium (50.19%), genitourinary system (29.31%) and cancer (15.54%). According to the ICD-10 standard, the top 5 single diseases of pregnancy / childbirth and puerperium were ectopic pregnancy, induced abortion, missed abortion, threatened abortion and pharyngogenesis during pregnancy. The top 5 single diseases of urogenital system were Endometrial polyps, ovarian endometriosis cysts, adenomyosis, female infertility and uterine adhesions; the first five tumors were uterine leiomyoma, benign ovarian tumor, ovarian teratoma , Cervical cancer, cervical carcinoma in situ. 3 The hospital’s per capita hospitalization day was 6.31 days in 2013 with a per capita hospitalization cost of 6,051.10 yuan. The first 3 hospitalizations consisted of medicine costs (28.82%), operation costs (26.32%) and examination fees (20.09%). Conclusions In 2013, gynecological inpatients in Chengdu Women and Children’s Hospital were mostly women of childbearing age, ectopic pregnancy, induced abortion and uterine leiomyoma. The average length of stay of patients is relatively short, and the cost of hospitalization is mainly based on the cost of drugs and surgery. Based on the common disease burden of women, the hospital urgently needs to step up the construction of specialties and tap its own advantages. Targeted increases or adjustments in manpower, material and financial resources are needed to improve the quality and efficiency of medical services.