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目的调查西藏自治区人民医院住院患者的疾病构成,为研究用药合理性提供基线数据。方法提取该院信息管理系统2014~2015年出院患者的病历资料,用国际编码ICD-10标化患者出院疾病分类,分析住院患者一般情况、出院主要诊断和单病种分布情况。采用Excel 2007软件,计算频数、构成比和累计构成比。结果 (1)2014年出院患者共19 177例、男性∶女性为1.07∶1,涵盖ICD-10全部21种系统疾病;2015年出院患者共20 970例、男性∶女性为1.05∶1,涵盖ICD-10编码的20种系统疾病。(2)两年构成比大于10%疾病有3类:损伤中毒外因引起疾病、消化系统疾病、妊娠分娩和产褥期患者疾病。(3)两年疾病分类构成比5%~10%的疾病有5类:呼吸系统疾病、循环系统疾病、影响健康状态和保健机构接触的因素—肿瘤形态学、泌尿生殖系统疾病和肿瘤。(4)2014年排名前十位的单病种有:单胎顺产、肺部感染、肿瘤化疗、2型糖尿病、胆囊结石伴慢性胆囊炎、支气管肺炎、胆囊结石、新生儿吸入性肺炎、高原性肺水肿、胎膜早破;2015年排名前十位单病种有:单胎顺产、肺部感染、肿瘤化疗、2型糖尿病、支气管肺炎、胆囊结石伴慢性胆囊炎、胆囊结石、新生儿吸入性肺炎、恶性肿瘤维持性化疗和缺铁性贫血。结论西藏自治区人民医院住院患者疾病构成具有一定的地域特殊性。
Objective To investigate the disease composition of inpatients in People’s Hospital of Tibet Autonomous Region and to provide baseline data for studying the rationality of medication. Methods The medical record data of discharged patients from 2014 to 2015 were extracted from the hospital information management system. The ICD-10 was used to standardize the classification of discharged patients. The general situation of inpatients, the main diagnosis and the distribution of single disease were analyzed. Using Excel 2007 software, calculate frequency, composition ratio and cumulative composition ratio. RESULTS: (1) A total of 19,177 discharged patients in 2014 were males: 1.07: 1 for females, covering all 21 systemic diseases of ICD-10. A total of 20,970 patients were discharged in 2015 and males: 1.05: 1 for females, covering ICD -10 encoding 20 system diseases. (2) two years constitute more than 10% There are 3 types of diseases: injury poisoning causes external diseases, digestive diseases, pregnancy and childbirth and puerperal disease. (3) There are five types of diseases that make up 5% -10% of disease classification in two years: respiratory diseases, circulatory diseases, factors affecting health status and contact with health institutions - tumor morphology, genitourinary system diseases and tumors. (4) The top 10 single diseases in 2014 were single birth, lung infection, cancer chemotherapy, type 2 diabetes mellitus, gallstones with chronic cholecystitis, bronchopneumonia, gallstones, neonatal aspiration pneumonia, plateau Pulmonary edema and premature rupture of membranes; 2015 top ten single diseases are: single birth, lung infection, cancer chemotherapy, type 2 diabetes mellitus, bronchopneumonia, gallstone with chronic cholecystitis, gallstones, newborns Aspiration pneumonia, maintenance chemotherapy and iron deficiency anemia. Conclusion The constitution of inpatients in the People’s Hospital of Tibet Autonomous Region has certain geographical specialties.