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目的了解医院骨科住院患者的疾病谱,为临床医疗决策及开展临床路径提供对比数据。方法采用医院住院电子病历信息系统数据库,采用、构成比、率以及进行检验、t检验等。结果医院近5年骨科住院患者疾病谱分析提示,前5种疾病依次是:腰椎间盘突出症、股骨颈骨折、取除骨折内固定装置、股骨粗隆间骨折、腰椎骨折,这五位疾病共占26.7%;腰椎间盘突出症以青壮年为主(占57.0%),老年患者以股骨颈和股骨粗隆间骨折为主(占86.9%)。住院患者的平均住院时间呈逐年降低,不同疾病其平均住院时间不同。结论各年龄段住院患者的疾病谱构成随年龄阶段不同而不同;腰椎间盘突出症排在各类疾病谱值首位,以青壮年为主,股骨颈和股骨粗隆间骨折以老年住院患者为主。平均住院时间呈下降趋势,但有待制定和实施临床路径加以改进。
Objective To understand the disease spectrum of inpatients in orthopedics hospital and provide comparative data for clinical medical decision-making and clinical path. Methods The hospital hospital electronic medical records information system database, adoption, composition ratio, rate and test, t test and so on. Results Hospital orthopathic patients in recent 5 years disease spectrum analysis showed that the top 5 diseases were: lumbar disc herniation, femoral neck fracture, removal of internal fixation devices, femoral intertrochanteric fractures, lumbar fractures, a total of these five diseases Accounting for 26.7%; lumbar disc herniation mainly young adults (57.0%), elderly patients with femoral neck and intertrochanteric fractures (86.9%). The average length of stay of hospitalized patients is decreasing year by year, and the average length of stay of different diseases is different. Conclusion The composition of disease spectrum of hospitalized patients in different age groups varies with different age stages. Lumbar disc herniation is ranked first in all kinds of disease spectrum, mainly in young and middle-aged, and femoral neck and femur intertrochanteric fractures are mainly elderly inpatients . Average length of hospital stay is on the decline, but clinical pathways need to be developed and implemented to improve.