1998～2007年妇科住院病例调查结果分析

Analysis on the survey results of hospitalized cases in department of gynecology from 1998 to 2007

目的:分析梅州市人民医院1998～2007年妇科住院病例,探讨该院妇科住院病例的疾病构成情况,为妇女保健、妇科疾病治疗及该院妇科专科发展提供依据。方法:对1998～2007年的18 976例妇科住院病例以前后5年分成两组进行统计分析,包括病种、顺位变化、平均年龄、构成比、手术率、平均住院日情况。结果:该院妇科住院病例两组比较,后5年住院病例明显增加,手术率也明显增加,平均住院日呈现下降趋势,差异有统计学意义(P<0.01);子宫肌瘤仍然是第1位疾病,肿瘤总体构成有递增趋势,尤以宫颈恶性肿瘤为甚,差异有统计学意义(P<0.01);异位妊娠发病年龄趋于年轻化,差异有统计学意义(P<0.01)。结论:该院妇科住院病例逐年明显增加,发病年龄呈现下降趋势;妇科肿瘤,尤其是宫颈癌呈显著上升趋势;异位妊娠占妇科住院病例构成呈现上升趋势,发病年龄趋于年轻化,应加强防治;平均住院日则出现下降趋势。

Objective： To analyze the hospitalized eases in department of gynecology in the hospital fron3 1998 to 2007, explore the proportion of diseases among the hospitalized cases, provide a basis for maternal health care, treatment of gynecological diseases and gyneco- logical development in the hospital. Methods： 18 976 hospitalized cases from department of gyneeology in the hospital from 1998 to 2007 were divided into two groups （the previous five years group and the latter five years group） for statistical analysis, the survey contents includ- ed disease category., change of cisposition, average age, proportion, the rate of surgery and average hospitalization time. Results： The number of hospitalized cases and the rate of surgery in the latter five years group increased significantly, the average hospitalization time showed a decreasing trend （P 〈 0. 01 ）; hysteromyoma ranked the first of gynecological diseases, the total proportion of tumors showed a gradual increasing trend, especially cervical malignant tumor, there was significant difference （P 〈 0. 01 ） ; the onset age of ectopic pregnan- cy showed younger trend, there was significant difference （P 〈 0. 01 ） . Conclusion： The number of hospitalized cases in department of gynecology in the hospital inci＇eases year by year, the onset age shows younger trend ; the incidences of gynecological tumors show a significant increasing trend, especially cervical cancer; the proportion of ectopic pregnancy in hospitalized cases in department of gynecology shows a in creasing trend, the onset age of ectopie pregnancy shows younger trend, prevention and treatment should be enhanced; the average hospitali- zation time shows a decreasing trend.