医院高压氧科住院患者病种分析

Analysis of disease proportion changes in inpatients in hyperbaric oxygen department

目的观察2002-2011年我院高压氧科住院患者疾病的构成变化。方法采用回顾性调查方法对2002-2011我院高压氧科4603例次住院患者的疾病病种进行分析，观察住院患者病种的构成资料，分析排名前5位疾病的变化趋势。结果住院患者的绝对住院人数持续增多，由2002年的225例逐渐上升至2011年的989例。总体住院比例排名前5位的疾病分别是：急性一氧化碳中毒及迟发性脑病、脑外伤、脑出血、缺氧缺血性脑病、脑梗死，共占所有住院例次的83．55％（3846／4603）。急性一氧化碳中毒及迟发性脑病住院患者所占比例呈逐渐减少趋势，由2002年的31．11％（70／225）逐渐下降至2011年的14．76％（146／989）。脑出血住院患者所占比例呈上升趋势，由2002年的7．56％（17／225）逐渐上升至2011年的20．02％（198／989）。缺氧缺血性脑病的住院患者所占比例呈上升趋势，由2002年的3．11％（7／225）逐渐上升至2011年的16．58％（164／989）。脑外伤及脑梗死的住院患者所占比例较稳定。结论2002--2011年高压氧治疗疾病病种构成发生了变化，单纯高压氧门诊治疗已无法完全满足目前患者的需要，有条件的医院可以通过建立高压氧专科病房使广大患者受益。

Objective To observe disease proportion changes of the hyperbaric oxygen department inpa- tients from 2002 to 2011. Methods Retrospective investigation was conducted to analyze the 4603 hyperbaric oxygen department inpatient cases in our hospital from 2002 to 2011. The hospitalized disease proportion was observed and the top five diseases variation tendency was diagnosed. Results The absolute number of hospitalized patients continued to increase, from 225 cases in 2002 to 989 cases in 2011. According to retrospective data, the top five hospitalized diseases were： acute carbon monoxide poisoning and its delayed encephalopathy, traumatic brain injury, intracerebral hemorrhage, hypoxic-ischemic encephalopathy and cerebral infarction （3846/4603）. The hospitalized proportion of acute carbon monoxide poisoning and its delayed encephalopathy showed a decreasing trend. The number gradually decreased from 31.11 percent （70/225） in 2002 to 14.76 percent （146/989） in 2011. The intracerebral hemorrhage patient proportion increased from 7.56 percent （ 17/225 ） in 2002 to 20.02 percent （198/989） in 2011. The hospitalized proportion of hypoxic-ischemic encephalopathy increased from 3. 11 percent （7/225） in 2002 to 16.58 percent （164/989） in 2011. The hospitalized proportions of traumatic brain injury and cerebral infarction were relatively stable. Conclusions The composition of hyperbaric oxygen treatable diseases has changed from 2002 to 2011. Ambulatory hyperbaric oxygen outpatient treatment is unable to fully meet current patients＇ needs. The establishment of the hyperbaric oxygen special wards in certain hospitals can benefit the patients.