2014-2018年新疆乌鲁木齐市某三甲医院内分泌科收治患者疾病谱分析

Disease spectrum analysis of patients admitted to the endocrinology department of a first-class hospital in Xinjiang during 2014 to 2018

目的通过统计方法分析2014-2019年住院患者疾病谱构成、变化趋势,更好的了解疾病占比,有利于预见性地调整科室发展方向,工作重点及资源配置,明确本院内分泌科收治患者的各类疾病构成情况和变化趋势,为本院内分泌科的疾病研究和诊治提供可靠准确的数据。方法选取2014年1月1日至2018年12月31日于新疆医科大学第一附属医院内分泌科住院的所有患者,以每个患者的出院确定诊断中的第一诊断为主要诊断标准做疾病谱分析。结果 1.在2014年至2018年5年间,新疆医科大学第一附属医院内分泌科实际入院的总人次为12671人,由2014年的2193人次上升至2018年的2625人次,5年间增加了1.19倍。整体住院人数呈上升趋势。2.其中,住院人数中2型糖尿病患者占有最高比例。甲状腺功能亢进症及1型糖尿病患者也占有较高比例。这五年中2型糖尿病住院总人次为8704人(68.69%),1型糖尿病住院总人次为529人(4.17%)。甲状腺疾病中占有最高比例的疾病为甲状腺功能亢进症(Graves病)(10.02%)。其他位居内分泌科前1O顺位的疾病分别为肾上腺疾病(2.74%),垂体疾病(2.70%),库欣综合征(1.13%),原发性高血压(1.00%),性腺疾病(0.73%)和甲旁腺疾病(0.51%)。3.2014-2017年于我院占据前三位的疾病分别为2型糖尿病、甲状腺功能亢进症以及1型糖尿病,并且这三种疾病的所占比例变化不大,这与社会经济的发展,人们的营养状况以及心理、环境因素均有一定关系。而2018年肾上腺疾病比例较前有所上升,成为本院内分泌科疾病占比第三顺位。结论 2014年-2018这5年内于本院内分泌科住院治疗的患者中2型糖尿病,甲状腺功能亢进症,1型糖尿病,肾上腺疾病,垂体疾病,甲状腺疾病占较大比例(90.93%),且人数呈逐年上升趋势,其中2型糖尿病、甲状腺亢进症、1型糖尿病这三种疾病占比最高,且在这五年内所占比例趋势较为平稳,提示本院应将工作重点及核心放在糖尿病及甲状腺疾病的治疗及教育上。

Objective Through statistical analysis of disease spectrum composition and change trend of hospitalized patients from2014 to 2019, to better understand the proportion of different diseases, to foreseeably adjust the development direction, work focus and resource allocation of the department, to clarify the composition and change trend of various diseases of patients admitted to the department of endocrinology of our hospital, and to provide reliable and accurate data for the research, diagnosis and treatment of diseases in the department of endocrinology of our hospital. Methods All the patients admitted to the department of endocrinology, the first affiliated hospital of Xinjiang medical university from January 1, 2014 to December 31, 2018 were selected for disease spectrum analysis based on the primary diagnosis in the discharge diagnosis of each patient. Results 1. During the five years from 2014 to 2018, the total number of actual hospital admissions in the department of endocrinology of our hospital was 12,671, rising from 2,193 in 2014 to 2,625 in 2018, with a 1.19-fold increase in five years.The overall number of hospital admissions increased. 2. Type 2 diabetes had the highest proportion of inpatients. Hyperthyroidism and type 1 diabetes were also high. During the five years, the total number of hospitalized patients for type 2 diabetes was 8,704(68.69%), while the total number of hospitalized patients for type 1 diabetes was 529(4.17%). The highest proportion of thyroid diseases was hyperthyroidism(Graves’ disease)(10.02%). Other diseases in the top 10 at the department of endocrinology were adrenal diseases(2.74%), pituitary diseases(2.70%), Cushing’s syndrome(1.13%), essential hypertension(1.00%), gonadal disease(0.73%)and para-parathyroid disease(0.51%). 3. From 2014 to 2017, the top three diseases in our hospital were all type 2 diabetes,hyperthyroidism and type 1 diabetes, and the proportion of these three diseases did not change much, which was related to social and economic development, people’s nutritional status, psychological and environmental factors. In 2018, the proportion of adrenal diseases In five years from 2014 to 2018, at department of endocrinology of our hospital, type 2 diabetes, thyroid function hyperfunction, type 1 diabetes, adrenal disease, the pituitary gland disease, thyroid disease account for a significant proportion(90.93%), and the number is rising year by year. Type 2 diabetes, hyperthyroidism and type 1 diabetes have the highest proportion, and the trend of the proportion in the five years is relatively stable, which suggests our focus should be put in the treatment and education of diabetes and thyroid disease.