某传染病三甲医院肝病科近10年出院患者疾病谱分析

Analysis on Disease Spectrum of Discharged Patients in the Hepatopathy Department of a Tertiary Hospital with Infectious Diseases in the Past Ten Years

目的 对某传染病三甲医院肝病科十年出院患者疾病构成进行分析,为医院医疗资源配置提供参考。方法 提取某传染病医院统计病案系统中2013年1月1日-2022年12月31日肝病科出院患者共计39 304例住院病案首页信息,以出院主要诊断为分类依据,采用Excel软件进行数据整理和分析。结果 10年间肝病科出院患者总人数为39 304例,男性患者29 042例,女性患者10 262例,男、女之比为2.8:1。2013年2996例,2022年3532例,2022年住院定基比增长速度为0.18,前10位疾病为慢性乙型病毒性肝炎、肝硬化、其他医疗照顾、原发性肝癌、急性和亚急性肝衰竭、肝纤维化、中毒性肝病伴有肝炎、慢性丙型病毒性肝炎、酒精性肝硬化、非酒精性脂肪肝。结论 慢性乙型病毒性肝炎仍是主要疾病,肝硬化、原发性肝癌、非酒精脂肪肝等构成比上升,非传染性肝病构成比增加,应加强这些疾病的诊疗。肝病科出院患者人数增加,说明医疗需求还是挺大的,肝病防治仍然任重道远。

Objectives This paper analyzed the disease composition of the patients discharged from the department of Hepatology in a Three A and Tertiary Infectious Disease Hospital for ten years,and provide reference for the allocation of medical resources in the hospital.Methods The front page information of 39304 patients discharged from the department of Hepatology from January 1st,2013 to December 31st,2022 was extracted from the statistical medical record system of an infectious disease hospital.The data were sorted and analyzed by Excel software based on the main diagnosis of discharge.Results The total number of discharged patients in the department of Hepatopathy in the past ten years was 39304,including 29042 males and 10262 females,the ratio of males to females was 2.8:1.There were 2996 cases in 2013,3532 cases in 2022,and the growth rate of fixed basis ratio of hospitalization in 2022 was 0.18.The top 10 diseases were chronic viral hepatitis B,cirrhosis,other medical care,primary liver cancer,acute and subacute liver failure,liver fibrosis,toxic liver disease with hepatitis,chronic viral hepatitis C,alcoholic cirrhosis,and non-alcoholic fatty liver disease.Conclusion Chronic viral hepatitis B was still the main disease,the proportion of liver cirrhosis,primary liver cancer,non-alcoholic fatty liver and non-infectious liver diseases was increasing,and the diagnosis and treatment of these diseases should be strengthened.The increase in the number of discharged patients in the department of liver disease indicated that the medical demand was still quite large,and the prevention and treatment of liver disease was still a long way to go.