2018年-2022年内蒙古自治区某院创伤骨科住院患者疾病谱分析

Disease Spectrum Analysis of Inpatients in the Department of Orthopedic Trauma in A Hospital of Inner Mongolia Autonomous Region from 2018 to 2022

目的通过分析内蒙古自治区某三甲医院创伤骨科住院患者疾病谱特点,为创伤骨科临床管理提供参考依据。方法选取某院2018年1月1日-2022年12月31日年7606例创伤骨科住院患者,采用Excel 2016和SPSS 26.0软件进行疾病谱分析,通过秩和比及和谐系数对疾病谱顺位进行一致性检验分析。结果5年间疾病谱顺位变化不显著,呈现高度一致性(WR=0.9127,χ^(2)=41.071,P=0.000),前10位主要病种累计占有效样本的86.81%,小腿(包括踝)骨折居首位,占17.58%。男女比例为1.49:1,平均年龄为46.34岁±18.53岁,40岁~64岁组病例最多,占47.23%。患者不同年份年龄的分布具有统计学差异(χ^(2)=39.715,P=0.001),不同年份性别构成分布的差异具有统计学意义(χ^(2)=10.787,P=0.029)。职业分布,农民占比最多为36.33%;5年间各季节疾病谱顺位变化较大,一致性较差(WR=0.4227,χ^(2)=15.217,P=0.000);入院原因交通事故占比最多为26.12%。结论创伤骨科疾病呈现年龄、季节、职业和性别分布显著性,应有针对性地整合临床诊治、新型创伤骨科修复技术以及手术后康复锻炼等相关服务资源,提高创伤骨科的诊疗水平。

Objectives By analyzing the disease spectrum characteristics of inpatients in the Department of Traumatology and Orthopedics in a tertiary hospital in the Inner Mongolia Autonomous Region,this study aims to provide a reference basis for the clinical management of the Department of Orthopedic Trauma.Methods A total of 7,606 inpatients in the Department of Orthopedic Trauma in a certain hospital from January 1,2018 to December 31,2022 were selected.Excel 2016 and SPSS 26.0 software were used to conduct disease spectrum analysis,and the consistency test and analysis of the order of the disease spectrum was conducted through rank sum ratio and harmony coefficient.Results There was no significant change in the order of the disease spectrum during the 5 years,showing a high degree of consistency(WR=0.9127,c2=41.071,P=0.000).The top 10 major diseases accounted for 86.81%of the effective samples,with calf(including ankle)fractures ranking first,accounting for 17.58%.The male-to-female ratio was 1.49:1,and the average age was 46.34 years old±18.53 years old.The 40-to 64-year-old group had the most cases,accounting for 47.23%.The age distribution of patients in different years was statistically different(c2=39.715,P=0.001),and the gender composition distribution of patients in different years was statistically different(c2=10.787,P=0.029).The occupational distribution results showed that farmers accounted for the largest proportion of 36.33%.The order of disease spectrum in each season changed greatly during the 5 years,and the consistency was poor(WR=0.4227,c2=15.217,P=0.000).Traffic accidents accounted for up to 26.12%of admissions.Conclusions Traumatic orthopedic diseases show significant age,season,occupation,and gender distribution.Related service resources such as clinical diagnosis and treatment,new orthopedic trauma repair technology,and post-operative rehabilitation exercises should be targeted and integrated to improve the diagnosis and treatment level of orthopedic trauma.