某三甲综合医院2013年-2017年职业性尘肺住院患者分析

Analysis on Pneumoconiosis Inpatients in a Three A and Tertiary Comprehensive Hospital from 2013 to 2017

目的统计分析云南省昆明市某三甲综合医院近5年职业性尘肺住院患者的相关数据,探讨尘肺防治策略。方法回顾分析某院2013年-2017年职业性尘肺住院病案首页资料,采用医院病案管理系统查询研究时段内的所有尘肺出院患者,收集性别、年龄、离院方式及其他诊断等字段数据,采用SAS9.2软件进行数据处理分析。结果研究时段内该院共收治尘肺患者2320人,占出院患者总数的1.68%,年平均增长速度5.07%,职业性尘肺患者收治比例无增加或减少趋势(Z=0.1260,P=0.8997)。2320名尘肺患者中男性2302人(占99.22%)。住院死亡12人,病死率0.52%。各年性别构成(男性患者占比)和住院病死率均无增加或减少趋势(P均>0.05),尘肺住院患者平均年龄呈增加趋势(P<0.05)。尘肺患者合并疾病最多的为肺部感染(包括肺炎),尘肺住院患者各年疾病合并情况无统计学差异(χ~2=1.007,P=1.000)。结论某院职业性尘肺住院患者数走势平稳,尘肺住院患者性别构成、住院病死率及合并疾病情况变化不大,但尘肺住院患者平均年龄逐年增加,实行更有针对性的措施对尘肺病的防治具有重要意义。

Objective To collect and analyze data on hospitalized pneumoconiosis patients in the past five years from a top three general hospital in Kunming,Yunnan Province,and explore strategies for pneumoconiosis prevention and treatment.Methods Review and analyze the homepage data of occupational pneumoconiosis inpatients from 2013 to 2017 in a hospital,use the hospital medical record management system to retrieve all patients with pneumoconiosis discharged during the study period,and collect field data such as gender,age,hospitalization method and other diagnoses,and use SAS 9.2 software for data processing and analysis.Results From 2013 to 2017,2320 patients with pneumoconiosis were treated,accounting for 1.68%of the total number of discharged patients,with an average annual growth rate of 5.07%.The proportion of occupational pneumoconiosis patients did not increase or decrease(Z=0.1260,P=0.8997).Of the 2320 pneumoconiosis patients,2302 were males(99.22%).There were 12 hospital deaths and the mortality rate was 0.52%.There was no increase or decrease in gender composition(male ratio)and hospital mortality(P>0.05),and the average age of pneumoconiosis hospitalized patients increased(P<0.05).Pneumoconiosis patients with the most common disease were pulmonary infections(including pneumonia),and there was no significant difference in the disease combination between pneumoconiosis hospitalized patients(χ~2=1.007,P=1.000).Conclusion The number of hospitalized patients with occupational pneumoconiosis in a hospital was stable.The gender composition,hospital mortality and combined disease status of pneumoconiosis hospitalized patients did not change much,but the average age of pneumoconiosis hospitalized patients increased year by year.The implementation of more targeted measures is of great significance for the prevention and treatment of pneumoconiosis.