[1]陈倩如,周新凤,陈 峰,等.2018-2023年顺德区某公立医院住院患者疾病谱变化趋势分析[J].医学信息,2026,39(10):74-80.[doi:10.3969/j.issn.1006-1959.2026.10.012]
 CHEN Qianru,ZHOU Xinfeng,CHEN Feng,et al.Analysis of the Change Trend in Disease Spectrum of Inpatients in a Public Hospitalin Shunde District from 2018 to 2023[J].Journal of Medical Information,2026,39(10):74-80.[doi:10.3969/j.issn.1006-1959.2026.10.012]
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2018-2023年顺德区某公立医院住院患者疾病谱变化趋势分析()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年10期
页码:
74-80
栏目:
卫生管理信息学
出版日期:
2026-05-15

文章信息/Info

Title:
Analysis of the Change Trend in Disease Spectrum of Inpatients in a Public Hospitalin Shunde District from 2018 to 2023
文章编号:
1006-1959(2026)10-0074-07
作者:
陈倩如周新凤陈 峰乔亚娟何晓艺何志涛梁恩娜
南方医科大学第八附属医院/佛山市顺德区第一人民医院病案统计室,广东 佛山 528308
Author(s):
CHEN Qianru ZHOU Xinfeng CHEN Feng QIAO Yajuan HE Xiaoyi HE Zhitao LIANG Enna
Medical Records and Statistics Department, The Eighth Affiliated Hospital, Southern Medical University/the First People′s Hospital of Shunde, Foshan 528308, Guangdong, China
关键词:
疾病谱趋势检验医疗服务能力国际疾病分类
Keywords:
Disease spectrum Trend test Medical service capacity International classification of diseases
分类号:
R197
DOI:
10.3969/j.issn.1006-1959.2026.10.012
文献标志码:
A
摘要:
目的 探讨佛山市顺德区住院患者疾病谱(简称“疾病谱”)变化趋势与特征。方法 收集2018-2023年顺德区某公立医院住院患者资料,通过趋势检验探讨性别、年龄和季节与时间(年份)之间疾病谱的关系。结果 2018-2023年顺德区某公立医院住院患者随时间呈波动增长;男性(45.81%)低于女性(54.19%),但男性逐年增长(P<0.05);≥60岁人群为主要住院人群(36.87%),不同年龄组疾病谱与时间呈非直线线性关系(Pr<0.05,Pb<0.05);各季节中夏季住院患者最多(27.33%),不同季节疾病谱在不同时间上存在差异(P<0.05)。影响居民健康的主要疾病为消化系统、循环系统、影响健康状态和与保健机构接触的因素、肿瘤、妊娠分娩和产褥期等。育龄期(15~44岁)女性以妊娠、分娩和产褥期为主,且呈逐年下降趋势。≥60岁人群(21.11%)和冬季(12.54%)住院患者以循环系统疾病为主。结论 该地区居民住院医疗服务需求呈逐年上升趋势,且主要以消化系统疾病、循环系统疾病和肿瘤等为主;女性高于男性,但随着女性生育意愿降低男性占比呈增长趋势;老年人和冬季住院患者以接受循环系统疾病相关医疗服务为主。有关部门可根据疾病谱合理配置医疗资源,有效避免医疗资源浪费,提高资源利用率。
Abstract:
Objective To explore the trend and characteristics of disease spectrum of hospitalized patients in Shunde District of Foshan City. Methods The data of inpatients in a public hospital in Shunde District from 2018 to 2023 were collected, and the relationship between gender, age, season and time (year) of disease spectrum of inpatients was investigated by trend test. Results From 2018 to 2023, the inpatients in a public hospital in Shunde District showed a fluctuating increase with time. Although male patients (45.81%) was lower than female patients (54.19%), male patients increased year by year (P<0.05); Patients ≥60 years old were the main inpatients (36.87%), and the disease spectrum and time of inpatients in different age groups showed a non-linear linear relationship (Pr<0.05,Pb<0.05). The number of in-patients in summer was the most in each season (27.33%), and the disease spectrum of hospitalized patients in different seasons had significant differences at different time (P<0.05). The main diseases affecting the health of the population were digestive diseases, circulatory system disease, factors affecting health status and contact with health institutions, tumors, pregnancy, childbirth and puerperium. Women of childbearing age (15-44 years old) were mainly in pregnancy, childbirth and puerperium, and showed a decreasing trend. Circulatory system diseases were the main diseases in inpatients aged ≥60 years (21.11%) and in winter (12.54%). Conclusion The demand for inpatient medical services in this area is increasing year by year, and the main diseases are digestive system diseases, circulatory system diseases and tumors. The proportion of females is higher than that of males; however, as females′ fertility desire decreases, the proportion of males shows an increasing trend. The elderly and winter inpatients mainly received medical services related to circulatory system diseases. Relevant departments can rationally allocate medical resources according to the disease spectrum, effectively avoid the waste of medical resources and improve the utilization rate of resources.

参考文献/References:

[1]贾佳,刘冰,吕翻翻,等.国内疾病谱研究现状述评[J].中国社会医学杂志,2021,38(2):165-167.[2]刘晓侠,杨群娣,刘丹妮,等.上海市35岁以上居民慢性病相关行为危险因素关联情况的挖掘[J].中国卫生统计,2024,41(1):68-71.[3]何瑞雪,苏晞,邓璐莎.佛山市某三甲妇幼医院2013-2022年住院患者疾病谱分析[J].现代医院,2023,23(12):1916-1919.[4]陈龙.2017-2019年广东省住院病例疾病谱对比分析[J].中国医院统计,2020,27(5):420-423.[5]Yerramalla MS,Fayosse A,Dugravot A,et al.Association of moderate and vigorous physical activity with incidence of type 2 diabetes and subsequent mortality: 27 year follow-up of the Whitehall II study[J].Diabetologia,2020,63(3):537-548.[6]Dong J,Li X,Fan R,et al.RETRACTED ARTICLE: Health-related quality of life among ethnic minority residents in remote Western China: a cross-sectional study[J].BMC Public Health,2023,23(1):638.[7]钟礼信,何雩霏,江力生,等.2016-2022年广州市某三甲综合医院住院病例疾病谱变化[J].广州医药,2023,54(10):28-38,51.[8]吴鸿鹏,肖启民,周晓芝.山东省某综合医院出院病人疾病谱分布特征[J].中国医院统计,2022,29(2):93-98.[9]Siddiqi TJ,Anker SD,Filippatos G,et al.Health status across major subgroups of patients with heart failure and preserved ejection fraction[J].Eur J Heart Fail,2023,25(9):1623-1631.[10]Sun Y,Yuan S,Chen X,et al.The contribution of genetic risk and lifestyle factors in the development of adult-onset inflammatory bowel disease[J].Am J Gastroenterol,2023,118(3):511-522.[11]Gill SK,Rossi M,Bajka B,et al.Dietary fibre in gastrointestinal health and disease[J].Nat Rev Gastroenterol Hepatol,2021,18(2):101-116.[12]徐金兰.消化性溃疡与气象及污染因素关系的初步研究[D].兰州:兰州大学,2022.[13]李柏贞.气候对人群罹患消化疾病的影响[R].南昌:江西省气候中心,2021.[14]Ferrari AJ,Santomauro DF,Aali A,et al.Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021[J].Lancet,2024,403(10440):2133-2161.[15]马丽媛,王增武,樊静,等.《中国心血管健康与疾病报告2022》要点解读[J].中国全科医学,2023,26(32):3975-3994.[16]杨继,张垚,马腾,等.1990-2019年中国心血管疾病流行现状、疾病负担及发病预测分析[J].中国全科医学,2024,27(2):233-244.[17]杨军.气温变化对我国15城市人群心血管疾病死亡影响的研究的研究[D].北京:中国疾病预防控制中心,2017.[18]Kai X,Hong Z,Hong Y,et al.Short-term impact of diurnal temperature range on cardiovascular diseases mortality in residents in northeast China[J].Sci Rep,2023,13(1):11037.[19]Tang H,Wang X,Kang Y,et al.Long-Term Impacts of Diurnal Temperature Range on Mortality and Cardiovascular Disease:A Nationwide Prospective Cohort Study[J].Metabolites,2022,12(12):1287.[20]Keatinge WR,Coleshaw SRK,Cotter F,et al.Increases In Platelet And Red Cell Counts, Blood Viscosity, And Arterial Pressure During Mild Surface Cooling: Factors In Mortality From Coronary And Cerebral Thrombosis In Winter[J].BMJ,1984,289(6456):1405-1408.

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更新日期/Last Update: 1900-01-01