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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OA

Analysis of the Change Trend in Disease Spectrum of Inpatients in a Public Hospital in Shunde District from 2018 to 2023

中文摘要英文摘要

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.

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.

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

医药卫生

疾病谱趋势检验医疗服务能力国际疾病分类

Disease spectrumTrend testMedical service capacityInternational classification of diseases

《医学信息》 2026 (10)

74-80,7

佛山市科技局科研课题(编号:2320001006780)

10.3969/j.issn.1006-1959.2026.10.012

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