35984例肝硬化患者入院節(jié)氣與死亡時(shí)辰規(guī)律的真實(shí)世界研究
發(fā)布時(shí)間:2018-04-17 02:36
本文選題:肝硬化 + 入院節(jié)氣 ; 參考:《遼寧中醫(yī)雜志》2015年11期
【摘要】:目的:旨在分析研究真實(shí)世界中肝硬化患者入院節(jié)氣與死亡時(shí)辰規(guī)律,以期為臨床肝硬化的診療及預(yù)防提供參考與借鑒。方法:選自全國17家三級甲等醫(yī)院信息管理系統(tǒng)(HIS)數(shù)據(jù)庫中診斷為肝硬化的患者35984例,采用頻數(shù)分析等統(tǒng)計(jì)方法對其進(jìn)行分析。結(jié)果:35984例患者中男性患者25260例,女性患者8532例,男女比例約為3∶1;以門診入院患者29711例(85.26%),入院病情多為一般,占總?cè)藬?shù)的70.85%,入院科室以消化科、傳染病科和腫瘤科居多,分別占53.45%,16.22%,10.18%;對入院日期為農(nóng)歷2008年立春開始至2010年大寒結(jié)束間的病例進(jìn)行分析發(fā)現(xiàn)小暑(6.06%)、夏至(5.68%)、立秋(5.01%)入院率最高,對其年代進(jìn)行分層后發(fā)現(xiàn)2008年寒露(8.39%)、大雪(7.17%)這2個(gè)節(jié)氣入院率高;2009年立夏(5.51%)、小暑(5.39%)這2個(gè)節(jié)氣入院率高;2010年夏至(7.62%)、立夏(7.20%)這2個(gè)節(jié)氣入院率高;夏至(5.95%)、谷雨(5.79%)、大暑(5.12%)立秋(5.12%)死亡人數(shù)最多;申時(shí)、酉時(shí)、午時(shí)的死亡率分別為24.96%、16.07%、13.06%。結(jié)論:肝硬化好發(fā)于45~59歲,男性發(fā)病率明顯高于女性,小暑、夏至、立秋為該病入院高峰節(jié)氣,死亡高峰為夏至、谷雨、大暑、立秋4個(gè)節(jié)氣,申時(shí)、酉時(shí)、午時(shí)為其死亡人數(shù)最多的時(shí)辰。
[Abstract]:Objective: to analyze and study the timing of hospitalization and death of patients with cirrhosis in the real world, and to provide reference for the diagnosis, treatment and prevention of clinical cirrhosis.Methods: 35984 patients with cirrhosis were selected from information management system (HIS) database of 17 Grade 3A hospitals in China. Frequency analysis and other statistical methods were used to analyze them.Results there were 25260 male patients and 8532 female patients, the ratio of male to female was about 3: 1. 29711 outpatients were admitted to the hospital. The majority of the patients were in general, accounting for 70.85% of the total number of patients. The department of hospitalization was dominated by the Department of Digestive Disease, the Department of Infectious Diseases and the Department of Oncology.The hospital admission rate was the highest by analyzing the cases between the beginning of the Beginning of Spring on the admission date in 2008 and the end of Greater Cold in 2010. The hospital admission rate was the highest.On the basis of stratification of its age, we found that in 2008 Cold Dew had 8.39kha, Greater Snow 7.17) the admission rate of these two solar terms was high; in 2009, the Beginning of Summer was 5.51g, the Beginning of Summer 5.3939), the admission rate of these two throttle was high; the rate of admission to the two solar terms in 2010 was higher than that of the Beginning of Summer 7.62U, Greater Snow 7.20).The Summer Solstice 5.95a, Grain Rain 5.79kyung, Greater Heat 5.12.) the number of deaths is the highest; when you say, at unitary hours, the midday mortality is 24.966.07 and 16.07, respectively.Conclusion: the incidence of liver cirrhosis is significantly higher in men than in women. The incidence of cirrhosis is significantly higher in men than in women. Lesser Heat, the Summer Solstice and the Beginning of Autumn are the highest hospitalization solar terms for the disease.Noon was the time when the number of deaths was the highest.
【作者單位】: 中國中醫(yī)科學(xué)院中醫(yī)臨床基礎(chǔ)醫(yī)學(xué)研究所;中國人民大學(xué)統(tǒng)計(jì)學(xué)院;中國人民解放軍海軍總醫(yī)院;
【基金】:國家重點(diǎn)基礎(chǔ)研究發(fā)展計(jì)劃(“973”計(jì)劃)資助項(xiàng)目(2013CB532000)
【分類號】:R575.2
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6 劉\,
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