摘要
目的探讨新型冠状病毒肺炎(新冠肺炎)疫情期间(一级响应期)广东居民住院病例疾病谱的特征。方法收集2020年新冠肺炎疫情期间(一级响应期)广东省居民住院病案首页数据,根据ICD-10按系统分类,分析其疾病谱特征;将疫情期间疾病谱与2019年同期进行对比,分析其变化特点。结果2020年新冠肺炎疫情期间住院病人96.1万人次,较2019年同期下降26.3%,其中男性占43.9%,女性占56.1%;15岁以上占83.9%。住院病例前6位疾病分别为妊娠、分娩和产褥期、呼吸系统疾病、循环系统疾病、其他接受医疗服务、消化系统疾病、损伤中毒。疫情期间住院病例疾病谱有所变化。前10顺位疾病中,妊娠、分娩和产褥期由第2为上升为第1位,其他接受医疗服务由第5位上升为第4位,泌尿生殖系统疾病由第8位上升为第7位,肿瘤由第9位上升为第8位,起源于围生期疾病由第10位上升为第9位;呼吸系统疾病由第1位下降为第2位,消化系统疾病由第4位下降为第5位,肌肉骨骼系统和结缔组织疾病由7位下降为10位。眼和附器疾病由13位下降为19位。男性10种疾病顺位改变,女性12种疾病顺位改变。结论新冠肺炎疫情期间住院服务需求减少,疫情期间住院病例疾病谱有较大变化;妊娠、分娩和产褥期、呼吸系统疾病、循环系统疾病、其他接受医疗服务、消化系统疾病、损伤中毒仍然是居民主要的住院疾病。
ObjectiveTo explore the characteristics of the disease spectrum of inpatients during the COVID-19epidemic(first level response period)in Guangdong Province.MethodsThe home page data of the inpatient medical records during the COVID-19 epidemic(first level response period)in 2020 were collected,and the disease spectrum was analyzed according to ICD-10.The disease spectrum was compared with that of the same period in 2019.ResultsThe number of inpatients during the COVID-19 epidemic in 2020 was 961 thousand and 26.3%lower than that of the same period in 2019,of which 43.9%were male and 56.1%were female.83.9%of the cases were over 15 years old.The top 6 systemic diseases were pregnancy,delivery and puerperium,respiratory diseases,circulatory diseases,factors influencing health status and contact with health services,digestive diseases and injury poisoning.Among the top 10 systemic diseases,pregnancy,delivery and puerperium rose from the second to the first,factors influencing health status and contact with health services rose from 5thto 4th,genitourinary diseases rose from 8thto 7th,neoplasms rose from 9thto 8th,certain conditions that originated in the perinatal period rose from 10thto 9th;Respiratory diseases dropped from the first to the second,digestive diseases dropped from 4thto 5th,musculoskeletal system and connective tissue diseases dropped from 7thto 10th.Diseases of the eye and adnexa dropped from 13thto 19th.In male cases,the order of 10 diseases changed,while in female cases,the order of 12 diseases changed.ConclusionDuring the COVID-19 epidemic,the demand for hospitalization decreased,and the spectrum of inpatients changed greatly.The main diseases of inpatients were the pregnancy,delivery and puerperium,respiratory diseases,circulatory diseases,factors influencing health status and contact with health services,digestive diseases and injury poisoning.
作者
陈龙
黄晓亮
冯丽芬
李慧敏
胡伟
CHEN Long;HUANG Xiao-liang;FENG Li-fen;LI Hui-min;HU Wei(Government Affairs Service Center of Health Commission of Guangdong Province,Guangzhou 510060,China;Guangzhou Public Health and Education Center)
出处
《华南预防医学》
2021年第6期701-705,共5页
South China Journal of Preventive Medicine
基金
广东省卫生经济学会面上课题(2020-WJMZ-05)
广东省医学科研基金(B2021439)。
