论文部分内容阅读
目的通过调查我院呼吸内科门诊疾病构成,初步预测成都市综合医院呼吸内科门诊疾病谱。方法随机收集四川省人民医院2011年1月1日至2011年12月31日呼吸内科门诊电子病历,根据人民卫生出版社《内科学》第七版并结合初诊医生的初步诊断,获得各种疾病的构成。结果共收集呼吸内科门诊患者14900例,平均年龄(46.3±17.2)岁,男女性患者比例基本相当,23～48岁及53～68岁为呼吸内科门诊就诊的高峰年龄段。呼吸内科门诊最常见的十大病因依次为:急性气管-支气管炎、胸痛、慢支炎、COPD、亚急性咳嗽、慢性咳嗽、上呼吸道感染、肺炎、各种胸闷气紧、支气管哮喘及咯血。部分疾病存在季节性波动。结论本研究首次预测成都市综合医院呼吸内科门诊疾病谱,具有一定代表性,亦提示我们应当警惕和重视的疾病和人群,这也为呼吸系统疾病的防治提供了理论依据。
Objective To investigate the composition of respiratory medicine clinic in our hospital and to predict the respiratory disease outpatient disease spectrum in Chengdu General Hospital. Methods We randomly collected the electronic medical records of Respiratory Medicine Clinic from January 1, 2011 to December 31, 2011 in Sichuan Provincial People’s Hospital. According to the seventh edition of Internal Medicine of People’s Health Publishing House and preliminary diagnosis of newly diagnosed doctors, we obtained various diseases The composition. Results A total of 14900 respiratory medicine outpatients were collected, with an average age of (46.3 ± 17.2) years. The proportions of male and female patients were basically equal. The peak age of 23 to 48 years old and 53 to 68 years old were respiratory clinic outpatients. The most common causes of respiratory medicine clinic were as follows: acute trachoma - bronchitis, chest pain, chronic bronchitis, COPD, subacute cough, chronic cough, upper respiratory tract infection, pneumonia, various chest tightness, bronchial asthma and hemoptysis. Some diseases have seasonal fluctuations. Conclusions This study, for the first time, predicts the respiratory disease outpatient disease spectrum in General Hospital of Chengdu with some representativeness, and also prompts us to guard against and pay attention to the diseases and populations, which also provides a theoretical basis for the prevention and treatment of respiratory diseases.