基于医院信息管理系统数据的抑郁障碍患者临床特征及病证诊疗分析

发布时间：2018-02-26 03:28

本文关键词： 抑郁障碍医院信息管理系统二十四节气　出处：《中医杂志》2014年24期 　论文类型：期刊论文

【摘要】：目的了解抑郁障碍患者人口学特征、发病与节气规律以及中西医治疗用药的分布情况,为临床提供合理治疗及前瞻性研究提供思路与指导。方法收集2003年12月22日至2011年8月12日全国19家三级甲等综合医院的医院信息管理系统(HIS)住院数据,对出院诊断中有"抑郁障碍"诊断的患者性别、年龄、入院方式、付费方式、住院科室、住院天数、住院费用、用药情况等进行统计分析,研究患者发病与节气规律。结果共收集抑郁障碍患者1808例,性别缺失301例,有性别信息的患者中男性650例(43.13%),女性857例(56.87%);年龄中位数为56岁,18~74岁为主,共908例(82.17%);住院科室神经科最多751例(41.54%);住院天数以28天以内为主1596例(88.27%)。二十四节气中入院在寒露期间93例(5.92%),小寒期间105例(6.68%)。患者使用最多的抗抑郁剂为氟哌噻吨美利曲辛(20.95%),使用最多的中成药为银杏叶提取物(27.91%)。结论抑郁障碍患者女性多于男性,随年龄段递增住院天数渐增加,抑郁障碍发作高峰期集中在小寒、寒露,使用抗抑郁剂频率最高的西药为氟哌噻吨美利曲辛,中成药为银杏叶提取物。
[Abstract]:Objective to investigate the demographic characteristics, incidence and solar terms of depressive disorder patients, and the distribution of traditional Chinese and western medicine. Methods from December 22nd 2003 to August 12th 2011, the hospital information management system of 19 Grade 3A general hospitals in China was collected. The gender, age, admission mode, payment method, hospitalization department, length of stay, hospitalization expenses, drug use, etc., in patients with "depression disorder" diagnosed in discharge diagnosis were statistically analyzed. Results A total of 1808 patients with depressive disorder and 301 patients with lack of sex were collected. Among the patients with sex information, 650 men (43.13 patients) and 857 women (56.87patients) were selected, the median age was 56 years old or 1874 years old. A total of 908 patients were involved in 82.17m; in the department of neurology, the maximum of 751 was 41.54; the number of days in hospital was less than 28 days, mainly 1 596 patients were admitted to hospital in 24 solar terms, 93 patients were admitted to hospital during Cold Dew's period, 105 patients were admitted to hospital during #internal_person1# period, 105 patients were treated with droperthiothioate, and the most commonly used antidepressants were droperthiothioate. Ritracin 20.95A, the most commonly used traditional Chinese patent medicine is Ginkgo biloba extract 27.91. Conclusion female patients with depression are more than men. The days of hospitalization increased gradually with the increase of age. The peak period of depressive disorder was concentrated in Lesser Cold and Cold Dew. The western medicine with the highest antidepressant frequency was dropethothiactone melitracin and the traditional Chinese patent medicine was Ginkgo biloba extract.
【作者单位】：中国中医科学院中医临床基础医学研究所;北京回龙观医院;中国人民大学;中国人民解放军海军总医院;
【基金】：国家“重大新药创制”科技重大专项(2009ZX09502-030)
【分类号】：R749.4

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