基于医院信息系统的颈椎病合并疾病及用药研究

发布时间：2018-01-31 01:08

本文关键词： 颈椎病药物疗法联合合并疾病医院信息系统　出处：《中国全科医学》2017年08期 　论文类型：期刊论文

【摘要】：目的研究颈椎病患者合并疾病及联合用药特点。方法于2015年12月,选取中国中医科学院中医临床基础医学研究所构建的数据库中,2001-12-06至2011-05-23国内30家三级甲等综合医院收治的第一诊断为颈椎病的34 102例住院患者,提取患者信息,包括性别、年龄、入院科室、合并疾病及用药种类。结果颈椎病患者合并疾病主要为高血压〔16.78%(5 724/34 102)〕、冠心病〔16.40%(5 593/34 102)〕、脑梗死〔14.47%(4 935/34 102)〕、动脉供血不足(脑动脉)〔13.04%(4 448/34 102)〕等心脑血管疾病,使用的西药主要为解热镇痛药〔39.32%(11 342/28 844)〕、降压药〔35.44%(10 221/28 844)〕、营养神经药〔35.05%(10 110/28 844)〕、抗菌药物〔31.67%(9 136/28 844)〕,中药主要为活血通络剂〔66.50%(19 181/28 844)〕,中药活血通络剂和西药降压药、营养神经药的联合用药最为频繁。结论颈椎病患者合并疾病以高血压、冠心病、脑梗死、动脉供血不足(脑动脉)等心脑血管疾病为主;西医治疗多为针对合并疾病对症治疗,中医中药以活血通络为主。
[Abstract]:Objective to study the characteristics of patients with cervical spondylopathy complicated with diseases and their combined use of drugs. Methods in December 2015, the database was constructed by the Institute of Clinical Medicine of Chinese Academy of traditional Chinese Medicine (CAS). From 2001-12-06 to 2011-05-23, 34,102 first diagnosed patients with cervical spondylosis were admitted to 30 Grade 3A General Hospitals in China, and patient information, including gender, was extracted. Age, admission department, complicated diseases and kinds of drugs. Results the patients with cervical spondylopathy were mainly hypertension 16.78% (5 724/34 102). Coronary heart disease (CHD) was 5 593/34 102D, and cerebral infarction was 4 935/34 102U). Lack of arterial blood supply (cerebral artery 13. 04 and 4 448/34 102) and other cardiovascular and cerebrovascular diseases. The main western medicine used was the antipyretic analgesics (39.32) and 11 342/28 844 (the antihypertensive drug was 35.44 / 10 221/28 / 844). The nutritive nerve drug was 10 110/28 8444L, and the antimicrobial drug 31.67m was 9 136/28 8444L). The main traditional Chinese medicine for promoting blood circulation and collaterals is 66.50 to 19 181/28 8444A, traditional Chinese medicine to promote blood circulation and collaterals and western medicine antihypertensive drugs. Conclusion the main diseases of cervical spondylosis are hypertension, coronary heart disease, cerebral infarction, insufficiency of arterial blood supply (cerebral artery) and other cardiovascular and cerebrovascular diseases. Western medicine is mostly for the treatment of combined diseases, traditional Chinese medicine to promote blood circulation and collaterals.
【作者单位】：中国中医科学院针灸研究所;中国中医科学院中医临床基础医学研究所;中国中医科学院望京医院;
【基金】：中央级公益性科研院所基本科研业务费专项(PY1303,Z0406)
【分类号】：R681.55;R197.3
【正文快照】： 颈椎病指颈椎间盘退行性改变及其继发病理改变累及周围组织结构,出现的相应临床表现。随着生活方式的改变,颈椎病患病率呈逐年升高和年轻化趋势。流行病学调查显示,颈椎病患者覆盖5~84岁,发病率达95%[1]。在信息技术高速发展的今天,我国各级医院已进入网络化信息管理时代,医院

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