35984例肝硬化患者入院节气与死亡时辰规律的真实世界研究

发布时间：2018-04-17 02:36

本文选题：肝硬化 + 入院节气　；参考：《辽宁中医杂志》2015年11期

【摘要】：目的:旨在分析研究真实世界中肝硬化患者入院节气与死亡时辰规律,以期为临床肝硬化的诊疗及预防提供参考与借鉴。方法:选自全国17家三级甲等医院信息管理系统(HIS)数据库中诊断为肝硬化的患者35984例,采用频数分析等统计方法对其进行分析。结果:35984例患者中男性患者25260例,女性患者8532例,男女比例约为3∶1;以门诊入院患者29711例(85.26%),入院病情多为一般,占总人数的70.85%,入院科室以消化科、传染病科和肿瘤科居多,分别占53.45%,16.22%,10.18%;对入院日期为农历2008年立春开始至2010年大寒结束间的病例进行分析发现小暑(6.06%)、夏至(5.68%)、立秋(5.01%)入院率最高,对其年代进行分层后发现2008年寒露(8.39%)、大雪(7.17%)这2个节气入院率高;2009年立夏(5.51%)、小暑(5.39%)这2个节气入院率高;2010年夏至(7.62%)、立夏(7.20%)这2个节气入院率高;夏至(5.95%)、谷雨(5.79%)、大暑(5.12%)立秋(5.12%)死亡人数最多;申时、酉时、午时的死亡率分别为24.96%、16.07%、13.06%。结论:肝硬化好发于45~59岁,男性发病率明显高于女性,小暑、夏至、立秋为该病入院高峰节气,死亡高峰为夏至、谷雨、大暑、立秋4个节气,申时、酉时、午时为其死亡人数最多的时辰。
[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.
【作者单位】：中国中医科学院中医临床基础医学研究所;中国人民大学统计学院;中国人民解放军海军总医院;
【基金】：国家重点基础研究发展计划(“973”计划)资助项目(2013CB532000)
【分类号】：R575.2

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