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目的调查四川大学华西医院内分泌代谢科2011年下丘脑-垂体-肾上腺/性腺疾病住院患者的疾病负担情况,为进一步研究提供基线数据。方法从住院HIS系统中提取2011年1月1日~2011年12月31日自四川大学华西医院内分泌代谢科出院或转他科诊治后出院的住院病例资料,内容包括住院患者基本信息、出院首诊断、住院费用及是否在院登记医保等。根据国际疾病分类(ICD-10)标准,对病案首页的各项诊断进行疾病分类,采用Excel 2010软件整理数据,并运用SPSS 13.0软件进行统计分析。结果①2011年该院内分泌代谢科住院患者中首诊断为下丘脑-垂体-肾上腺/性腺疾病住院患者病例352人次,男性139例,女性213例,平均年龄42.9±15.0岁;②中位住院天数11天,人次中位住院总费用4 361.09元,以化验费、检查费、西药费居多。结论下丘脑-垂体-肾上腺/性腺疾病是三甲医院内分泌代谢科的重要病种,其住院费用以化验费、检查费及西药费为主。
Objective To investigate the disease burden of inpatients with hypothalamic-pituitary-adrenal / gonadal diseases in Endocrine and Metabolic Department of West China Hospital of Sichuan University in 2011, and to provide baseline data for further study. Methods From January 1, 2011 to December 31, 2011, hospitalized patients were discharged from hospital HIS system from the Department of Endocrinology and Metabolism of West China Hospital, Sichuan University from January 1, 2011 to December 31, 2011. The data included the basic information of inpatients, Diagnosis, hospitalization expenses and whether to register for medical insurance in the hospital. According to the International Classification of Diseases (ICD-10), the diseases were classified according to the diagnosis of the first page of the medical record. Excel 2010 software was used to sort the data and SPSS 13.0 software was used for statistical analysis. Results ① In 2011, there were 352 inpatients with hypothalamus-pituitary-adrenal gland disease hospitalized in the endocrinology and inpatient department of the hospital, 139 males and 213 females, with an average age of 42.9 ± 15.0 years. ② The median length of stay was 11 Day, the total median hospitalization cost 4 361.09 yuan, with laboratory fees, inspection fees, most of the Western drug costs. Conclusions Hypothalamus - pituitary - adrenal / gonadal diseases are the important diseases of endocrine and metabolic diseases in the top three hospitals. The cost of hospitalization is mainly laboratory test, examination fee and western medicine fee.