【作者】 于波；

【导师】 孙平辉；

【作者基本信息】 吉林大学 ， 临床评价（专业学位）， 2015， 硕士

【摘要】 目的:对齐齐哈尔市某三级甲等医院2010年至2014年甲状腺相关疾病住院患者资料分析研究,总结甲状腺相关疾病住院患者的临床特点,对甲状腺相关疾病的防治提供依据。方法:收集齐齐哈尔市某三级甲等医院2010年至2014年甲状腺相关疾病住院患者的资料,剔除床位费为零和病案信息漏填的病例,得到了5075例数据。将获得资料应用Excel软件建立数据库,并应用SPSS20.0进行统计分析,对资料按年龄、性别、职业、住院天数、疾病类型、出院情况进行了分层分析,采用了描述统计学方法对病人的疾病特征进行分析。结果:1 2010-2014年5075名甲状腺疾病住院患者中,男性占16.22%,女性占83.78%,男:女比例为1:5.17;患者的年龄主要集中于50~岁年龄段;职业为退休人员的人数为1765人,占患者总数的34.78%,高于其他职业。2甲状腺疾病患者的住院天数主要集中在5~9天,占64.00%,疾病类型中,甲状腺结节患者人数最多,占79.82%。3 2010-2014年女性甲状腺疾病住院患者的构成比始终高于男性;50~岁年龄段的甲状腺疾病住院患者所占比例在2010-2013年呈逐渐上升趋势,虽在2014年有所下降,但始终高于其他年龄段患者;退休人员所占比例始终高于其他职业患者人数;甲减和甲状腺癌住院患者所占比例逐年升高,甲状腺结节所占比例虽然有逐渐降低趋势,但始终高于其他疾病类型的患者;甲状腺疾病患者住院天数为5~9天者所占比例始终高于其他住院天数的患者;甲状腺疾病患者因未愈出院者所占比例在2010-2014年呈逐年上升趋势。结论:1.2010-2014年5075名甲状腺疾病住院患者中,女性高于男性,患者年龄主要集中于50~岁年龄段;住院患者职业为退休人员的人数高于其他职业;住院天数主要集中在5~9天;不同疾病类型中,以甲状腺结节患者人数最多。2.甲减和甲状腺癌住院患者所占比例逐年升高;甲状腺疾病患者因未愈出院者所占比例在2010-2014年呈逐年上升趋势。3.对于50~岁年龄段的患者及职业为退休人员应定期进行甲状腺疾病的筛查,尤其是女性。4.加强对甲状腺癌、甲状腺结节、甲减疾病相关知识的宣传及普及,预防疾病的发生,同时也应提高本院甲状腺疾病的诊断和治疗技术。更多还原

【Abstract】 Purpose:Analyzing the characteristics of in-patients with thyroid related diseases of a tertiary hospital in Qiqihaer from year 2010 to 2014, describing their disease situation, providing evidence for preventive measures of thyroid diseases.Method:Collecting data from a tertiary hospital in Qiqihaer from year 2010-2014 Year of hospitalized patients with thyroid disease, eliminating those zero hospitalized days and those medical record information imperfect, totally 5075 cases. A database of information was set up using Excel software. Data were analyzed according to gender, age, occupation, length of stay, discharge situation and disease type.Descriptive analysis were adopted to describe the characteristics of these patients.Result:1. The male accounted for 83.78%, women accounted for 16.22%, male:female ratio is 1:5.17 of 5075 patients with thyroid disease in 2010-2014;The age of the patients was mainly concentrated in the age of 50 years; The number of retirees is 1765 people, accounting for 34.78% of the total number of patients, higher than other occupations.2. Patients with thyroid disease hospitalization days mainly concentrated in the 5to 9 days, accounted for 64.00%; disease type, patients with thyroid nodules number most accounted for 79.82%。3. Women in 2010-2014 the composition of the hospitalized patients with thyroid disease than always than men. Aged 50 ~ proportion of patients with thyroid disease in hospital in 2010-2013 showed a trend of rising, while declined in 2014, the proportion is always higher than other age group. Retiree proportion of the number of patients is higher than other professions. The proportion of hospitalized patients with hypothyroidism and thyroid cancer is increasing, Proportion of thyroid nodules although have gradually reduce the trend, but is always higher than other types of disease patients. Hospitalization days for patients with thyroid disease is 5 ~ 9 days is always higher than the proportion of other hospitalization days of patients. Proportion of patients with thyroid disease for most dischargee in there is an upward trend in2010-2014.Conclusion:1. In 2010-2010, 5075 hospitalized patients with thyroid disease, women more than men, age, mainly concentrated in 50 ~ age group. Hospitalized patients as the number of retirees is higher than other professions. Hospitalization days mainly concentrated in the 5 ~ 9 days. Different types of disease, most patients is the patient of thyroid nodules。2. Proportion of hospitalized patients with hypothyroidism and thyroid cancer is increasing 。 Proportion of patients with thyroid disease for most dischargee is an upward trend in 2010-2014.3. For patients aged 50 ~ and career for retirees should be regular screening for thyroid disease, especially women。4. We should strengthen for thyroid carcinoma, thyroid nodules, hypothyroidism disease related knowledge propaganda and popularization, prevent the happening of the disease, and improve the technology for the diagnosis and treatment of thyroid disease.更多还原