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目的:分析梅州市人民医院1998～2007年妇科住院病例,探讨该院妇科住院病例的疾病构成情况,为妇女保健、妇科疾病治疗及该院妇科专科发展提供依据。方法:对1998～2007年的18 976例妇科住院病例以前后5年分成两组进行统计分析,包括病种、顺位变化、平均年龄、构成比、手术率、平均住院日情况。结果:该院妇科住院病例两组比较,后5年住院病例明显增加,手术率也明显增加,平均住院日呈现下降趋势,差异有统计学意义(P<0.01);子宫肌瘤仍然是第1位疾病,肿瘤总体构成有递增趋势,尤以宫颈恶性肿瘤为甚,差异有统计学意义(P<0.01);异位妊娠发病年龄趋于年轻化,差异有统计学意义(P<0.01)。结论:该院妇科住院病例逐年明显增加,发病年龄呈现下降趋势;妇科肿瘤,尤其是宫颈癌呈显著上升趋势;异位妊娠占妇科住院病例构成呈现上升趋势,发病年龄趋于年轻化,应加强防治;平均住院日则出现下降趋势。
Objective: To analyze the incidence of gynecological inpatients from 1998 to 2007 in Meizhou People ’s Hospital and to discuss the constitution of the gynecological inpatients in this hospital and to provide the basis for the treatment of women’ s health and gynecological diseases and the development of gynecology in the hospital. Methods: A total of 18 976 cases of gynecological inpatients from 1998 to 2007 were divided into two groups for statistical analysis, including type of disease, change of position, mean age, constituent ratio, operation rate and average length of stay. Results: The hospitalization of gynecological patients in the two groups showed a significant increase in the number of hospitalizations in the last 5 years and a significant increase in the operation rate. The average length of stay showed a downward trend with a statistically significant difference (P <0.01). Uterine fibroids were still the first (P <0.01). The age of onset of ectopic pregnancy tended to be young, with significant difference (P <0.01). Conclusions: The number of gynecological inpatient cases in hospital increased year by year, and the age of onset showed a decreasing trend. Gynecologic tumors, especially cervical cancer, showed a significant upward trend. The incidence of gynecological inpatients with ectopic pregnancy showed an upward trend and the age of onset tended to be young. Prevention and treatment; the average length of stay showed a downward trend.