甘肃省84 724例脑梗死病例共病情况及组合模式

何永梅; 陈思璇; 姚进文; 高歆; 陈永聪

doi:10.16462/j.cnki.zhjbkz.2023.05.011

甘肃省84 724例脑梗死病例共病情况及组合模式

doi: 10.16462/j.cnki.zhjbkz.2023.05.011

1.
730030 兰州，兰州大学公共卫生学院社会医学与卫生事业管理研究所
2.
730030 兰州，甘肃省卫生健康委员会卫生健康统计信息中心办公室

基金项目:

熵权TOPSIS法的甘肃省三级综合性公立医院绩效评价指标体系研究 GSWSKY2021-063

详细信息

通讯作者:
陈永聪，E-mail: cyc@lzu.edu.cn

中图分类号: R743.33
计量
- 文章访问数: 170
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- 被引次数: 0
出版历程
- 收稿日期: 2021-11-25
- 修回日期: 2022-04-18
- 刊出日期: 2023-05-10

Comorbidity patterns and conditions among 84 724 cerebral infarction patients in Gansu Province

1.
Institute of Social Medicine and Health Management, School of Public Health, Lanzhou University, Lanzhou 730030, China
2.
Center of Health Statistics Information, Health Commission of Gansu Province, Lanzhou 730030, China

Funds:

Research on Performance Evaluation Index System of Third Grade Comprehensive Public Hospitals in Gansu Province Based on Entropy Weight TOPSIS Method GSWSKY2021-063

More Information

Corresponding author: CHEN Yongcong，E-mail: cyc@lzu.edu.cn

摘要

摘要: 目的分析甘肃省脑梗死病例慢性病的共病情况和组合模式，为脑梗死共病防治提供依据。方法纳入2020年1月1日―2020年12月31日甘肃省14个市州公立医院脑梗死出院病例84 724例，对其基本人口学特征及共病史进行描述性分析，用UpSet集合图分析共病组合模式。结果 84 724例脑梗死病例中，男性占54.06%，病例年龄为(67.65±10.83)岁，60~ < 80岁病例最多，占65.51%；80.23%的脑梗死病例存在共病，共患1~2种慢性病占59.32%，共患2种以上的病例占20.91%；共病率最高的慢性病是高血压(53.69%)；一元共病组合中最常见的是脑梗死+高血压(17.40%)，二元共病组合中最常见的是脑梗死+高血压+心脏病(7.04%)，三元共病组合中最常见的是脑梗死+高血压+心脏病+慢性肺部疾患(1.77%)。结论甘肃省脑梗死病例共病患病率较高，高血压是脑梗死共病风险最高的慢性病，建议卫生部门加强脑梗死共患慢性病的疾病管理。
- 脑梗死 /
- 慢性病共病 /
- 共病模式
Abstract: Objective The aim of this study is to investigate the comorbidity conditions and patterns among discharged cerebral infarction patients in Gansu Province, providing a basis for the prevention and treatment of comorbidities related to cerebral infarction. Methods A total of 84 724 patients with cerebral infarction from 14 public hospitals in Gansu Province were enrolled between January 1, 2020, and December 31, 2020. Basic demographic characteristics and comorbidities history were descriptively analyzed, and the comorbidity models were examined using UpSet graph. Results Of the 84 724 cerebral infarction patients, 54.06% were male. The average age of patients was (67.65±10.83) years, with the majority of patients (65.51%) aged between 60 and 80 years. The prevalence of comorbidity was 80.23%, with 59.32% of patients presenting with one or two chronic diseases and 20.91% with more than two. Hypertension was the most common comorbid chronic disease (53.69%). The most prevalent singular comorbidity model was cerebral infarction and hypertension (17.40%), the most common binary model was cerebral infarction, hypertension, and heart disease (7.04%), and the most frequent ternary comorbidity model was cerebral infarction, hypertension, heart disease, and chronic lung disease (1.77%). Conclusions The prevalence of comorbidity among cerebral infarction patients in Gansu Province was relatively high, with hypertension being the most common comorbidity. Health-relevant departments should focus on strengthening the management of chronic diseases associated with cerebral infarction.
- Cerebral infarction /
- Comorbidity /
- Comorbidity model

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图 2 脑梗死病例共病组合模式的UpSet集合图

注: UpSet图中。A为脑梗死病例共患慢性病的数据集和患病数: C为点的连接关系代表各慢性病的交集。

Figure 2. The UpSet graph of comorbidity patterns for patients with cerebral infarction

下载: 全尺寸图片幻灯片

表 1 脑梗死病例的基本特征

Table 1. Baseline characteristics of patients with cerebral infarction

变量	例数(n)	百分比(%)
性别
男	45 804	54.06
女	38 920	45.94
民族
汉族	80 069	94.51
其他民族	4 655	5.49
年龄组(岁)
12~ < 40	1 108	1.31
40~ < 60	19 563	23.09
60~ < 80	55 504	65.51
≥80	8 549	10.09
婚姻状况
未婚	923	1.09
已婚	66 743	78.78
离异/丧偶	17 058	20.13
共患慢性病数量(个)
0	16 746	19.77
1	26 555	31.34
2	23 710	27.98
3	12 698	14.99
≥4	5 015	5.92

下载: 导出CSV

表 2 2020年甘肃省脑梗死共病病例的地区分布[n(%)]

Table 2. The regional distribution graph of cerebral infarction patients with comorbidity in Gansu Province in 2020 [n(%)]

地区	非“共病”脑梗死患者	“共病”脑梗死患者	合计
兰州市	4 526(5.34)	16 078(18.98)	20 604(24.32)
张掖市	2 233(2.64)	9 842(11.61)	12 075(14.25)
庆阳市	1 643(1.94)	9 857(11.63)	11 500(13.57)
天水市	1 915(2.26)	8 762(10.34)	10 677(12.60)
平凉市	1 963(2.32)	8 418(9.94)	10 381(12.25)
酒泉市	1 037(1.22)	3 770(4.45)	4 807(5.67)
武威市	991(1.17)	3 066(3.62)	4 057(4.79)
定西市	648(0.76)	2 398(2.83)	3 046(3.60)
陇南市	637(0.75)	1 725(2.04)	2 362(2.79)
白银市	474(0.56)	1 729(2.04)	2 203(2.60)
临夏回族自治州	389(0.46)	1 121(1.32)	1 510(1.78)
金昌市	100(0.12)	616(0.73)	716(0.85)
甘南藏族自治州	107(0.13)	342(0.40)	449(0.53)
嘉峪关市	83(0.10)	254(0.30)	337(0.40)
合计	16 746(19.77)	67 978(80.23)	84 724(100.00)

下载: 导出CSV

表 3 不同性别脑梗死病例慢性病共病情况[n(%)]

Table 3. The characteristics of comorbidity for cerebral infarction patients in different genders [n(%)]

共患慢性病	总人数(N=84 724)	男性脑梗死病例(n=45 804)	女性脑梗死病例(n=38 920)	$\chi$²值	P值
高血压	45 491(53.69)	24 691(53.91)	20 800(53.44)	1.796	0.180
心脏病	25 661(30.29)	13 606(29.70)	12 055(30.97)	16.047	< 0.001
慢性肺部疾患	12 497(14.75)	6 800(14.85)	5 697(14.64)	0.725	0.395
糖尿病	12 145(14.33)	6 710(14.65)	5 435(13.96)	8.046	0.005
肝脏疾病	7 382(8.71)	4 068(8.88)	3 314(8.51)	3.552	0.059
胃部或消化系统疾病	7 079(8.36)	3 662(7.99)	3 417(8.78)	16.916	< 0.001
血脂异常	6 945(8.20)	3 629(7.92)	3 316(8.52)	9.971	0.002
肾脏疾病	6 363(7.51)	3 561(7.77)	2 802(7.20)	10.017	0.002
情感和精神障碍	3 277(3.87)	1 655(3.61)	1 622(4.17)	17.387	< 0.001
肿瘤	3 056(3.61)	1 717(3.75)	1 339(3.44)	5.748	0.017
与记忆相关疾病	1 609(1.90)	907(1.98)	702(1.80)	3.517	0.061
关节炎或风湿病	1 349(1.59)	700(1.53)	649(1.67)	2.605	0.107
哮喘	403(0.48)	233(0.51)	170(0.44)	2.297	0.130

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