Objective To analyze the characteristics of outpatients in Neurological Department in different periods and to provide guidance on medical decision-making for Neurological Department.
Method Outpatients treated between August and September 1994 (group 1994) and between August and September 2012 (group 2012) in the Department of Neurology of a general hospital were included in our study. Group 1994 had 1 000 consecutive patients; while group 2012 had 18 995 patients excluding those repeat visitors, patients waiting to be treated (including dizziness), patients misdiagnosed to have severe mental diseases (such as schizophrenia), and patients with physical diseases. Then we compared the demographic and disease distribution of patients in the two groups, and performed statistical analysis.
Results Compared with the year 1994, the year 2012 had more female, less young and more elderly patients (P<0.05). The constituent ratio of neurosis, cerebrovascular disease, internal medicine diseases with nerve damage, peripheral nerve disease, brain post-traumatic syndrome, intracranial space-occupying lesions reduced significantly while headache, epilepsy, extrapyramidal disease (such as Parkinson's disease) increased significantly (P<0.01) with no obvious change of constituent ratio of muscle disease, neuropathic muscular dystrophy, spinal cord, brain atrophy and dementia diseases.
Conclusions There are significant changes in characteristics of neurology clinical patients between 1994 and 2012. Revelation of these differences can provide evidence for the optimization of outpatient resources allocation and the prevention policy.
Citation：
GONGYao, JIANGNian, ZHUHong-ru, FUXia, LITao, DENGWei. Analysis of the Characteristics of Outpatients in Neurological Department in Different Periods. West China Medical Journal, 2015, 30(9): 1605-1608. doi: 10.7507/1002-0179.20150461
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 陈斌. 3000例神经内科门诊患者的病种分析[J]. 河南实用神经疾病杂志, 2003, 6(1):49.
- 2. 覃玫, 吴霖浦, 李小蜂, 等. 神经内科门诊3500例患者病种分析[J]. 华夏医学, 2008, 21(2):250-251.
- 3. 刘树东, 张波. 神经内科门诊患者的病种分析[J]. 中国医药指南, 2014(22):213-213.
- 4. 罗祖明, 罗滢. 1000例神经内科门诊患者分析[J]. 华西医学, 1997, 12(1):46-47.
- 5. 范肖冬. ICD-10国际疾病分类[M]. 北京:人民卫生出版社, 1993.
- 6. 尚莉, 李燕, 李健, 等. 工作压力对不同性别职业人群身心健康影响[J]. 中国公共卫生, 2008, 24(12):1519-1521.
- 7. 杨雪, 王淇田. 中国人口老龄化趋势地区性差异的量化分析[J]. 吉林大学社会科学学报, 2012(1):148-153.
- 8. 陈小春. 四川省城镇居民消费水平和消费结构的实证分析[J]. 商场现代化, 2007(35):4-5.
- 9. 谢坚刚. 老年人在医保改革中面临的风险与对策[J]. 社会, 2002(2):7-9.
- 10. 黄朝真, 艾春启. 神经内科门诊头痛患者分型分析[J]. 药物与人, 2014, 27(6):267.
- 11. 王小泉, 宋传福, 杨筠. 不同时期精神科门诊初诊病人的临床特征分析[J]. 四川精神卫生, 2009, 22(1):19-22.
- 12. 沈渔邨. 精神病学[M]. 北京:北京医科大学出版社, 2002:627-654.
- 13. 李晓佳, 孙红斌, 黄雨兰, 等. 成都市三级综合医院神经内科门诊就诊者抑郁/焦虑患病率调查[J]. 实用医院临床杂志, 2011, 8(4):64-66.
- 14. 王大模, 文世全, 张玲燕, 等. 神经内科门诊患者的病种分析[J]. 西部医学, 2012, 24(6):1110-1111, 1114.
- 15. 杨双会, 雷静, 张会君. 门诊导医服务与对策[J]. 华西医学, 1999, 14(2):211.
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