16 410例针灸会诊患者病例特征分析

基金项目:国家重点研发计划项目（No. 2018YFC1705004）;贵州医科大学附属医院院级临床研究项目（No. 2021-GMHCT-005）;贵州省中医药管理局专项课题（No. QZYY-2023-039）;朱祝生全国名老中医药专家传承工作室（No.国中医药人教函〔2022〕75号）

作者

单位

樊同涛;樊小农;李改改;罗禹珩;莫礼华;付宗英;田婧;梁欣;侯珣瑞;李丹茂;雷衍东;徐明

1.天津中医药大学第一附属医院针灸研究所（天津 300381）,2.国家中医针灸临床医学研究中心（天津 300381）,3.贵州医科大学附属医院针灸科（贵阳 550004） ,4.国家中医药管理局针刺量效关系实验室（三级）（天津 300381）,5.天津市针灸学重点实验室（天津 300381）,6.贵州中医药大学第二附属医院呼吸与危重症医学科（贵阳 550003）

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中文摘要:

目的了解贵州医科大学附属医院针灸会诊患者病例特征，为综合医院针灸学科发展提供思路和方向。方法通过医院信息管理系统收集针灸科2016年1月1日—2021年12月31日会诊记录单及患者相关信息，对会诊患者一般情况、原发疾病及所属系统进行统计分析。结果近6年针灸科共收到16 410例患者25 566次会诊申请，其中接受治疗者13 716例，原发病涉及19个系统505种疾病，循环系统、消化系统和神经系统排在前3位，占比69.2%，每周>1次会诊的病种仅7个。年度前10位疾病以脑血管病和急腹症为主，神经和胃肠类症状为主要会诊原因。结论针灸会诊病例覆盖面广而不均，优势病种相对较少而集中。

英文摘要:

Objective To identify the characteristics of acupuncture consultation cases in the Affiliated Hospital of Guizhou Medical University，and to provide the thoughts and directions for the development of acupuncture discipline in general hospitals. Methods The consultation records and patient-related information of the acupuncture department from January 1， 2016 to December 31， 2021 were collected through the hospital information management system， and the general situation， primary disease and system of the consultation patients were statistically analyzed. Results In the almost 6 years，the acupuncture and moxibustion department received a total of 16 410 patients with 25 566 consultation applications，of which 13 716 cases were treated. The primary diseases involved 505 diseases of 19 systems. The circulatory，digestive，and neurological system diseases ranked in the top 3，accounting for 69.2%，and only 7 diseases had more than one consultation per week. The top 10 diseases of the year were dominated by cerebrovascular disease and acute abdomen，and neurological and gastrointestinal symptoms were the main reasons for consultation. Conclusion The coverage of acupuncture consultation cases is wide but uneven，and the dominant diseases are relatively few and concentrated.

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