新冠肺炎疫情對(duì)醫(yī)院住院患者就診情況的影響

郭毅 劉梅 曾佩琴 王彬 宋春江

摘要：目的? 明確新冠肺炎疫情對(duì)醫(yī)院住院患者就診情況的影響。方法? 回顧性收集某三甲醫(yī)院2019年1～4月與2020年1～4月住院患者數(shù)據(jù)，分析新冠肺炎疫情對(duì)該院住院患者就診情況的影響。結(jié)果? 與2019年同期相比，2020年同期全院住院人數(shù)由8642人下降至7249人，下降率為16.12%;在各科室中，住院人數(shù)下降情況最顯著的是在2020年2月;住院人數(shù)在2020年3月逐漸回升，且大部分科室在4月份基本恢復(fù)到同時(shí)期水平。另外，疫情期間住院患者中兒童和老年患者所占比例有降低趨勢(shì)，危重癥患者所占比例有增加趨勢(shì)。結(jié)論? 新冠肺炎疫情對(duì)住院患者影響較為顯著，住院患者較2019年同期減少。另外，疫情及復(fù)工復(fù)產(chǎn)期間應(yīng)更加關(guān)注兒童和老年住院患者。

關(guān)鍵詞：新冠肺炎;住院患者;就診情況;居家隔離

中圖分類號(hào)：R197? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻(xiàn)標(biāo)識(shí)碼：A? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI：10.3969/j.issn.1006-1959.2020.22.037

文章編號(hào)：1006-1959（2020）22-0131-03

The Impact of COVID-19 Epidemic on the Situation of Hospital Inpatients

GUO Yi1，LIU Mei1，ZENG Pei-qin2，WANG Bin1，SONG Chun-jiang1

（Department of Neurology1，Departmentof Medical Records2，the Sixth People's Hospital of Chengdu，Chengdu 610000，Sichuan，China）

Abstract：Objective To clarify the impact of COVID-19 epidemic on hospital inpatient visits.Methods? We retrospectively collected the data of inpatients in a tertiary A hospital from January to April 2019 and January to April 2020， and analyzed the impact of the new coronary pneumonia epidemic on the hospital inpatients.Results? Compared with the same period in 2019， the number of hospitalizations in the hospital in the same period of 2020 decreased from 8，642 to 7，249， a decline rate of 16.12%; among departments， the most significant decline in hospitalization was in February 2020; the number of hospitalizations it gradually recovered in March 2020， and most departments basically recovered to the same period level in April. In addition， during the epidemic， the proportion of children and elderly patients among hospitalized patients tended to decrease， and the proportion of critically ill patients tended to increase.Conclusion? TheCOVID-19 epidemic has a significant impact on hospitalized patients， and the number of hospitalized patients decreased compared with the same period in 2019. In addition， more attention should be paid to children and elderly hospitalized patients during the epidemic and the resumption of work and production.

Key words：COVID-19;Hospitalized patients;Medical visits;Homequarantine

新冠肺炎疫情對(duì)全國各行各業(yè)均產(chǎn)生了非常明顯的影響，作為抗擊疫情的主戰(zhàn)場(chǎng)，醫(yī)院的診療活動(dòng)也產(chǎn)生了非常大的影響[1-3]。雖然有學(xué)者提出了新冠肺炎疫情下的各種診療預(yù)案[4-6]，以此來有效降低醫(yī)護(hù)人員和患者感染的風(fēng)險(xiǎn)，以期為患者提供高質(zhì)量的醫(yī)療幫助，但是新冠肺炎疫情對(duì)醫(yī)院診療活動(dòng)仍然影響巨大，有研究報(bào)道新冠肺炎疫情對(duì)門診患者的就診情況影響十分明顯，門診就診人次和就診原因均較同期非疫情期間變化明顯[7]，然而對(duì)住院患者的就診情況尚未見報(bào)道。本研究回顧性分析了2020年1～4月與2019年1～4月某三甲醫(yī)院的住院患者相關(guān)數(shù)據(jù)，以此了解新冠肺炎疫情對(duì)醫(yī)院住院診療的影響，為后續(xù)的醫(yī)院復(fù)工復(fù)產(chǎn)提供數(shù)據(jù)參考，同時(shí)對(duì)醫(yī)院制定的新冠肺炎住院防治策略進(jìn)行評(píng)價(jià)和改進(jìn)，現(xiàn)報(bào)道如下。