论文部分内容阅读
目的探讨解放军总医院不同时间段老年痴呆临床诊断诊断情况及病案编码人员对疾病的编码情况。方法对解放军总医院1987～2002年临床诊断老年痴呆病例进行回顾性分析。结果本组老年痴呆共有119例,其中阿尔茨海默病(Alzheimer’sdiseaseAD)39例,血管性痴呆(VasculardementiaVD)59例,混合性痴呆(MixedtypedementiaMD)8例,其他少见类型13例。随着时间的推移老年痴呆的诊断例数逐渐增加,1995年以后痴呆的诊断例数明显增高,而其中两个主要类型AD、VD的诊断例数增加尤为明显。老年痴呆编码与ICD-9总的符合率为78.15%,各种痴呆的编码符合率分别为AD94.88%,VD72.88%,MD62.50%,其他少见类型痴呆为61.54%。Fisher精确概率检验结果显示AD的编码符合率显著高于VD、MD以及其他少见类型痴呆的编码符合率(P=0.005,P<0.01)。结论老年痴呆临床诊断逐年增加,证明临床医生对于老年痴呆越来越重视;病案编码人员和临床医生应充分掌握和了解老年痴呆和国际疾病分类的相关知识,才能保证老年痴呆疾病的正确诊断编码。
Objective To investigate the clinical diagnosis and diagnosis of Alzheimer’s disease in different periods of PLA General Hospital and the coding of diseases by medical record coders. Methods A retrospective analysis was performed on the clinical diagnosis of Alzheimer’s disease in PLA General Hospital from 1987 to 2002. Results A total of 119 Alzheimer’s disease patients were included in the study. Alzheimer’s disease was 39, Vascular dementiaVD 59, Mixed type dementia 8, and 13 other rare types. The number of cases of dementia increased with the passage of time, and the number of cases of dementia after 1995 markedly increased. The number of cases diagnosed with AD and VD increased significantly. The overall coincidence rate of Alzheimer’s code and ICD-9 was 78.15%. The coincidence rates of various dementias were AD94.88%, VD72.88%, MD62.50%, and other rare types of dementia was 61.54%. Fisher exact test showed that the coincidence rate of AD was significantly higher than that of VD, MD and other rare types of dementia (P = 0.005, P <0.01). Conclusions The clinical diagnosis of senile dementia is increasing year by year, which proves that clinicians pay more and more attention to senile dementia. The medical staff and clinicians should fully understand and understand the related knowledge of senile dementia and the international classification of diseases so as to ensure the correct diagnosis and coding of senile dementia.