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目的分析新疆某三级甲等医院出院病人疾病谱变化状况,为疾病的预防、治疗及医院的科学管理与学科发展提供参考依据。方法对医院2012-2013年出院病人前10顺位疾病分类的出院例数占全院出院例数的构成比进行分类排序和统计学分析。结果该院出院病人前10顺位系统疾病共计195 193人次,占出院总人数的76.36%,疾病谱构成前5位依次为循环系统疾病、肿瘤、泌尿生殖系统疾病、消化系统疾病及妊娠、分娩和产褥期疾病。不同民族疾病谱比较显示,循环系统疾病位居维吾尔族第1顺位,而哈萨克族肌肉骨骼系统和结缔组织疾病最高发,其差异有统计学意义;不同性别及民族疾病谱差异有统计学意义。结论医院可根据疾病构成规律和特点,合理配置医疗资源,加强重点专科、特色专科的建设,形成科有特色、人有专长的良性发展模式,加强常见病、多发病的诊治,更好地为广大患者服务。
Objective To analyze the change of disease spectrum of discharged patients in a tertiary level hospital in Xinjiang and provide reference for the prevention and treatment of diseases and the scientific management and discipline development in hospitals. Methods Classification and statistical analysis were performed on the constituent ratios of the number of discharged patients in the hospital from 2012 to 2013 in the first 10 sorts of discharged diseases. Results The first 10 systemic diseases of discharged patients in this hospital totaled 195,193, accounting for 76.36% of the total discharges. The top 5 diseases were circulatory diseases, tumors, genitourinary diseases, digestive diseases, pregnancy and childbirth And puerperium disease. The comparison of disease spectrum among different ethnic groups shows that the circulatory system diseases rank first in the Uyghur ethnic group, while the Kazak musculoskeletal system and the highest incidence of connective tissue diseases have statistical significance; the differences of the gender and national disease spectrum have statistical significance . Conclusion According to the rules and characteristics of the disease constitution, the hospital can reasonably allocate medical resources, strengthen the construction of key specialties and specialties, and form a benign development model with distinctive characteristics and specialties of people, and strengthen the diagnosis and treatment of common diseases and frequently-occurring diseases. The majority of patient service.