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目的了解社区医院疾病谱及变化趋势,为制定疾病防治策略提供科学依据。方法收集顺德区某街道医院2009-2011年住院病人数据,采用ICD-10进行分类统计。结果该院住院病例男性住院人次占41.36%,女性占58.64%,女性是男性的1.42倍;三年间,前五位疾病依次为妊娠、分娩和产褥期类疾病(占25.07%)、呼吸系统疾病(19.67%),损伤、中毒和外因的某些其他后果类疾病(11.76%)、循环系统疾病(10.39%)、消化系统疾病(9.58%);男女性疾病构成、顺位不同;三年中,前十位疾病虽相同但顺位不同;头位顺产、计划性人工流产、支气管肺炎、分娩伴脐带绕颈一周、慢性支气管炎、颈椎病等是该医院的常见病;其中计划性人工流产者未婚人员占43.2%,外来工女性占93.23%,剖宫产率26.66%,颈椎病、高血压、脑动脉硬化疾病构成有前移趋势。结论根据疾病谱顺位及变化趋势,开展重点人群的疾病预防工作,优化常见病、多发病的医疗资源配置。
Objective To understand the community hospital disease spectrum and its changing trend and provide a scientific basis for formulating disease prevention and control strategies. Methods The data of inpatients in a street hospital in Shunde from 2009 to 2011 were collected and classified by ICD-10. Results The hospitalized cases accounted for 41.36% of male inpatients, 58.64% of females and 1.42 times of females. In the three years, the top five diseases were pregnancy, childbirth and puerperium (25.07%), respiratory diseases 19.67%), some other consequences of injury, poisoning and exogenous factors (11.76%), circulatory diseases (10.39%) and digestive diseases (9.58% Although the first ten diseases are the same but with different positions; head of abortion, planned induced abortion, bronchial pneumonia, childbirth with the umbilical cord around the neck for a week, chronic bronchitis, cervical spondylosis is a common disease in the hospital; of which the planned abortion 43.2% of unmarried staff, migrant workers accounted for 93.23%, cesarean section rate of 26.66%, cervical spondylosis, hypertension, cerebral arteriosclerosis constitute a forward trend. Conclusions According to the order and trend of the disease spectrum, the prevention of diseases in key populations is carried out to optimize the allocation of medical resources for common diseases and frequently-occurring diseases.