国家某大型军工企业住院患者疾病谱变化趋势调查

发布时间：2018-03-01 03:23

本文关键词： 疾病住院病人疾病谱变化趋势　出处：《中国全科医学》2015年05期 　论文类型：期刊论文

【摘要】：目的了解国家某大型军工企业住院患者疾病谱的变化趋势,为该企业制定相应的疾病预防策略和合理配置医疗资源提供科学依据。方法利用国家某大型军工企业医院信息科医院信息系统(HIS)2006年1月—2010年12月数据资料,按照纳入与排除标准,共纳入符合要求的病例80 905例次。按照出院时间,分层随机抽取每月20%的病案资料,共抽取16 181人次。参照《国际疾病分类》第10版(ICD-10)依据出院第一诊断进行疾病分类。采用描述性分析方法分析疾病构成及顺位变化。结果循环系统疾病始终居第1位,呼吸系统疾病由第4位上升至第2位,消化系统疾病则稳居第3位。循环系统疾病、呼吸系统疾病的患者比例随年份逐渐增加,年平均增长速度分别为4.5%、10.6%;精神和行为障碍,损伤、中毒和外因类疾病的患者比例随年份逐渐减少,年平均下降速度分别为16.8%、10.6%。冠心病由第1位降至第4位,肺部恶性肿瘤由第4位降至第8位,肺炎则由第8位上升至第6位。5年间发病例数居首位的是脑梗死(7.2%,1 173/16 181),其次为高血压(6.9%,1 119/16 181)和冠心病(5.9%,959/16 181)。5年间39.5%(3 521/8 914)的患者住院次数超过1次,占总住院人次的33.3%(3 521/16 181),其中34.2%(3 687/10 788)的患者则是因相同疾病再住院。再住院患者人均住院次数随年份下降,年平均下降速度为1.8%。结论循环系统疾病、呼吸系统疾病和消化系统疾病是该企业医院防治的重点,脑梗死、高血压、冠心病是影响该企业职工的重点疾病,企业对这类患者应以治疗和护理为主,企业医院应该根据住院患者疾病谱的变化趋势合理配置医疗资源。
[Abstract]:Objective to understand the state of a large military enterprise of hospitalized patients with the disease spectrum, formulate the corresponding strategy for this disease and the reasonable allocation of medical resources to provide a scientific basis for the prevention of the enterprise. By using the method of Hospital Information Department of National Hospital, a large military enterprise information system (HIS) from January 2006 to December 2010 data, according to the inclusion and exclusion criteria, were included with the cases in 80905 cases. According to the time of discharge, were randomly selected from 20% monthly medical records, collected a total of 16181 people. According to the international classification of diseases, Tenth Edition of < > (ICD-10) according to a first hospital diagnosis of diseases classification. Using descriptive analysis method to analyze the disease constitution and sequence changes. Results the diseases of the circulatory system is always in the first a respiratory disease rises from fourth to second, the disease of digestive system is ranked third. Circulatory system disease, respiratory system disease patients The proportion gradually increased along with the years, the average annual growth rate were 4.5%, 10.6%; mental and behavioral disorders, injury, poisoning and external diseases, the proportion of patients gradually decreased with year average annual rate of decline was 16.8%, 10.6%. of coronary heart disease by first to fourth, lung cancer from fourth to eighth. Pneumonia from eighth rose to sixth.5 years the number of cases in the first place is the cerebral infarction (7.2%, 1 173/16 181), followed by hypertension (6.9%, 1 119/16 181) and coronary heart disease (5.9%, 959/16 181).5 39.5% (3 521/8 914) more than 1 times the number of hospitalized patients, total hospitalization the 33.3% passengers (3 521/16 181), of which 34.2% (3 687/10 788) of the patients is due to the same disease hospitalization. Patients per capita hospitalization with year of decline, the average annual decline rate was 1.8%. conclusion circulatory system diseases, respiratory system diseases and digestive system diseases. Disease is the focus of prevention and control in this enterprise. Cerebral infarction, hypertension and coronary heart disease are the key diseases that affect the employees of the enterprise. Enterprises should treat and care for these patients. Hospitals should rationally configure medical resources according to the trend of disease spectrum of inpatients.

【作者单位】：北京大学公共卫生学院;
【分类号】：R82

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