大同市住院病例分析  

Analysis Of Inpatient Cases In Datong

作　　者：高丽[1] 张晓萍[1] 李晋芬[1] 

机构地区：[1]太原市疾病预防控制中心,山西太原030001

出　　处：《疾病监测与控制》2009年第10期577-579,共3页Journal of Diseases Monitor and Control

摘　　要：目的通过住院病例分析,了解山西省大同市疾病谱特征,为疾病预防控制、政府卫生决策提供依据。方法收集大同市2005～2006年度电子病例,Microsoft Access建立数据库并进行频数分析。结果大同市住院病例中,男女构成比接近(1:1.03),0～5岁年龄组构成比较大(13.42%);年龄越小,住院时间越短;年龄越大,住院时间越长。0～14岁年龄组,平均住院天数为5.8d,>75岁年龄组,平均住院天数为13.9d;住院病因中,依据ICD一位码分类,前五位的疾病分别为呼吸系统疾病(15072,16.4%)、消化系统疾病(1359514.84%)、循环系统疾病(1095711.96%)、妊娠、分娩和产褥期疾病(8216 8.9695%)、损伤、中毒和外因的某些其他后果(7803 8.519%);按ICD三位码分类,前五位疾病因分别为肺炎(4.60%)、胆石病(2.88%)、多发性和未特指部位的急性上呼吸道感染(2.63%)、慢性缺血性心脏病(2.56%)和脑梗死(2.26%);结论0～14年龄组主要疾病为呼吸系统疾病(7682,46.4%);45～64年龄组主要疾病为消化系统疾病(4539,21.54%);>65岁年龄组的首位疾病为循环系统疾病(5202,28.43%)。青壮年(15～44年龄组)分性别分析,男性排首位的为损伤、中毒和外因的某些其他后果(4026,33.53%),女性是妊娠、分娩和产褥期疾病(8216,34.7%)。Objective To learn the disease characteristics of Datong city in Shanxi province and provide the basis for disease control and prevention, and government health policy-making by analyzing its hospital inpatients. Methods Hospital electronic cases of 2005-2006 in Datong city were collected and microsoft access database was used to make frequency analysis. Results City-patient cases, men and women constitute more than close （1：1.03）, 0- 5-year-old age group constitutes more cases （13.42%）, younger, shorter length of stay, older, length of stay in hospital longer .the average length of hospital stay was 5.8 days in 0-14 age group, the average length of hospital stay was 13.9 days in 〉75-year-old age group; according to ICD one position code classifications, the top five diseases were respiratory diseases （15072,16.4%）, digestive system diseases （13,595 14.84%）, circulatory system diseases （10,957 11.96%）, pregnancy, childbirth and postpartum diseases （8216 8.9695%）, injury, poisoning and external causes of certain other consequences （7803 8.519%）, based on ICD three position code classifications, they were the pneumonia （4.60%） , gallstone disease （2.88%） , multiple and non-specific parts of the acute upper respiratory tract infection （2.63%）, chronic ischemic heart disease （2.56%） and cerebral infarction （2.26%） .Conclusion age group analysis show that the major disease of 0-14 age group is respiratory diseases （7682 46.4%）, 45-64 age group for the major diseases is digestive system diseases （4539,21.54%）, 〉 65 years of age for the first is the circulatory system diseases （5202,28.43%）, Analysis of sex in middle-aged group （15~44 age group）, the top disease of men is injury, poisoning and external causes of certain other consequences （4026,33.53%）, the women＇s is pregnancy, childbirth and postpartum diseases （8216,34.7%）.

关 键 词：住院病例 疾病系统 年龄 性别 

分 类 号：R195.4[医药卫生—卫生统计学]