上海市松江区小昆山乡镇卫生院2008～2010年住院疾病构成情况调查  

A Status Survey on Disease Constitution in Xiaokunshan Township Health Center,Songjiang District of Shanghai City from 2008 to 2010

作　　者：李萃萃[1] 李鸿浩[1] 李幼平[1] 王应强[1] 杨晓妍[1] 王莉[1] 易敬林[2] 韩金祥[3] 周小军[4] 郁建国 李胜[3,3] 倪建华[5] 

机构地区：[1]四川大学华西医院中国循证医学中心,成都610041 [2]南昌大学医学院,南昌330006 [3]山东省医学科学院,济南250062 [4]南昌大学公共卫生学院,南昌330006 [5]上海市松江区小昆山乡镇卫生院,上海201616

出　　处：《中国循证医学杂志》2012年第2期142-147,共6页Chinese Journal of Evidence-based Medicine

基　　金：“十一五”国家科技支撑计划“乡镇卫生院药物配置与物流关键技术研究与产品开发”课题(编号:2008BAI65B22);上海市松江区小昆山乡镇卫生院课题(编号:2008BAI65B03)

摘　　要：目的调查上海市松江区小昆山乡镇卫生院2008～2010年住院疾病构成情况,了解当地疾病负担,为进一步研究提供基线数据。方法采用问卷调查结合专题访谈,收集该院2008～2010年住院病例资料。根据国际疾病分类编码(ICD-10)标化出院记录第一诊断并系统归类。用Microso Excel 2003和SPSS 13.0等统计软件整理分析住院患者一般情况,出院诊断等。结果①上海市松江区小昆山乡镇卫生院2008～2010年住院病例分别为1608、1328和1?209人次,男性少于女性(48.60%vs.51.40%,46.69%vs.53.31%,44.58%vs.55.42%);②住院系统疾病共14类,占ICD-10标准分类的66.7%;③前3类系统疾病依次为呼吸、消化、循环系统疾病,累计构成比为85.71%～87.10%;④该3年前15位单病种中相同疾病有慢性支气管炎、慢性胆囊炎、冠心病、椎基底动脉供血不足、脑梗死、急性支气管炎、急性上呼吸道感染、肺炎、急性扁桃体炎、急性胃肠炎、支气管肺炎和急性肠炎12种;⑤2008～2009年急性病住院人次数均多于慢性病,且多集中在≤15岁,2010年急性病少于慢性病,且多集中在≥65岁,男性多于女性。结论①上海市小昆山乡镇卫生院2008～2010年住院病例主要系统疾病依次是呼吸、消化和循环系统疾病;慢性病集中于慢性支气管炎和冠心病,急性病多集中于感染性疾病。②该3年前15位单病种中相同疾病有12种,住院患者常见病种较稳定。③今后应重点关注≥65岁的慢性病患者及≤15岁的急性病患者。Objective To investigate the disease constitution in Xiaokunshan Township Health Center（XKST） in Songjiang District of Shanghai City from 2008 to 2010,so as to provide baseline data for further study.Methods Questionnaire and focus interview were carried out to collect the case records information of XKST inpatients from 2008 to 2010.The first diagnoses were classified according to ICD-10.Data including general information of the inpatients and discharge diagnosis etc.were rearranged and analyzed by using Excel and SPSS software.Results a） The total numbers of inpatients were 1608,1328 and 1209 from 2008 to 2010,respectively.Males were fewer than females（48.60% vs.51.40%,46.69% vs.53.31%,44.58% vs.55.42%）;b） The systematic disease spectrum included 14 categories,which accounted for 66.7% of ICD-10;c） The top three systematic diseases accounted for 85.71%-87.10%,which included the respiratory,digestive,circulatory systematic diseases;d） The total 12 of the top 15 single diseases were the same,including chronic bronchitis,chronic cholecystitis,coronary heart disease,vertebral basilar artery insufficiency,cerebral infarction,acute bronchitis,acute upper respiratory tract infection,pneumonitis,acute tonsillitis,acute gastroenteritis,bronchopneumonias and acute enteritis;and e） The inpatients with acute diseases were more than those with chronic ones in 2008 and 2009,and they were mainly equal to or younger than 15 years old;while in 2010,the acute diseases were fewer than the chronic ones,and they were mainly seen in patients equal to or more than 65 years old,and males were more than females.Conclusion a） In recent three years,the main systematic diseases that inpatients have suffered are respiratory,digestive and circulatory diseases.The chronic diseases focus mainly on chronic bronchitis and coronary heart disease,while the acute diseases mainly are infectious diseases;b） The top 15 single diseases are stable since 12 of them are the same;and c） Further attention should be paid to the inpat

关 键 词：乡镇卫生院 住院疾病构成 现状调查 

分 类 号：R195[医药卫生—卫生统计学]