北京市门头沟区大台地区社区卫生诊断分析  

Diagnosis of Community Health Status in Datai Area in Mentougou District of Beijing

作　　者：陈春兰 梁爽 

机构地区：[1]北京市门头沟区大台社区卫生服务中心,102303

出　　处：《中国全科医学》2013年第33期3987-3989,共3页Chinese General Practice

摘　　要：目的通过对北京市门头沟区大台地区进行社区卫生诊断,确定社区主要健康问题及危险因素,结合辖区实际情况及疾病特征进行综合分析,提出优先干预项目,为制定社区卫生服务工作规划提供依据。方法于2012年进行社区现有资料收集和现场调查,对北京市门头沟区大台地区进行社区卫生诊断分析。结果 2012年社区健康档案建立13 160份,建档率为89.69%;其中老年人建档1 418份,建档率为68.17%。高血压管理率为36.86%,糖尿病管理率为44.02%,冠心病管理率为10.44%,脑卒中管理率为12.96%。2012年传染病发病47人,发病率为3.20‰。呼吸系统疾病、脑血管病、恶性肿瘤、心血管疾病死亡人数占总死亡人数的85.71%。居民常见慢性病为高血压、冠心病、糖尿病、脑卒中、骨关节病。结论大台地区重点干预的慢性非传染性疾病为高血压、冠心病、糖尿病、脑卒中;传染病管理的重点为手足口病、其他感染性腹泻、水痘、肝炎、细菌性痢疾。应加强对社区居民进行不良生活行为方式的健康教育,给予以控制危险因素为主要手段的综合防治措施。Objective To determine the major health problems of the community and its risk factors, to comprehen- sively analyze the actual situation in the area and disease characteristics, and to put forth the priority items of intervention, so as to provide a basis for the development of community health services planning. Methods Available data in the community were collected, and field surveys were conducted in 2012, then the conditions of community health services in Datai Area in Mento- ugou District of Beijing were diagnosed and analyzed. Results In 2012 a total of 13 160 records of community health profile were established, with a filing rate of 89. 69%. Of which the number of records for older people was 1 418, with a filing rate of 68.17%. The management rate was 36. 86% for hypertension, 44.02% for diabetes mellitus, and 10.44% for coronary heart disease, and 12. 96% for stroke. Totally 47 patients with infectious diseases were diagnosed in 2012, with an incidence rate of 3.20‰. The number of deaths in respiratory diseases, cerebrovascular diseases, cancers, cardiovascular diseases accounted for 85.71% of the total deaths. The common chronic diseases of the residents were hypertension coronary heart disease, diabetes mel- litus, stroke, and 0steoarthritis. Conclusion The chronic non - communicable diseases focally intervened in Datai Area are hy- pertension, coronary heart disease, diabetes mellitus, and stroke; the infectious disease needed to be focally managed are hand - foot - and - mouth disease, other infectious diarrhea, chicken pox, hepatitis, and dysentery. It is necessary to strengthen the health education on adverse lifestyle behaviors of the community residents, and to give them the integrated control measures taking controlling risk factors as the main means.

关 键 词：社区卫生服务 社区卫生诊断 慢性病 危险因素 

分 类 号：R197[医药卫生—卫生事业管理]