某部队三甲医院2013-2015年住院官兵疾病谱分析  

Disease spectrum of military inpatients in a Hospital of PAP during 2013-2015

作　　者：郭一沙[1] 陈孝储[1] 孙圣凯[1] 王振国[1] 叶超 GUO Yisha;CHEN Xiaochu;SUN ShengKai;WANG Zhenguo;YE Chao(Affiliated Hospital of Logistics University of PAP,Tianjin 300162,China)

机构地区：[1]武警后勤学院附属医院,天津300162 [2]武警总部机关门诊部

出　　处：《解放军预防医学杂志》2018年第1期47-49,59,共4页Journal of Preventive Medicine of Chinese People's Liberation Army

基　　金：全军学位与研究生教育研讨会研究课题(No.FYM201626)

摘　　要：目的分析京津冀地区武警住院官兵疾病谱的特点,为精准化医疗卫勤保障提供依据。方法从某保障京津冀地区武警部队三甲医院病例数据库中调出2013-2015年住院官兵的病案首页数据,按国际疾病分类标准(ICD-10)进行分析。结果 3年内住院官兵总体系统疾病排名前十位为呼吸系统疾病、损伤中毒和外因的某些其他后果、消化系统疾病、循环系统疾病、症状体征和临床与实验室异常所见不可归类在他处者、骨胳肌肉系统和结缔组织疾病、泌尿生殖系统疾病、妊娠分娩和产褥期、耳和乳突疾病、肿瘤,占总体疾病的92.4%。官兵住院较多的病区是骨科、感染病区、耳鼻喉科、普通外科、消化内科、泌尿外科、妇产科、脑科、武警病房、胸外科、干部病房、呼吸内科。结论部队医院应以官兵实际医疗需求为导向,加强对重点多发系统疾病的研究,制定科学合理的防治策略,同时应注重医疗资源合理配置,加强重点学科建设,有针对性地培养实践性医学人才,以进一步提高为部队服务水平。Objective To analyze the characteristics of the disease spectrum of military inpatients in the Beijing-Tianjin-Hebei region,and to provide data for precise medical service and support.Methods The front page data of medical records of hospitalized officers and soldiers between 2013 and 2015 was retrieved from the data base of a Grade-A Tertiary Hospital,and analyzed according to the international classification of diseases(ICD-10).Results The top ten diseases which made up 92.4%of the total military inpatients over the three years were diseases of the respiratory system,damage,poisoning or other results from external causes,diseases of the digestive system,diseases of the circulatory system,abnormal symptoms and signs that were difficult to classify,diseases of the skeletal and musculature system and connective tissue,diseases of the urogenital system,diseases related to pregnancy,labor and puerperium,diseases of ears and processus mastoideus and tumor.The officers and soldiers were mostly hospitalized in departments of orthopaedics,infection,otolaryngology,general surgery,gastroenterology,urinary surgery,gynaecology and obstetrics,brain,chest surgery,pneumology and in wards of PAP and those for cadres.Conclusion Military hospitals should work in line with the practical demand of officers and soldiers,reinforce the research on diseases involving multiple systems,formulate effective strategies for prevention and treatment,allocate medical resources rationally,strengthen the construction of key disciplines,cultivate clinically competent doctors in order to upgrade the quality of services to the troops.

关 键 词：武警部队 疾病谱 京津冀地区 医疗资源配置 

分 类 号：R821[医药卫生—临床医学]