新疆生产建设兵团住院患者疾病构成的帕累托图分析  

Disease of inpatients in Xinjiang production and construction corps Pareto chart analysis

作　　者：刘贵珍 李金芳 吴娇健 钟小明 黄芳 马利 LIU Guizheng;LI Jinfang;WU Jiaojian;ZHONG Xiaoming;HUANG Fang;MA Li(Department of Preventive Medicine,School of Medicine,ShiheziUniversity,Shihezi,Xinjiang 832002,China)

机构地区：[1]石河子大学医学院预防医学系

出　　处：《石河子大学学报（自然科学版）》2019年第5期649-653,共5页Journal of Shihezi University(Natural Science)

基　　金：新疆生产建设兵团科技支疆计划项目(2014AB042)

摘　　要：目的为了解新疆生产建设兵团2016年住院患者疾病构成,为医院管理、医疗服务及科研工作的持续改进提供依据。方法依据ICD-10按住院主要诊断进行疾病分类,采用疾病构成的帕累托分析法对患者资料进行疾病谱和疾病构成分析。结果2016年住院患者440774人,男性占47.31%,女性占52.69%,分析疾病构成情况,帕累托图分析结果显示,前三位病种为循环系统疾病、呼吸系统疾病、肌肉骨骼系统和结缔组织疾病,分别占比25.30%、13.60%和13.33%。男性前10位疾病中,前三位病种循环系统疾病、呼吸系统疾病和消化系统疾病,分别占比26.05%、14.86%和10.58%。女性前10位疾病中,前三位病种为循环系统疾病、肌肉骨骼系统、结缔组织疾病和呼吸系统疾病占比分别是25.30%、13.60%和13.33%。结论循环系统疾病,呼吸系统疾病,肌肉骨骼系统、结缔组织疾病和消化系统疾病是新疆生产建设兵团的重点要防治的疾病,应根据不同性别疾病谱的变化,有针对性的制定相关策略,做好预防控制措施,满足不同患者的卫生服务需求,以降低和控制疾病的发病率。Objective To understand the disease composition of inpatients in xinjiang production and construction corps in 2016,so as to provide basis for the continuous improvement of hospital management,medical service and scientific research.Methods According to ICD-10,disease classification was conducted according to the main diagnosis of discharge.Disease composition and disease composition were analyzed by using disease composition ratio and pareto analysis.Results In 2016 440.774 inpatients were admitted,,accounting for 47.31%of males and 52.69%of females.The analysis of disease composition showed that the first three diseases were circulatory system disease,respiratory system disease,musculoskeletal system and connective tissue disease,accounting for 25.30%,13.60%and 13.33%,respectively.Among the top 10 diseases in men,the top three diseases are circulatory,respiratory and digestive diseases,accounting for 26.05%,14.86%and 10.58,respectively.Among the top 10 diseases in women,the first three diseases were circulatory diseases,musculoskeletal diseases,connective tissue diseases and respiratory diseases,accounting for 25.30%,13.60%and 13.33%respectively.Conclusion Circulatory system disease,respiratory disease,musculoskeletal system,connective tissue diseases and diseases of the digestive system is the key of the xinjiang production and construction corps of the prevention and control of disease,should according to the change of different sex disease,targeted to develop relevant strategy,completes the prevention and control measures to meet the needs of the patient's health services and to reduce and control the incidence of disease.

关 键 词：住院患者 疾病构成 帕累托图 

分 类 号：R197.3[医药卫生—卫生事业管理]