2010-2018年武昌区首义路街社区住院患者疾病构成分析  

Investigation and analysis of inpatient diseases in shouyi community health service center of Wuchang District,Wuhan City from 2010 to 2018

作　　者：刘玲 郑艳玲 余旻毅 LIU Ling;ZHENG Yan-ling;YU Min-yi(Department of Community Health Service,Shouyi Road,Wuchang District,Wuhan 430061,P.R.China)

机构地区：[1]武汉市武昌区首义路街社区卫生服务中心全科

出　　处：《社区医学杂志》2019年第22期1387-1389,共3页Journal Of Community Medicine

摘　　要：目的为加强社区全科医生的综合服务能力,本研究回顾性分析近9年入住武汉市武昌区首义社区卫生服务中心患者疾病谱的特点和变化趋势,以期为社区防病治病及慢性病管理提供参考。方法选取2010-2018年武昌区首义路街社区卫生服务中心住院患者1949例为调查对象,严格按照国家疾病分类编码原则,以出院第一诊断进行统计汇总,数据经Excel录入及导入SPSS 19.0进行统计分析。住院患者来源于本社区的地域范围。结果2010-2018年住院患者共1949例,平均年龄为(67.04±12.43)岁。男837例(42.9%);女1112例(57.1%)。其中>65岁患者1104例(56.7%)。前10位疾病住院患者共计1716例(88.0%)。其中高血压423例,颈椎病328例,脑梗死226例,慢性阻塞性肺疾病(chronic obstructive pulmonarg disease,COPD)216例,腰椎病139例,急性支气管炎99例,肺炎93例,冠心病82例,关节炎60例,支气管哮喘50例。各类疾病占比分别为肌肉骨骼系统527例(27.0%),循环系统505例(25.9%),呼吸系统458例(23.5%),神经系统226例(11.6%)。结论高血压、颈椎病、脑梗死和COPD等前10位疾病为本社区防病治病和慢性病管理的工作重点。OBJECTIVE The comprehensive service ability of community general practitioners needs to be improved for the moment.This study retrospectively analyzed the characteristics and trends of patients’disease spectrum in the Shouyi Community Health Service Center in Wuchang District,Wuhan in the past 9 years,in order to.and provide reference for community disease prevention and treatment and chronic disease management.METHODS A total of 1949 cases of inpatients in the Shouyi Center of Wuchang District in 2010-2018 were selected.According to the national disease classification coding principle,the first diagnosis of discharge was statistically summarized.The data were imported into Excel and imported into SPSS 19.0 statistical software for data analysis and processing.Inpatients were basically derived from the geographical scope of the community.RESULTS A total of 1949 hospitalized patients were enrolled in 9 years.There were 837 male patients,accounting for 42.9%,and female patients with 1112,accounting for 57.1%.Among them,1104 cases were over 65 years old,accounting for 56.7%,and the average age was(67.04±12.43).A total of 1716 inpatients in the top 10 diseases,accounting for 88.0%.The proportion of various diseases was musculoskeletal system(527 cases,27.0%),circulatory system(505 cases,25.9%),respiratory system(458 cases,23.5%),and nervous system(226 cases,11.6%).There were 423 cases of hypertension,328 cases of cervical spondylosis,226 cases of cerebral infarction,216 cases of COPD,139 cases of lumbar spondylosis and 82 cases of coronary heart disease.CONCLUSION According to the characteristics of the disease of discharged patients,the top 10 diseases such as hypertension,cervical spondylosis,cerebral infarction and COPD are the focus of prevention and treatment of chronic diseases in the community.

关 键 词：社区卫生 住院病种 调查分析 慢性病管理 

分 类 号：R197.3[医药卫生—卫生事业管理]