2017年-2021年新疆兵团某市住院患者疾病谱分析  

Disease Spectrum Analysis of Inpatients in a City of Xinjiang Corps from 2017 to 2021

作　　者：赵莉 张宪琦 樊荣 李小菊[1] Zhao Li;Zhang Xianqi;Fan Rong;Li Xiaojv(不详;Shihezi University,Xinjiang Uygur Autonomous Region,S1hihezi 832003,China)

机构地区：[1]石河子大学,新疆维吾尔自治区石河子市832003

出　　处：《中国病案》2024年第8期53-57,共5页Chinese Medical Record

摘　　要：目的分析兵团某市住院患者疾病构成、顺位变化以及年龄分布特征,为合理分配医疗资源、促进疾病有效防治提供科学依据。方法提取新疆兵团某市医疗保障局信息管理系统中2017年1月1日-2021年12月31日某市市级医院84528例住院患者病案首页信息,根据ICD-10(编码范围为A00-Z99)提取主要诊断所对应的系统疾病和病种疾病进行回顾性分析。结果2017年-2021年新疆兵团某市市级医院住院病例共计84528例,住院病例按系统统计前十位累计占比85.81%,顺位前三位的疾病依次是循环系统疾病、呼吸系统疾病、肿瘤;循环系统疾病和呼吸系统疾病稳居第一位和第二位;肿瘤疾病的位次从第六位上升到第三位。0岁-14岁住院患者呼吸系统疾病居首位,15岁-34岁的住院患者妊娠、分娩和产褥期为第一位系统疾病,35岁-44岁住院患者位居首位的是泌尿生殖系统疾病,45岁以上的中老年患者循环系统疾病为第一位系统疾病,35岁-64岁住院患者肿瘤疾病居首位。结论循环系统疾病、呼吸系统疾病、肿瘤是影响该地区居民健康的主要疾病,不同年龄段病种差异显著,65岁以上人群是需重点关注的人群,应结合疾病谱的变化及其人群年龄等分布特点对疾病进行预防控制。Objectives To analyze the disease composition,changes in parity and age distribution characteristics of hospitalized patients in a city of the Corps,in order to provide a scientific basis for the rational allocation of medical resources and the promotion of effective prevention and treatment of diseases.Methods The front page information of 84528 inpatients in municipal hospitals in a city of the Xinjiang Corps from January 1st,2017 to December 31st,2021 was extracted from the information management system of a city's medical security bureau,and the systemic and disease diseases corresponding to the main diagnoses were extracted for retrospective analysis according to ICD-10(coding range A00-Z99).Results From 2017 to 2021,the total number of hospitalized cases in municipal hospitals in a city of the Xinjiang Corps was 84,528 cases,and the cumulative percentage of the top ten hospitalized cases by system was 85.81%,and the top three diseases in order of precedence were circulatory diseases,respiratory diseases,and neoplasms;circulatory diseases and respiratory diseases ranked steadily in the first place and the second;and neoplastic diseases rose from the sixth place to the third place.0-14year old hospitalized respiratory system diseases were the most common among inpatients aged 0-14 years;pregnancy,childbirth and puerperium were the most common system diseases among inpatients aged 15-34 years;genitourinary system diseases were the most common among inpatients aged 35-44 years;circulatory system diseases were the most common among middle-aged and old-aged patients aged 45 years or above;and oncological diseases were the most common among inpatients aged 35-64 years.Conclusions Diseases of the circulatory system,respiratory diseases,tumors were the main diseases affecting the health of the residents in the region,with significant differences in the diseases in different age groups,and the people over 65 years old are the people to be paid attention to,which should be combined with the changes in the disease spec

关 键 词：疾病谱 疾病顺位 住院病例 疾病构成 

分 类 号：R197.323[医药卫生—卫生事业管理]