医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
2期
26-28
,共3页
住院病人%疾病谱
住院病人%疾病譜
주원병인%질병보
hospitalized patients%disease spectrum
目的：分析2007-2011年光明新区三家综合医院住院病人疾病谱，了解卫生服务需求的变化情况，合理调配卫生资源。方法根据ICD-10分类标准，整理辖区综合医院病案科住院病人病案的主要诊断数据，运用描述性统计分析、秩和比（R S R）法描述疾病谱的构成和变化趋势。结果2007-2011年深圳市光明新区综合医院共收治住院病人共123925人次，平均每年24785人次。男性占47.41%，女性占52.59%；以15～44岁患者为主（68.40%），其次为小于1岁组（12.53%）。疾病谱顺位前四位均为：妊娠、分娩和产褥期健康问题（28.79%），损伤、中毒和外因的某些其他后果（19.34%），呼吸系统疾病（14.59%），消化系统疾病（8.05%）。经秩和比检验，2007-2011年住院病人疾病谱的构成没有发生明显改变。妊娠、分娩和产褥期的相关疾病（54.75%）是女性患者最主要住院原因，而损伤、中毒和外因的某些其他后果（33.62%）是男性患者最主要的住院原因。呼吸系统疾病，传染病和寄生虫病，损伤、中毒和外因的某些其他后果是14岁以下儿童住院的主要原因。结论妊娠、分娩和产褥期健康问题，损伤、中毒和外因的某些其他后果是深圳市光明新区综合医院重点服务范围，应根据此特点，合理调配卫生资源。
目的：分析2007-2011年光明新區三傢綜閤醫院住院病人疾病譜，瞭解衛生服務需求的變化情況，閤理調配衛生資源。方法根據ICD-10分類標準，整理轄區綜閤醫院病案科住院病人病案的主要診斷數據，運用描述性統計分析、秩和比（R S R）法描述疾病譜的構成和變化趨勢。結果2007-2011年深圳市光明新區綜閤醫院共收治住院病人共123925人次，平均每年24785人次。男性佔47.41%，女性佔52.59%；以15～44歲患者為主（68.40%），其次為小于1歲組（12.53%）。疾病譜順位前四位均為：妊娠、分娩和產褥期健康問題（28.79%），損傷、中毒和外因的某些其他後果（19.34%），呼吸繫統疾病（14.59%），消化繫統疾病（8.05%）。經秩和比檢驗，2007-2011年住院病人疾病譜的構成沒有髮生明顯改變。妊娠、分娩和產褥期的相關疾病（54.75%）是女性患者最主要住院原因，而損傷、中毒和外因的某些其他後果（33.62%）是男性患者最主要的住院原因。呼吸繫統疾病，傳染病和寄生蟲病，損傷、中毒和外因的某些其他後果是14歲以下兒童住院的主要原因。結論妊娠、分娩和產褥期健康問題，損傷、中毒和外因的某些其他後果是深圳市光明新區綜閤醫院重點服務範圍，應根據此特點，閤理調配衛生資源。
목적：분석2007-2011년광명신구삼가종합의원주원병인질병보，료해위생복무수구적변화정황，합리조배위생자원。방법근거ICD-10분류표준，정리할구종합의원병안과주원병인병안적주요진단수거，운용묘술성통계분석、질화비（R S R）법묘술질병보적구성화변화추세。결과2007-2011년심수시광명신구종합의원공수치주원병인공123925인차，평균매년24785인차。남성점47.41%，녀성점52.59%；이15～44세환자위주（68.40%），기차위소우1세조（12.53%）。질병보순위전사위균위：임신、분면화산욕기건강문제（28.79%），손상、중독화외인적모사기타후과（19.34%），호흡계통질병（14.59%），소화계통질병（8.05%）。경질화비검험，2007-2011년주원병인질병보적구성몰유발생명현개변。임신、분면화산욕기적상관질병（54.75%）시녀성환자최주요주원원인，이손상、중독화외인적모사기타후과（33.62%）시남성환자최주요적주원원인。호흡계통질병，전염병화기생충병，손상、중독화외인적모사기타후과시14세이하인동주원적주요원인。결론임신、분면화산욕기건강문제，손상、중독화외인적모사기타후과시심수시광명신구종합의원중점복무범위，응근거차특점，합리조배위생자원。
Object To analyze the disease spectrum of hospitalized patients in three general hospital of Guangming new district and understand the variation of Health Services Needs and Demand to al ocate and coordinate the Health Resourcesreasonably. Methods According to separate criteria of ICD-10, principal diagnostic data of inpatients’ medical records were sorted. Descriptive statistics analysis and Sum of Ranks(RSR)were adopted to describe the constitution and variant tendency of the disease spectrum. Result There were 123925 person-time inpatients in urban hospitals of Guangming new district of Shenzhen city between 2007 and 2011 , and the average annual inpatients were 24785 person-time. Male patients accounted for 47.41%, while female patients accounted 52.59%. Majority of the patients were aged from 15 and 44(68.40%), and the people aged less than 1 ranked in the second place(12.53%). The top four diseases of the spectrum of disease were diseases of pregnancy, childbirth and the puerperium(28.79%), injury, poisoning, and certain other consequences of external causes(19.34%), diseases of the respiratory system(14.59%) and diseases of the digestive system(8.05%). The results of RSR revealed that there was no obvious variation in disease spectrum of hospitalized patient between 2007 and 2011. Diseases about pregnancy, childbirth and the puerperium(54.75%)were the main reasons for women inpatients. Diseases related to injury, poisoning, and certain other consequences of external causes(33.62%)were the principal causes for men patients. The major reasons for hostipalized children contained respiratory diseases , infectious diseases and parasitic diseases. Conclusion Diseases of pregnancy, childbirth and the puerperium and injury, poisoning, and certain other consequences of external causes were the principal service of general hospitals of Guangming district. We should reasonably al ocate and coordinate the health resources on the basis of this feature.
