CAJ | 학술논문

目的：调查武警某部官兵骨科住院疾病谱，为军队骨科疾病防治及合理配置医疗资源提供依据。方法调阅我院骨科2009-01至2013-12武警伤病员住院病历，按国际疾病分类（ ICD-10）进行统计并制成Excel表格，采用SPSS 14．0软件进行分析。结果共收集病例1048人次，其中首次住院923例，2次住院125例。住院例数最多的是颈、腰腿疼疾病，占总例数的20．6％，排名第2、3的分别是下肢损伤和关节损伤，三者合计57．5％。住院时间方面，各类疾病间存在统计学差异，最长的是脊柱骨盆骨折，达（29．4±23．1）d，最少的是软组织感染，仅（15．8±8．9）d。人均费用方面，各类疾病间也存在统计学差异，费用最高的还是脊柱骨盆骨折，接近一万元。单病种分析中，腰椎间盘突出例数最多，占全部疾病的17．6％；排名第2、3的依次是手掌指骨骨折和膝关节损伤；前10项疾病共672例，占64．1％。结论下肢骨与关节损伤、腰椎间盘突出是骨科最多见军人住院病种，平均住院时间较长，消耗医疗资源最多，应积极采取措施防治。
목적：조사무경모부관병골과주원질병보，위군대골과질병방치급합리배치의료자원제공의거。방법조열아원골과2009-01지2013-12무경상병원주원병력，안국제질병분류（ ICD-10）진행통계병제성Excel표격，채용SPSS 14．0연건진행분석。결과공수집병례1048인차，기중수차주원923례，2차주원125례。주원례수최다적시경、요퇴동질병，점총례수적20．6％，배명제2、3적분별시하지손상화관절손상，삼자합계57．5％。주원시간방면，각류질병간존재통계학차이，최장적시척주골분골절，체（29．4±23．1）d，최소적시연조직감염，부（15．8±8．9）d。인균비용방면，각류질병간야존재통계학차이，비용최고적환시척주골분골절，접근일만원。단병충분석중，요추간반돌출례수최다，점전부질병적17．6％；배명제2、3적의차시수장지골골절화슬관절손상；전10항질병공672례，점64．1％。결론하지골여관절손상、요추간반돌출시골과최다견군인주원병충，평균주원시간교장，소모의료자원최다，응적겁채취조시방치。
Objective To investigate the orthopedic disease classification in the military inpatients from CAPF , thereby provi-ding scientific evidence to improve disease prevention and treatment , and allocate medical resources rationally .Methods All the mili-tary patients from 2009 to 2013 in this hospital were investigated .According to International Classification of Diseases ( ICD-10) , data were collected and made into an Excelltable .Descriptive analysis was performed using SPSS 14.0.Results Of 1048 patients, admis-sion for the first time in 923 cases and second time in 125 cases.The largest number of patients were affected with neck and low back pain, accounting for 20.6%, followed by the lower limbs injury and joint injury , the three in total 57.5%.The hospitalization time, showing a significant difference between all kinds of diseases , the longest of which was the spine and pelvis fracture , up to (29.4 ±23. 1) d, the least was soft tissue infection, only (15.8 ±8.9) d.The per capita cost, also significantly different between all kinds of dis-eases, was the most expensive for spine and pelvis fracture , close to ten thousand yuan .In analysis of single disease , lumbar disc her-niation was most frequent , accounting for 17.6%of all diseases;followed by the metacarpal and phalangeal fractures and knee joint in-jury;the top 10 diseases were in 672 cases, accounting for 64.1%.Conclusions The lower limb bone and joint injury , prolapse of lumbar intervertebral disc and lumbocrural pain are the most common diseases in Department of Orthopedics of Military Hospital .The average hospitalization time is long , and consumption of medical resources is the most .We should take active measures to prevent such diseases .