新疆医科大学学报
新疆醫科大學學報
신강의과대학학보
JOURNAL OF XINJIANG MEDICAL UNIVERSITY
2015年
4期
488-491
,共4页
巴合提牙尔·祖农%陈静%阎景红
巴閤提牙爾·祖農%陳靜%閻景紅
파합제아이·조농%진정%염경홍
疾病谱%疾病分类(ICD-10)%顺位
疾病譜%疾病分類(ICD-10)%順位
질병보%질병분류(ICD-10)%순위
spectrum of disease%classification of diseases (ICD-10)%syn-position
目的：分析新疆某三级甲等医院出院病人疾病谱变化状况，为疾病的预防、治疗及医院的科学管理与学科发展提供参考依据。方法对医院2012－2013年出院病人前10顺位疾病分类的出院例数占全院出院例数的构成比进行分类排序和统计学分析。结果该院出院病人前10顺位系统疾病共计195193人次，占出院总人数的76．36％，疾病谱构成前5位依次为循环系统疾病、肿瘤、泌尿生殖系统疾病、消化系统疾病及妊娠、分娩和产褥期疾病。不同民族疾病谱比较显示，循环系统疾病位居维吾尔族第1顺位，而哈萨克族肌肉骨骼系统和结缔组织疾病最高发，其差异有统计学意义；不同性别及民族疾病谱差异有统计学意义。结论医院可根据疾病构成规律和特点，合理配置医疗资源，加强重点专科、特色专科的建设，形成科有特色、人有专长的良性发展模式，加强常见病、多发病的诊治，更好地为广大患者服务。
目的：分析新疆某三級甲等醫院齣院病人疾病譜變化狀況，為疾病的預防、治療及醫院的科學管理與學科髮展提供參攷依據。方法對醫院2012－2013年齣院病人前10順位疾病分類的齣院例數佔全院齣院例數的構成比進行分類排序和統計學分析。結果該院齣院病人前10順位繫統疾病共計195193人次，佔齣院總人數的76．36％，疾病譜構成前5位依次為循環繫統疾病、腫瘤、泌尿生殖繫統疾病、消化繫統疾病及妊娠、分娩和產褥期疾病。不同民族疾病譜比較顯示，循環繫統疾病位居維吾爾族第1順位，而哈薩剋族肌肉骨骼繫統和結締組織疾病最高髮，其差異有統計學意義；不同性彆及民族疾病譜差異有統計學意義。結論醫院可根據疾病構成規律和特點，閤理配置醫療資源，加彊重點專科、特色專科的建設，形成科有特色、人有專長的良性髮展模式，加彊常見病、多髮病的診治，更好地為廣大患者服務。
목적：분석신강모삼급갑등의원출원병인질병보변화상황，위질병적예방、치료급의원적과학관리여학과발전제공삼고의거。방법대의원2012－2013년출원병인전10순위질병분류적출원례수점전원출원례수적구성비진행분류배서화통계학분석。결과해원출원병인전10순위계통질병공계195193인차，점출원총인수적76．36％，질병보구성전5위의차위순배계통질병、종류、비뇨생식계통질병、소화계통질병급임신、분면화산욕기질병。불동민족질병보비교현시，순배계통질병위거유오이족제1순위，이합살극족기육골격계통화결체조직질병최고발，기차이유통계학의의；불동성별급민족질병보차이유통계학의의。결론의원가근거질병구성규률화특점，합리배치의료자원，가강중점전과、특색전과적건설，형성과유특색、인유전장적량성발전모식，가강상견병、다발병적진치，경호지위엄대환자복무。
Objective To provide some references for the prevention and treatment of disease,hospital sci-entific management and in the hospital discipline development by analyzing inpatient the spectrum of dis-ease change,Methods Classifying constituent ratio which is our hospital the inpatient number from 2012 to 2013 samples that of top 10 diseases in hospital patients accounts for the proportion of whole hospital in-patient cases sorting and statistical analysis.Results There are 195 193 patients in total,which of the top 10 diseases in the hospital accounted for 76.36% of the total number of hospital discharge patients,in the spectrum of disease that of the top five was followed by circulatory system disease,malignant tumor,the endocrine system diseases,digestive system disease and diseases of pregnancy,delivery and puerperium. Comparison of different national disease spectrum shows,including circulation system disease take the first syn-position in Uyghur circulatory system diseases,while the biggest diseases in the Kazak disease spectrum are the musculoskeletal system and connective tissue diseases,the difference was statistically significant.Also gender differences have statistical significance of disease spectrum.Conclusion The hos-pital should have the rational allocation of medical resources according to the regularity and characteristics of disease constitution,strengthening the construction of the key specialty and characteristic specialty in order to form a virtuous development model.At the same time,it should strengthen the diagnosis and treatment of common and frequently-occurring disease,so that can better serve for patients.
