CAJ | 학술논문

目的：通过对甘肃省三甲医院的住院病例疾病谱的分析，探讨卫生行政机构、综合医院在慢性病防治中的重要作用，为“公共卫生进医院”方针的实施献计献策。方法收集9所三甲医院2012年住院病例首页基本资料，使用疾病分类法(ICD-10)对疾病谱构成比做排序分析，并比较分析住院病例单病种构成比。结果恶性肿瘤、脑血管病和心脏病居出院诊断病因前2位，消化道疾病处于第3位发病的因素，呼吸系统疾病处于第4位，损伤、中毒和外因的某些其他后果为第5位出院病因。结论三甲医院要借助疾病预防控制进医院的良好开端，分析并掌握危害百姓的常见病、多发病，开展健康教育进家庭是慢病防治的正确举措。
목적：통과대감숙성삼갑의원적주원병례질병보적분석，탐토위생행정궤구、종합의원재만성병방치중적중요작용，위“공공위생진의원”방침적실시헌계헌책。방법수집9소삼갑의원2012년주원병례수혈기본자료，사용질병분류법(ICD-10)대질병보구성비주배서분석，병비교분석주원병례단병충구성비。결과악성종류、뇌혈관병화심장병거출원진단병인전2위，소화도질병처우제3위발병적인소，호흡계통질병처우제4위，손상、중독화외인적모사기타후과위제5위출원병인。결론삼갑의원요차조질병예방공제진의원적량호개단，분석병장악위해백성적상견병、다발병，개전건강교육진가정시만병방치적정학거조。
Objectives Through analysis of the disease spectrum of hospitalized patients in tertiary hospitals in Gansu Province,the role for medical administration and general hospitals in the control and prevention of chronic diseases is discussed and countermeasures for the implementation of "public health in hospital" are put forward. Methods Basic data of medical records in 9 tertiary hospitals in 2012 were collected.The international Classification of Diseases-10 (ICD-10)was used for analysis of disease spectrum and the proportion of single disease.Results The top 5 diseases for the discharge diagnosis were malignant tumor,cardiovascular and heart disease,digestive disease, respiratory disease and injury,poisoning and other outcomes.Conclusions Tertiary hospitals should seize the oppor-tunity of the implementation of disease control and prevention in the hospital to learn about the common diseases.To conduction health education in the family is the right thing to do for control and prevention of chronic disease.