CAJ | 학술논문

目的：调查武警某总队医院2005－2014年住院官兵疾病谱，为武警部队疾病防治及合理配置医疗资源提供依据。方法调阅该总队医院2005－01至2014－12武警官兵住院病例，按照国际疾病分类（ ICD－10）进行统计并制成EXCEL表格，采用SPSS 19．0软件进行分析。结果共纳入6498人次住院信息，年平均收治住院官兵约为650人次，平均23．4岁。2005年收治最多，为934人次；2010年收治最少，为497人次；近五年收治患者人数虽然在2011和2012年有小幅增加但整体上呈下降趋势。导致官兵住院的系统疾病排名前5位的是运动损伤及中毒、消化系统、泌尿生殖、耳鼻喉科和呼吸系统疾病，分别占总体的30．90％、20．50％、9．93％、9．57％、7．48％，累计占整体78．38％，其中损伤和中毒类疾病，以及消化系统疾病十年中一直居前两位，累计占51．40％；单病种排名中前五位疾病为骨折、阑尾疾病、肛周疾病、上呼吸道感染、腰椎间盘突出，分别占总体的11．68％、5．60％、4．43％、4．00％、3．59％。结论根据该总队医院收治部队官兵的疾病谱特点，科学合理地制定卫勤保障策略，以及搞好相应健康宣教工作，有助于保障官兵健康，减少非战斗减员。
목적：조사무경모총대의원2005－2014년주원관병질병보，위무경부대질병방치급합리배치의료자원제공의거。방법조열해총대의원2005－01지2014－12무경관병주원병례，안조국제질병분류（ ICD－10）진행통계병제성EXCEL표격，채용SPSS 19．0연건진행분석。결과공납입6498인차주원신식，년평균수치주원관병약위650인차，평균23．4세。2005년수치최다，위934인차；2010년수치최소，위497인차；근오년수치환자인수수연재2011화2012년유소폭증가단정체상정하강추세。도치관병주원적계통질병배명전5위적시운동손상급중독、소화계통、비뇨생식、이비후과화호흡계통질병，분별점총체적30．90％、20．50％、9．93％、9．57％、7．48％，루계점정체78．38％，기중손상화중독류질병，이급소화계통질병십년중일직거전량위，루계점51．40％；단병충배명중전오위질병위골절、란미질병、항주질병、상호흡도감염、요추간반돌출，분별점총체적11．68％、5．60％、4．43％、4．00％、3．59％。결론근거해총대의원수치부대관병적질병보특점，과학합리지제정위근보장책략，이급고호상응건강선교공작，유조우보장관병건강，감소비전두감원。
Objective To investigate the disease spectrum of in-hospital soldiers in a Chinese People ’ s Armed Police Forces ( CAPF) hospital between 2005 and 2014, thereby providing scientific evidence for prevention of disease and allocate medical resources rationally.Methods The first discharge diagnosis of in-hospital military soldiers from 2005 to 2014 were collected from the hospital case database and classified according to the ICD-10.Data were collected and made into an Excel table .Descriptive analysis was per-formed using SPSS 19.0.Results 6498 cases were collected with the mean age 23.4 years old,almost 650 persons for every year;maximum value equaled 934 in 2005 and minimum equaled 497 in 2010.The number of patients treated has been declining since last five years, despite a few upturns in 2011 and 2012.The top five of the system disease constituent rates in order were injury and poison-ing, digestive system, urogenital system, otolaryngology and respiratory system , accounting for 78.38%, in which injury and poisoning (30.90%) and digestive system (20.50%) were the main causes for admission.The top five of the single disease constituent ratio in order were fracture , appendix disease disease , perianal disease , upper respiratory tract infection and lumbar disc herniation . Conclusions The characteristics of the disease spectrum can provide the basis for the medical service and guide the health education which would be useful in ensuring health and reducing non-combat attrition in CAPF .