论文部分内容阅读
目的了解甘肃省兰州市不同性别住院患者疾病谱变化特点,为合理配置资源、提高医疗服务质量和水平提供科学依据。方法通过甘肃省卫生系统疾控进医院信息平台,选取2010—2014年兰州市不同性别住院患者数据导入Excel表建立数据库进行分析。结果 2010—2014年兰州市累计上报住院患者1 292 813人,其中男性599 590人、占46.4%,女性673 955人、占52.1%,不详19 268人、占1.5%;男性住院患者的前10位疾病中,肿瘤、循环系统疾病等8类疾病均见于各年度,其中肿瘤构成比明显下降,顺位由首位降至第5位;循环系统疾病2010年后一直居于首位;呼吸系统疾病最大上升幅度4.1%,居于第2位;消化系统疾病顺位无明显变化,居于第3位;女性住院患者的前10位疾病中,肿瘤、妊娠、分娩和产褥期疾病等8类疾病均见于各年度,肿瘤构成比明显下降,最大下降幅度16.8%,顺位由首位降至第6位;循环系统疾病、消化系统疾病、呼吸系统疾病3类疾病构成比上升幅度较大,最大上升幅度分别为5.7%、4.9%、4.7%,顺位分别由第3、4、6位上升至第1、2、4位;妊娠、分娩和产褥期疾病顺位由第2位降至第3位。结论兰州市不同性别住院患者逐年递增,循环系统疾病是影响兰州市不同性别人群的首要疾病,但呼吸系统疾病等其他主要疾病顺位变化不同;应根据这些特点做好不同性别人群的疾病防治工作。
Objective To understand the characteristics of disease spectrum of inpatients with different sexes in Lanzhou City, Gansu Province, and to provide a scientific basis for rational allocation of resources and improvement of quality and level of medical services. Methods Through the Gansu Provincial Health System CDC into the hospital information platform, select the 2010-2014 Lanzhou gender inpatients data into the Excel table to establish a database for analysis. Results From 2010 to 2014, 1,192,813 inpatients were reported in Lanzhou City, including 599,590 males (46.4%) and 673,955 females (52.1%), accounting for 1.5% (19,268), accounting for 1.5% of the male inpatients Among the diseases, 8 kinds of diseases such as tumor and circulatory system diseases were found in each year, and the proportion of tumor was significantly decreased from the first place to the 5th place; the circulatory system diseases ranked the first place after 2010; the largest increase of respiratory diseases The incidence of digestive diseases did not change significantly, ranking No. 3; among the top 10 diseases of female inpatients, 8 kinds of diseases including tumor, pregnancy, childbirth and puerperium were found in each year, Tumor composition decreased significantly, the largest decline of 16.8%, the order from the first down to 6; circulatory system diseases, digestive diseases, respiratory diseases constitute three diseases constitute a larger increase, the largest increase of 5.7% , 4.9% and 4.7% respectively. The rankings increased from the 3rd, 4th and 6th to the 1st, 2nd and 4th place, respectively. Pregnancy, childbirth and puerperium decreased from the second place to the third place. Conclusion The incidence of inpatients with different gender in Lanzhou is increasing year by year. Circulatory system diseases are the most important diseases that affect different gender groups in Lanzhou City. However, other major diseases, such as respiratory diseases, vary in sequence and should be based on these characteristics. .