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[目的]了解大连市心脑血管疾病住院患者的病种构成及就医情况,为制订预防控制策略和措施提供科学依据。[方法]对2006年大连市区(市、县)医疗单位心脑血管疾病住院患者资料进行分析。[结果]全年合计报告心脑血管疾病住院病例53 196例,其中男性27 797例(占52.25%),女性25 399例(占47.75%);0~14岁、15~24岁、25~34岁、35~44岁、45~54岁、55~64岁、65~74岁、75岁以上分别占0.07%、0.11%、0.50%、3.51%、12.60%、18.69%、33.82%、30.71%;高血压病人占19.15%,冠心病病人占27.86%,脑血管病病人占52.99%。高血压病人中,I期、Ⅱ期、Ⅲ期病例分别占1.53%、6.02%、71.75%;冠心病病例中,急性心肌梗塞、心绞痛、心源性猝死病例分别占15.87%、46.75%、0.25%;脑血管病病例中,出血性卒中、缺血性卒中、短暂性脑缺血发作分别占14.50%、50.83%、29.32%。病人住院费用中,公费、企保、事保、商保、自费分别占1.89%、45.96%、21.13%、0.62%、22.83%、7.57%。治愈、好转、未愈、死亡者分别占49.21%、45.20%、2.40%、3.19%。[结论]住院心脑血管疾病病人以55岁以上人群为主;心源性猝死、出血性卒中、急性心肌梗塞的病死率较高。
[Objective] To understand the constitution and medical treatment of inpatients with cardiovascular and cerebrovascular diseases in Dalian and provide scientific basis for formulating prevention and control strategies and measures. [Methods] The data of hospitalized patients with cardiovascular and cerebrovascular diseases in medical units in Dalian (city, county) in 2006 were analyzed. [Results] There were 53 196 hospitalized cases of cardiovascular and cerebrovascular diseases in the whole year, including 27 797 (52.25%) males and 25 399 females (47.75%), 0-14, 15-24, 34 years old, 35-44 years old, 45-54 years old, 55-64 years old, 65-74 years old, over 75 years old accounted for 0.07%, 0.11%, 0.50%, 3.51%, 12.60%, 18.69%, 33.82%, 30.71 %; Hypertensive patients accounted for 19.15%, coronary heart disease patients accounted for 27.86%, cerebrovascular disease patients accounted for 52.99%. Hypertension patients, Ⅰ, Ⅱ and Ⅲ cases accounted for 1.53%, 6.02%, 71.75%; coronary heart disease cases, acute myocardial infarction, angina pectoris, sudden cardiac death cases accounted for 15.87%, 46.75%, 0.25 %; Cerebral vascular disease cases, hemorrhagic stroke, ischemic stroke, transient ischemic attack accounted for 14.50%, 50.83%, 29.32%. Among the hospitalization expenses, public expenses, enterprise insurance, business insurance, business insurance and self-payment account for 1.89%, 45.96%, 21.13%, 0.62%, 22.83% and 7.57% respectively. Healed, improved, unhealed, died accounted for 49.21%, 45.20%, 2.40%, 3.19%. [Conclusion] The majority of hospitalized patients with cardiovascular and cerebrovascular diseases are over 55 years of age. Patients with sudden cardiac death, hemorrhagic stroke and acute myocardial infarction have a higher case fatality rate.