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目的监测和评价乡镇卫生院住院患者的疾病变化趋势以及影响因素,为有效提高居民卫生服务利用、合理配置医疗资源提供依据。方法采用整群抽样的方法,对样本地区乡镇卫生院住院病人的就诊原因进行分析。结果损伤和中毒原因占全部就诊人次的17.76%,妊娠、分娩原因占全部女性就诊人次的16.95%,生殖系统及乳房疾病占全部女性就诊人次的3.46%,循环系统原因占全部就诊人次的16.66%。0～5岁以下婴幼儿就诊原因以呼吸系统疾病为主。5～10岁儿童以呼吸系统疾病与损伤和中毒为主。结论在基层医药卫生体制改革时期,要加强对农村居民损伤和中毒的预防以及女性疾病,老年慢性病和儿童常见病的监测和评价。
Objective To monitor and evaluate the trends and influencing factors of inpatients ’diseases in township hospitals, and provide the basis for effectively improving residents’ health service utilization and rational allocation of medical resources. Methods The method of cluster sampling was used to analyze the causes of inpatients in township health centers in sample areas. Results The causes of injury and poisoning accounted for 17.76% of the total number of visits. The causes of pregnancy and childbirth accounted for 16.95% of the total number of female visits, the reproductive system and breast diseases accounted for 3.46% of all female visits, and the circulatory system accounted for 16.66% . 0 to 5 years old infants and young children due to respiratory diseases. Children aged 5 to 10 years with respiratory diseases and injuries and poisoning. Conclusions During the reform of grassroots medical and health system, it is necessary to strengthen the prevention and control of injury and poisoning of rural residents and the monitoring and evaluation of female diseases, elderly chronic diseases and children’s common diseases.