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目的调查新津县各级医疗机构2009和2010年门、急诊和住院疾病构成情况,为进一步研究提供基线数据。方法收集2009和2010新津县县级医院、社区卫生服务中心和乡镇卫生院共17家医疗机构门、急诊及住院患者ICD-10系统疾病构成和单病种构成数据。采用Microsot Excel 2003和SPSS 13.0软件进行统计分析。结果①2009和2010年,全县各级医疗机构门、急诊前20位疾病就诊人次年增长106.8%,住院人次年增长43.2%。按ICD-10标准分类,门、急诊疾病谱为11类,2009和2010年前3类系统疾病均为呼吸系统疾病、消化系统疾病、损伤、中毒和外因的某些其他后果,累计构成比分别为85.1%和82.7%。2009和2010年前3位单病种均为上呼吸道感染、急性支气管炎和浅表损伤,累计构成比分别为61.6%和59.5%。②住院患者疾病谱为12类,2009和2010年前4类系统疾病均为呼吸系统疾病、妊娠、分娩和产褥期疾病、消化系统疾病和循环系统疾病,其中呼吸系统疾病均居首位,累计构成比分别为53.6%和50.8%。2009和2010年前4位单病种均为急性支气管炎、慢性支气管炎、慢性阻塞性肺疾病和急性胃炎,累计构成比分别为48.12%和49.54%。另外,高血压、糖尿病住院人次增加明显,上升至住院前10位单病种。③急性系统疾病多分布在乡院,慢性系统疾病多分布在县级医院。结论新津县2009和2010年主要系统疾病为呼吸、消化和循环系统疾病,其中县级医院以慢病为主,社区/乡院以急性感染性疾病为主。该县常见病种较集中且稳定,为基本医疗项目和基本药物的遴选提供了良好条件。
Objective To investigate the composition of door, emergency and inpatient diseases in medical institutions at all levels in Xinjin County in 2009 and 2010, and to provide baseline data for further research. Methods The data of disease composition and single disease of ICD-10 system in door, emergency and inpatient of 17 medical institutions in Xinjin county-level hospitals, community health centers and township hospitals in 2009 and 2010 were collected. Statistical analysis was performed using Microsot Excel 2003 and SPSS 13.0 software. Results ① In 2009 and 2010, the number of medical institutions in all levels of the county and the number of emergency patients in the first 20 visits increased by 106.8% and that of inpatients by 43.2% in the next year respectively. According to the standard of ICD-10, there are 11 categories of door and emergency disease spectrum, and the three kinds of system diseases in 2009 and 2010 are some other consequences of respiratory diseases, digestive diseases, injuries, poisoning and exogenous factors. The cumulative proportions 85.1% and 82.7%. The three single diseases in 2009 and 2010 were upper respiratory tract infection, acute bronchitis and superficial injury with the cumulative proportions of 61.6% and 59.5% respectively. ② Inpatient disease spectrum is 12 categories, 2009 and 2010, four types of systemic diseases are respiratory diseases, pregnancy, childbirth and puerperium diseases, digestive diseases and circulatory diseases, of which respiratory diseases ranked first, the cumulative composition Compared to 53.6% and 50.8% respectively. The four single diseases in 2009 and 2010 were all acute bronchitis, chronic bronchitis, chronic obstructive pulmonary disease and acute gastritis. The cumulative proportions were 48.12% and 49.54% respectively. In addition, high blood pressure, diabetes, significant increase in hospitalization, rose to the hospital before the 10 single disease. ③ acute system diseases are mainly distributed in homestead, chronic diseases are mostly distributed in county hospitals. Conclusion The main systemic diseases in 2009 and 2010 in Xinjin County were respiratory, digestive and circulatory diseases. Among them, chronic diseases were the most common in county hospitals and acute infectious diseases in communities and townships. The county’s common diseases are more concentrated and stable, providing favorable conditions for the selection of basic medical projects and essential medicines.