武警某总队医院2005-2014年收治部队患者疾病谱分析

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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。 Objective To investigate the disease spectrum of officers and soldiers in a hospital from 2005 to 2014 in a certain Armed Police Corps Hospital and provide basis for prevention and treatment of the disease and rational allocation of medical resources in Armed Police Forces. Methods The inpatients of the Armed Police Corps from January 2005 to December 2014 in the Corps Hospital were enrolled in this study. According to the International Classification of Diseases (ICD-10), statistics were made and EXCEL tables were prepared. The data were analyzed by SPSS 19.0 software. Results A total of 6498 hospital admission information was included, with an average of 650 hospitalized soldiers annually, with an average of 23.4 years. The number of admitted patients was 934 in 2005, the lowest was 497 in 2010, and the number of patients admitted in the past five years decreased slightly as a whole in 2011 and 2012 although it was slightly increased. The top 5 systemic diseases causing officers and soldiers to be hospitalized were sports injuries, poisoning, digestive system, genitourinary, otolaryngology and respiratory diseases, accounting for 30.90%, 20.50%, 9.93%, 9.57%, 7.48% Accounting for a total of 78.38% of the total, of which injuries and poisoning diseases, and digestive diseases ten years has been the top two, accounting for 51.40%; single disease ranked the top five diseases fracture, appendix disease, perianal disease, Upper respiratory tract infection, lumbar disc herniation, accounting for the overall 11.68%, 5.60%, 4.43%, 4.00%, 3.59%. Conclusion Based on the characteristics of the disease records of the officers and soldiers of the Corps Hospital, the scientifically and rationally formulating the strategy of medical support and doing a good job in the missionary health mission will help ensure the health of officers and soldiers and reduce the number of non-combat attrition.
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