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目的了解兰州市居民就医患者呼吸系统疾病谱的变化趋势和分布规律。方法对全市居民就医的患者按国际疾病分类法编码后,通过数据录入《甘肃省卫生系统疾控机构进医院信息平台》,选择兰州市医疗机构疾病谱报告数据中2013年发生的门诊和住院病例呼吸系统疾病病例为研究对象,按国际疾病分类疾病编码(ICD-10)编码、分病种进行统计。结果 2013年居民就医的呼吸系统疾病发病主要集中在冬春季节,全年变化出现1月及12月两个高峰,发病年龄以0~4岁婴儿组和60岁以上老年组为主,呼吸系统疾病发病病种中上呼吸道感染均占据首位,门诊病例和住院病例构成比分别各占38.92%和9.32%。呼吸系统疾病门诊和住院肿瘤病例中以支气管或肺恶性肿瘤最高,构成比分别各占41.46%和47.45%,其所承担的经济负担分别以上呼吸道感染、支气管或肺恶性肿瘤最高。结论上呼吸道感染及支气管或肺恶性肿瘤是居民就医的重点呼吸系统疾病病种,应加以重点防范与研究。
Objective To understand the changing trends and distribution patterns of respiratory diseases in residents in Lanzhou City. Methods According to the International Classification of Diseases, the patients in the city were enrolled in the information platform of health system CDC in Gansu Province, and the data of outpatients and inpatients in Lanzhou City in 2013 were selected. Respiratory diseases were selected as the study subjects, and were classified according to the International Classification of Diseases (ICD-10) code and sub-types of diseases. Results Residents’ respiratory diseases in 2013 mainly concentrated in the winter and spring. The changes in January and December peaked at two years. The age of onset was mainly in the infants aged 0-4 and the elderly aged 60 years and older. The respiratory system Upper respiratory tract infections accounted for the first place in the incidence of diseases, and the proportions of outpatients and inpatients accounted for 38.92% and 9.32% respectively. Respiratory disease outpatient and inpatient cancer cases with the highest bronchial or lung cancer, the constituent ratios were 41.46% and 47.45%, respectively, the economic burden of their respective upper respiratory tract infection, bronchial or pulmonary malignancies highest. Conclusions Upper respiratory tract infection and bronchial or lung malignant tumor are the major diseases of respiratory diseases for residents to seek medical treatment, and should be focused on prevention and research.