宁夏及其周边地区住院疾病对人群健康影响综合效应分析

An Comprehensive Analysis of In-patients' Diseases on Health Effects in Ningxia and Adjacent Areas

目的分析住院病种变动趋势,明确住院疾病对人群健康的影响程度.方法采用秩和比法(RSR),以卫生部统计报表要求的24个病种为标准,对宁夏医学院附属医院1990～2001年4个年段(每3年为一个年段)22.5万例住院病人的出院人数、病死人数、平均住院日、平均费用、治愈率、病死率等6项指标进行综合评价.结果对宁夏及其周边地区人群健康影响综合效应较严重的疾病在前2个年段各为12种,在后2个年段上升为14种.其中恶性肿瘤、脑血管病、心脏病在4个年段中均排列在最严重档;在较严重档中传染病、内分泌营养代谢及免疫疾病、肌肉骨骼和结缔组织病、泌尿生殖系统疾病有逐年上升趋势.结论 20世纪90年代后恶性肿瘤、心脑血管疾病、损伤中毒对本地区人群身体健康的影响程度非常严重,应适应疾病模式变化调整、配置好现有卫生资源.

Objective To analyse the diversity tendency of diseases in the hospital and identify the influence of these diseases in the people＇ s health. Methods Six parameters including the number of out - patients, the number of fatality, average days in the hospital, average expenditure, cure rate and mortality rate were assessed by RSR in 24 kinds of diseases and nearly 225000 in - patients from 1990 - 2001. Results The hazardous diseases which affect people＇s health were 12 kinds in the first 2 years period in Ningxia and adjacent areas and 14 kinds in the later 2 years period. Malignant tumnour, cerebrovascu vascular diseases and heart diseases were the most serious diseases in 4 periods. Infection diseases, endocrine and metabolic disorders, immunologically mediated diseases, musculoskeletal and connective tissue diseases and genitourinary system diseases were growing year by year. Conclusvon Malignant tumour, cardiocerebrovascular diseases, injuries and poisoning do great harm to the local people＇s health after 1990. Public health resources should be adjusted and collocated properly while the tendency of diceases changing.