新疆维吾尔自治区中医医院2008～2010年度住院疾病构成调查

A Status Survey on Inpatient Disease Constitution in Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region from 2008 to 2010

目的调查新疆维吾尔自治区中医医院2008～2010年度住院疾病构成情况,为西部医院药物配置及中医医院的发展提供基线数据。方法采用问卷调查结合专题访谈,收集该院2008～2010年住院病例资料,按国际疾病分类标准对出院记录的第一诊断进行分类,包括住院患者一般信息、出院诊断名等,应用Excel软件进行数据整理和统计分析。结果①2008～2010年前4位系统疾病为循环系统疾病、肌肉骨骼系统和结缔组织病、呼吸系统疾病、消化系统疾病。排在前4位的单病种依次为高血压,椎间盘疾患,糖尿病,支气管炎、肺气肿和其他慢性阻塞性肺疾病,呼吸系统疾病由2008年的第4位上升为2009年和2010年的第3位,排在第1位的三年来一直是循环系统疾病。②三年中高血压,支气管炎、肺气肿和其他慢性阻塞性肺病,糖尿病,骨折,气管(支气管、肺)恶性肿瘤,病毒性肝炎均为男性多于女性;而椎间盘疾患,胆石病和胆囊炎,贫血等则是女性多于男性。③高血压患者以60岁以上老年人为主,椎间盘疾患则以15～59岁患者为主,支气管炎、肺气肿和其他慢性阻塞性肺病,气管(支气管、肺)恶性肿瘤60岁以上患者占绝大部分。结论①2008～2010年前4位系统疾患主要是循环系统疾病、肌肉骨骼系统和结缔组织病、呼吸系统疾病和消化系统疾病,排在前4位的单病种依次为高血压,椎间盘疾患,糖尿病,支气管炎、肺气肿和其他慢性阻塞性肺疾病,医院制定规划及当地制定基本药物补充目录时应适当向该4类疾病倾斜。②慢性疾病成为困扰新疆人群的主要病种;③男性与女性有着各自不同的高发疾病,应注意合理规避诱因预防发作。

Objective To investigate inpatient disease constitution in Traditional Chinese Medicine（TCM） Hospital of Xinjiang Uygur Autonomous Region from 2008 to 2010,in order to provide baseline data for medicine allocation of hospitals in western China and development of TCM hospitals.Methods A questionnaire combined with a subject interview was carried out,and the case records of inpatients from 2008 to 2010 were collected.The diseases in discharge records were classified according to International Classification of Diseases（ICD-10） based on the first diagnosis.Data including general information of the inpatients,discharge diagnosis etc.were rearranged and analyzed by Excel software.Results a） The top four systematic diseases seen commonly from 2008 to 2010 were as follows： circulatory system diseases,musculoskeletal system and connective tissue diseases,respiratory system diseases and digestive system diseases.The top four single diseases were hypertension,intervertebral disc disease,diabetes,bronchitis,emphysema and other chronic obstructive pulmonary diseases.Respiratory system diseases ranked the third in 2009 and 2010 from the fourth in 2008,and circulatory system diseases had ranked the first during the past three years;b） The following diseases as hypertension,bronchial emphysema and other chronic obstructive pulmonary diseases,diabetes,fractures,airway（bronchus,lung） cancer,and viral hepatitis were commonly seen in males rather than in females.By contrast,intervertebral disc disease,gallstone disease and cholecystitis,and anemia were commonly seen in females;and c） Hypertension was commonly seen in the aged above 60 years old;intervertebral disc disease mainly focused on the patients at the age of 15 to 59;and bronchial emphysema and other chronic obstructive pulmonary diseases,airway（bronchus,lung） cancer involved in the patients who were mostly over 60 years old.Conclusion a） The top four systematic diseases seen commonly from 2008 to 2010 are as follows： circulatory system diseases,musculoskeletal system and connective tissue diseases,respiratory system diseases and digestive system diseases.The top four single diseases are hypertension,intervertebral disc disease,diabetes,bronchitis,emphysema and other chronic obstructive pulmonary diseases.So these diseases should be taken into well consideration when making development plans by hospital and complementing essential drugs list by local development;b） Chronic diseases become the main disease for troubling Xinjiang population;and c） Male and female are susceptible to different diseases which should be rationally avoided in order to prevent the induced occurrence.