上海市某社区卫生服务中心门诊常见疾病构成分析

Most common illnesses in outpatient clinic of one primary health center in Shanghai

通过社区门诊工作软件收集上海市徐汇区天平社区卫生服务中心2010年1月至12月门诊电子病历资料，根据患者就诊时第一诊断进行疾病归类，分析前20位就诊疾病，并进行年龄、性别、系统就诊频次分析。结果显示，全年总就诊461939人次，前20位疾病就诊共340310人次（73．67％），位居第1位的为高血压（21．06％），第2位为冠心病（8．36％）。总就诊人次中65岁以上人群占72．35％，人均就诊频次与年龄正相关（P〈0．01）；男女性别问就诊频次的年龄构成不同。除妇科疾患外，不同系统疾病中不同年龄组间患者就诊频次存在差异（P〈0．01）。提示，社区门诊常见疾患比较集中，以常见病、慢性病为主；不同年龄、不同性别患者对社区卫生服务的需求有差异。

There were 461 939 outpatient visits in Shanghai Tianping Primary Health Center from January to December 2010, the data were retrospectively analyzed based on the electronic outpatient record. The 20 most common illnesses accounted for 73.67% of total outpatient consultations （340 310/461 939） , hypertension ranked the first position of all illnesses （21.06%） and followed by coronary heart disease （8.36%）. Patients aged over 65y accounted for 72. 35% of all patients, the frequency of consultations was positively correlated with age of patients（P 〈 0. 01 ）. The frequency of consultations varies according to the gender, age of the patients as well as the organ system involved （P 〈0. 01 ）. It can be concluded that the most frequently encountered illnesses in primary health center are common illnesses and chronic diseases. There are different needs for primary health service between genders and different age groups.