广州南部某医院2006～2011年疾病谱变化趋势分析

目的了解番禺区中心医院2006～2011年住院病人疾病谱的变化情况。方法根据ICD-10的疾病分类对番禺区中心医院2006～2011年197771名住院患者的诊断情况进行疾病构成及顺位分析,并进行趋势检验。结果前10位疾病占住院疾病的86.6%,循环系统疾病、肿瘤等7类疾病占住院疾病的比例呈线性上升趋势(P<0.05),消化系统疾病、损伤、中毒和外因的某些其他疾病等5类疾病的比例呈线性下降趋势(P<0.05)。结论卫生部门应根据疾病构成的变化情况,安排工作重点,调整卫生资源,加强重点疾病的宣传和防治。

Objective 1b access spectrum of disease of inpatients between 2006-2011 of our hospital. Methods Based on ICD-10 we analyzed the proportion of diseases of 197771 patients and examined the secular trends of diseases from 2006 to 2011. Results 86.6% of inpatient diseases were accounted by the top 10 diseases. Circulatory system disease, tumor, and other 5 system diseases increased significantly （P〈0.05） though the last 6 year, while digestive system disease, injury, poisoning and other 3 system diseases decreased considerably （P〈0.05）. Conclusion According to the changes of disease composition, health authorities should arrange the key point of health care, adjust health resources and strengthen the key disease awareness and prevention.