武汉市某医院2008-2012年住院病人慢性疾病构成分析

Analysis of the Chronic Diseases Components of Inpatient in a hospital of Wuhan from 2008-2012

目的:分析武汉市某医院近5年住院病人慢性疾病谱基本情况,以加强疾病防治工作,并为医院合理调配各科室人员、物资、设备的分布和医院重点特色科室的建设等决策提供理论依据。方法:采集2008-2012年该院疾病分类报表数据库的数据,应用Excel和SPSS软件进行统计分析。结果:2008-2012年该医院住院病例中前15位慢性疾病累积构成比为38.72%-52.69%,高血压、糖尿病、冠心病3种疾病的排序虽稍有变化,但始终位列前5位。除颈椎病和腰椎间盘脱出外,慢病患者均以男性居多。住院病例慢性病主要集中在70-89岁年龄段;精神疾病多发于49岁以下青壮年人群;颈椎病集中在50岁以上,腰椎疾病集中在49岁以下和50-69岁2个年龄段。结论:进一步加强医疗服务和医院管理工作,加大宣传力度,发挥该院老年病、慢性病治疗之特色,为控制慢病、减少慢病、促进人群健康作出应有贡献。

Objective： To analyze the basic situation of the inpatient chronic disease spectrum of hospital in the past five years, so as to strengthen the prevention and treatment of disease, and provide a theoretical basis for the reasonable allocation of the distribution of the hospital department personnel, materials, equipment and the construction of hospital key characteristic departments and other decision - making. Meth- ods ： We collected data in Hospital Classification of Diseases report database from 2008 to 2012, and conducted a set of statistical analyses by Ex- cel and SPSS software. Results： The cumulative proportions of 15 cases of chronic illness before in this hospital range from 38.72% to 52.69% during five years; hypertension, diabetes and coronary heart disease sort in the top five, along with a slight change. In addition to cervical spon- dylosis and lumbar disc prolapse, males are main component in the slow - ill patients. Cases of chronic disease focused on the age group as 70 to 89; mental illness more often occurs in young people under the age of 49; cervical spondylosis concentrated in the age group as above 50, the lumbar spine disease concentrated in the age groups as below 49, 50 to 69 . Conclusion： Further enhance medical services and hospital manage- ment, and intensify publicity efforts. Exert the hospital~ specialty in geriatric and chronic diseases treatment, make due contributions for the con- trol of chronic disease, reduce chronic disease and promote population health.