应用秩和比法和帕累托法分析2011-2014年甘肃省住院病例疾病构成

Analysis of disease composition of inpatients with rank-sum ratio and pareto of Gansu Province in 2011-2014

目的 分析甘肃省2011-2014年住院病例疾病构成,为其医疗卫生资源配置提供可供参考的依据。方法 采用秩和比法和帕累托法对2011-2014年甘肃省居民住院病例疾病构成进行综合分析。结果 经和谐程度检验,χ2=79.184,P=0.001,表明疾病谱一致性有统计学意义,提示4年间甘肃省住院病例疾病谱未发生变化。主要系统病种为呼吸、循环、消化、妊娠分娩、损伤中毒、肌肉骨骼、泌尿和肿瘤。结论 呼吸、循环、消化系统疾病是影响该地区居民健康的最主要因素,注意监测肿瘤的发病情况。

Objective To provide scientific basis for medical and health resources allocation by analysis on the disease composition of inpatients in Gansu Province from 20ll to 2014. Methods Rank-sum ratio and pareto analytical method were used to analyze the disease composition. Results Through the harmonious degree test, x2 = 79. 184,P = 0. 001, showed that there was statistical significance in coherence of disease spectrum, suggesting that there was no signifi- cant change in disease spectrum of Gansu Province from 2011 to 2014. The main diseases categoties of Gansu province were respiratory system diseases, circulatory system diseases, digestive system diseases, pregnancy childbirth and the puerperi- urn, injuries and poisoning and certain other consequences of external cause, musculoskeletal system and connective tissue diseases, genitourinary system diseases, cancer. Conclusions Respiratory system diseases, circulatory system diseases and digestive system diseases are the main factors which affect the residents＇ health in Gansu Province. It is necessary to monitor the incidence of tumor.