某部慢性病住院病例人群特征分析

Analysis on the data of inpatients with chronic diseases in a military unit

目的通过对后方医院现役军人慢性病住院病例数据进行统计分析,掌握部队现役军人慢性病发病情况,为制定针对性防控措施提供科学依据。方法采用现况研究的方法分析某部2010年1月~2014年5月间的现役军人住院慢性病病例流行病学特征。结果某部军队现役人员慢性病住院病例共23 138例,分布于390个慢性病类别。其中男性20 674例,占病例总数的89.35%,女性2 464例,占10.65%;战士15 513例,占67.05%,团以下干部6 559例,占28.35%,师以上干部1 066例,占4.61%。21~25岁组最多,共6 672例,占病例总数的28.84%。战士前5位疾病依次为:腰椎间盘疾患、精索静脉曲张、痔、慢性胃炎、良性肿瘤;团以下干部分别为:高血压、腰椎间盘疾患、脑血管病、慢性胃炎、痔;师以上干部分别为:高血压病、脑血管病、缺血性心脏病、颈椎病、糖尿病。结论军人慢性病疾病谱构成与地方人员有较大差异,不同类别人员的疾病谱构成差异也显著不同,应分别采取差异化的防控措施。

Objective To master the occurrence of servicemen with chronic disease, and provide scientific basis for targeted prevention and control measures based on the statistical analysis of hospitalized cases of chronic diseases in servicemen in the rear hospitals. Methods The epidemiological characteristics of inpatient chronic diseases of military servicemen in service were analyzed from January 2010 to May 2014 by the status of research methods. Results A total of 23 138 inpatients with chronic diseases were involved in 390 chronic diseases. Among them, 20 674 cases were male, accounting for 89.35% of the total cases, 2 464 cases of women, accounting for 10.65%; 15 513 cases were of soldiers, accounting for 67.05%; 6 559 cases were of cadres below the regiment, accounting for 28. 35%; 1 066 cadres were of the regiment and above, accounting for 4.61%. There were 6 672 cases in the age group of 21～25, accounting for 28.84% of the total cases. The top five warrior diseases were ： lumbar disc disease, varicocele, hemorrhoids, chronic gastritis, benign tumor; cadres were ： hypertension, lumbar disc disease, cerebrovascular disease, chronic gastritis, hemorrhoids ; cadres above division were ： hypertension, cerebrovascular disease, ischemic heart disease, cervical disease, diabetes. Conclusion The composition of chronic disease spectrum of military personnel is different from that of local people. The difference of disease spectrum in different categories of personnel is also different, and differentiated prevention and control measures should be adopted respectively.