新疆某三甲医院2013-2017年出院患者疾病构成分析

Analysis of disease composition of patients in one general hospital in Xinjiang from 2013 to 2017

目的对新疆某三级甲等综合性医院2013-2017年出院患者疾病构成进行分析,为制定地区性的疾病预防控制措施提供参考依据。方法利用Oracle数据库软件及Excel2010软件,采用描述性统计方法对该院出院患者疾病构成进行回顾性研究。结果5年间该院出院患者人次呈上升趋势,出院患者主要疾病为呼吸系统疾病,循环系统疾病,妊娠、分娩和产褥期,消化系统疾病,影响健康状况和接触健康服务的因素,损伤、中毒和外因作用的某些其他结果,泌尿生殖系统疾病,肿瘤,皮肤和皮下组织疾病,共9类,累计构成比达78.90%。分析该地区不同年份、性别及年龄别的疾病构成后发现,5岁以下儿童呼吸系统疾病占比高于全国平均水平,15~<45岁及45~<60岁人群循环系统疾病与消化系统疾病占比均高于全国平均水平,15~<45岁人群肿瘤疾病占比高于全国平均水平。结论针对当地高发的疾病与疾病高发人群,结合地方环境因素等,探索疾病预防及诊疗过程的科学决策体系,指导当地疾病预防,提高全社会人民健康水平。

Objective To analyse the disease composition of discharged patients in a third-class general hospital in Xinjiang from 2013 to 2017,which provides reference for developing specific preventive and control measures.Methods By using Oracle database and Excel2010 software,descriptive statistical analysis was performed to make a retrospective study on the diseases composition of discharged patients in hospital.Results In the past 5 years,the number of discharged patients in hospital was on the rise.The main diseases factors of the discharged patients were respiratory diseases,circulatory diseases,pregnancy,childbirth and the puerperium diseases,digestive system diseases,factors affecting health status and access to health services,certain other consequences of injury poisoning and exogenous effects,genitourinary system diseases,tumour,skin and subcutaneous tissue diseases.There were 9 kinds of diseases,and the cumulative composition ratio was 78.90%.After analyzing the composition of diseases in different years,gender and age in this region,it was found that the proportion of respiratory diseases in children under 5 years old was higher than the national average,15-<45 years old,and 45-<60 years old people were higher discharged ratio of circulatory system diseases and digestive system diseases than the national average,15-<45 years old people was higher discharged ratio of tumor disease than the national average.Conclusion Focused on the specific diseases and corresponding population in Xinjiang,decision-making system considering the local environmental factors of diseases prevention could be proposed.It will provide evidence to guide local disease prevention,increase the health level of the whole society.