摘要
目的分析2017—2019年广东省住院病例疾病谱特征及变化趋势,为确定优先控制疾病、掌握系统别顺位及变化提供参考依据。方法收集广东省近3年住院病例病案首页数据,根据ICD-10按系统分类,分析疾病谱特征并进行对比分析。结果住院病例数逐年增长;呼吸系统疾病、循环系统疾病、妊娠分娩和产褥期是排名前3位系统别疾病,占住院病例数40%以上。前10顺位中,呼吸系统由第2位上升为第1位,循环系统由第3位上升为第2位,消化系统由第5位上升为第4位,其他接受医疗服务由第6位上升为第5位,泌尿生殖系统由第8位上升为第7位,神经系统由第12位上升为第10位,妊娠分娩和产褥期由第1位下降为第3位,损伤中毒由第4位下降为第6位,肌肉骨骼系统和结缔组织由第7位下降为第8位。男性病例中,神经系统由第11位上升为第9位。女性病例中,肿瘤由第8位上升为第7位,其他接受服务由第6位上升为第4位,肌肉骨骼系统和结缔组织由第4位下降为第5位,泌尿生殖系统由第5位下降为第6位,消化系统由第7位下降为第8位。结论呼吸系统疾病、循环系统疾病、妊娠分娩和产褥期是影响居民健康的主要疾病;泌尿生殖系统、神经系统等系统别疾病顺位有所提升,是当前广东省重点防控的疾病。
Objective To analyze the characteristics of the disease spectrum of inpatients in Guangdong Province from 2017 to 2019,so as to provide a scientific basis for determining the priority of disease control,mastering the system sequence and changing trends.Methods Home page data of medical record of inpatients in Guangdong Province in the past three years were collected.Disease spectrum of inpatients were analyzed and compared according to the ICD-10.Results The number of inpatients was increasing year by year.Diseases of the respiratory system,diseases of the circulatory system,pregnancy childbirth and puerperium were always the top 3 system diseases and accounted for more than 40%of inpatients in the past three years.Respiratory diseases ranked from 2nd to 1st;circulatory system ranked from 3rd to 2nd;digestive system ranked from 5th to 4th;factors influencing health status and contact with health services ranked from 6th to 5th;genitourinary system ranked from 8th to 7th;nervous system ranked from 12th to 10th.Pregnancy childbirth and puerperium ranked from 1st to 3rd;injury and poisoning ranked from 4th to 6th;musculoskeletal system and connective tissue ranked from 7th to 8th.For male cases,nervous system ranked from 11th to 9th.For female cases,neoplasms ranked from 8th to7th;factors influencing health status and contact with health services ranked from 6th to 4th;musculoskeletal system and connective tissue ranked from 4th to 5th;genitourinary system ranked from 5th to 6th;digestive system ranked from 7th to 8th.Conclusion Diseases of the respiratory system,diseases of the circulatory system,pregnancy childbirth and puerperium are the main diseases that affect residents′health,the rank of genitourinary system and nervous system has improved,and both two types are the current key diseases for prevention and control in Guangdong Province.
作者
陈龙
Chen Long(Government Affair Service Center of Health Commission of Guangdong Province, Guangzhou, 510060, China)
出处
《中国医院统计》
2020年第5期420-423,429,共5页
Chinese Journal of Hospital Statistics
关键词
住院患者
疾病谱
对比分析
inpatient
disease spectrum
comparison and analysis
