标题：我院2006-2015年住院患者疾病谱调查分析

      作者：杨蓉，姚丽虹    (福建医科大学附属协和医院病案室，福建 福州 350001)

      卷次： 2016年27卷24期

      【摘要】 目的 了解福建医科大学附属协和医院近十年住院患者的疾病谱变化情况，为合理配置卫生资源、加强重点专科建设以及提高医院管理水平提供科学依据。方法 根据 ICD-10对2006-2015年期间我院住院患者疾病谱进行统计分析。结果 (1) 2006-2015年间住院人数逐年增加, 10年累计增长 148%，平均增长速度为10.62%；(2)住院患者年龄从2006年的(44.68±22.5)岁增长至2015年的(48.08±21.70)岁，而住院患者性别比呈现下降趋势；(3) 10年来，我院前十位系统疾病在全院疾病总数中所占构成比高达79.6%~86.1%，其中恶性肿瘤，恶性肿瘤术后治疗，循环系统疾病和消化系统疾病的顺位始终稳居前四；(4)恶性肿瘤疾病中前十位病种包括白血病、恶性淋巴瘤、肝癌、胃癌、肺癌、乳腺癌、结肠癌、直肠癌、食管癌以及甲状腺癌。循环系统疾病中最常见的病种是高血压、心绞痛、缺血性心脏病和脑梗死。结论 住院患者疾病谱分析对医院诊疗工作的规划和疾病防治具有指导意义。
      【关键词】 住院患者；疾病谱；构成比；疾病防治
      【中图分类号】 R195.4 【文献标识码】 D 【文章编号】 1003—6350（2016）24—4107—05

Analysis of disease spectrum of inpatients in a hospital of Fujian Province from 2006 to 2015.
YANG Rong, YAOLi-hong. Department of Medical Record Management, Fujian Medical University Uion Hospital, Fuzhou 350001, Fujian,CHINA
【Abstract】 Objective To understand the changes in disease spectrum of inpatients, and provide a scientific ba-sis for the rational allocation of health resources, strengthening the construction of key specialty, and improving the levelof hospital management. Methods According to ICD-10, the disease spectrum of inpatients from 2006 to 2015 werestatistically analyzed. Results (1) From 2006 to 2015, the number of inpatients increased year by year, and the cumula-tive increase in the 10 years was 148%, with an average growth rate of 10.62%. (2) The age of the inpatients increasedfrom (44.68±22.51) in 2006 to (48.08±21.70) in 2015, while the sex ratio showed a download trend. (3) In the last tenyears, the top ten diseases accounted for 79.6%~86.1% of the diseases in hospital, and the malignant tumor, malignant tu-mor treatment after surgery, circulatory system diseases and digestive diseases were always ranked in the top four. (4) Thetop ten malignant diseases included hematological malignancies, malignant lymphadenoma, liver cancer, gastric cancer,lung cancer, breast cancer, colorectal cancer, esophageal cancer, and thyroid cancer. The most common diseases of circula-tory system diseases were hypertension, angina, ischemic heart disease, and cerebral infarction. Conclusion Analysis ofthe disease spectrum of inpatients provides guiding significance for planning work of hospital diagnosis and treatment,disease prevention and control.
      【Key words】 Inpatients; Disease spectrum; Constituent ratio; Disease prevention and control·调查研究·doi:10.3969/j.issn.1003-6350.2016.24.053