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目的调查四川省双流县永安中心卫生院2008～2010年度住院疾病构成及费用情况,为进一步研究提供基线数据。方法采取问卷调查结合专题访谈,收集该院2008～2010年住院病例资料,按国际疾病分类(ICD-10)标准对出院记录的第一诊断进行分类,应用Excel软件整理和统计分析住院患者一般信息、出院诊断名、住院费用、所用药品金额等。结果①该院2008、2009、2010年度住院病例分别为4236、4335、4844人次,均为女性多于男性(56.99%vs.42.96%,55.59%vs.44.1%,54.36%vs.45.62%);住院病例疾病谱分为20类,占ICD-10标准分类的95%。②近3年前3位系统疾病均为呼吸、消化、泌尿生殖系统疾病,累计构成比62.74%～72.31%。③近3年前15位单病种包括:上呼吸道感染、急性气管炎、肺部感染、急性胃肠炎、骨折、急性阑尾炎、慢性支气管炎、泌尿系结石、脑血管供血不足、腰椎病、急性胃炎、浅表损伤、慢性胃炎、高血压和胆囊结石/胆囊炎。④近3年15～24岁以上年龄段的慢性病住院患者人次数随其年龄增长而呈增加趋势,且女性多于男性;0～4岁年龄段均为急性病,且男性多于女性,为急性病负担最重的人群;25～54岁年龄段急性病多于慢性病,女性多于男性。⑤2010年前15位单病种中慢性病的人均住院费用高于急性病(1564.45元vs.1104.11元),也高于新添中心卫生院(人均1311.81元)和高闸中心卫生院(人均1002.99元)慢性病人均住院费用。结论①双流永安中心卫生院近3年住院病例主要系统疾病是消化、呼吸和泌尿生殖系统疾病,急性病较多且集中于感染和损伤。②该院住院患者的常见病种较稳定,近3年前15位单病种中相同疾病有上呼吸道感染、肺部感染、急性支气管炎、急性阑尾炎、急性胃炎、急性胃肠炎、骨折、慢性胃炎、慢性支气管炎和泌尿系结石。③应重点关注15～24岁以上年龄段的慢性病患者及0～4岁年龄段急性病患者。④2010年前15位单病种住院患者人均住院费用高于新添中心卫生院和高闸中心卫生院,应关注住院费用的合理性。
Objective To investigate the composition and cost of hospitalized diseases in Yongan Center, Shuangliu County, Sichuan Province from 2008 to 2010, and to provide baseline data for further research. Methods The questionnaires and special interviews were conducted to collect the data of inpatients from 2008 to 2010 in our hospital. According to the International Classification of Diseases (ICD-10), the first diagnosis of discharge records was classified. Excel software was used to sort out and analyze general information of inpatients , The name of the diagnosis of discharge, hospital costs, the amount of drugs used. Results ① The hospitalizations in 2008, 2009 and 2010 were 4236, 4335 and 4844, respectively, which were more than those in men (56.99% vs.42.96%, 55.59% vs.44.1%, 54.36% vs.45.62%). Inpatient disease spectrum is divided into 20 categories, accounting for 95% of the ICD-10 standard classification. ② In the recent 3 years, all 3 systemic diseases were respiratory, digestive and urogenital diseases with a cumulative ratio of 62.74% to 72.31%. ③ The nearly 15 years ago, 15 single diseases include: upper respiratory tract infection, acute tracheitis, pulmonary infection, acute gastroenteritis, fracture, acute appendicitis, chronic bronchitis, urinary calculi, cerebrovascular insufficiency, Acute gastritis, superficial injury, chronic gastritis, high blood pressure and gallstones / cholecystitis. ④ The number of hospitalized patients with chronic diseases aged 15 ~ 24 over the past 3 years showed an increasing trend with age, and there were more women than men; 0 to 4 years old were both acute and more men than women, which were acute The heaviest burden of people; 25 to 54 years of age acute disease more than chronic disease, more women than men. ⑤In 2010, the per capita hospitalization cost of chronic diseases in the top 15 single disease types was higher than that of acute diseases (1564.45 yuan vs.1104.11 yuan) and also higher than that of Xintian Central Hospital (1311.81 yuan per capita) and Gaozha Center Health Center (1002.99 yuan per capita) Chronic patients are hospitalized. Conclusions ① The main systemic diseases in the inpatient cases of Shuangliu Yongan Central Hospital in recent 3 years are digestive, respiratory and genitourinary diseases, and acute diseases are more concentrated and concentrated on infections and injuries. ② hospital patients common disease is more stable, nearly 15 years ago the same diseases in 15 single diseases have upper respiratory tract infection, pulmonary infection, acute bronchitis, acute appendicitis, acute gastritis, acute gastroenteritis, fracture, Chronic gastritis, chronic bronchitis and urinary stones. ③ should focus on people aged 15 to 24 years of age and chronic diseases and 0 to 4 years of age acute patients. ④ In 2010, the per capita hospitalization cost of the 15 single-disease inpatients was higher than that of the newly-added central sanitarium and the high gate center hospital, and should pay attention to the rationality of hospitalization expenses.