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目的对白银市2012年疾病谱特点进行统计分析,为卫生行政部门采取针对性的疾病控制提供理论依据。方法参照国际疾病分类标准(ICD-10)按照疾病系统和病种对白银市2012年通过“甘肃省卫生系统疾控机构进医院信息平台”录入的门诊、住院部的就诊病例进行回顾性分析。结果①2012年白银市医疗机构疾病谱报告工作覆盖率为99.22%;②全市各级医疗机构门诊报告各类疾病6 357种,病例总数948 329例;住院部报告各类疾病3 622种,病例总数97 682例,门诊和住院就诊比为1:9.71;③疾病按系统分类:门诊前3位的是呼吸系统(29.71%)、消化系统(16.14%)、泌尿生殖系统疾病(10.32%),住院前3位的是呼吸系统(17.95%)、妊娠分娩和产褥期(15.46%)、循环系统(14.46%);④疾病按单病种分类:门诊前3位的单病种为上呼吸道感染(14.52%)、胃炎(3.74%)和感冒(3.35%);住院前3位的单病种为正常分娩(6.89%)、头位顺产(3.22%)和肺炎(2.86%);⑤在疾病经济负担排序中,门诊病例居于前3位的疾病分类为呼吸系统疾病、消化系统疾病和泌尿生殖系统疾病,占门诊病例总费用的49.08%,住院病例居于前3位的疾病分类为循环系统疾病、消化系统疾病和呼吸系统疾病,占住院就诊病例总费用的43.87%。结论呼吸道疾病是白银市的主要疾病病种,应作为白银市疾病防控工作的重点。
Objective To analyze the characteristics of disease spectrum in Baiyin City in 2012, and provide the theoretical basis for the health administration to take targeted disease control. Methods According to the International Classification of Diseases (ICD-10), retrospective cases of outpatient and inpatient departments were enrolled in Baiyin City in 2012 through the “Gansu Provincial Department of Health System CDC into hospital information platform” according to the disease systems and diseases analysis. Results ① The coverage rate of disease spectrum in medical institutions in 2012 was 99.22%. ② Outpatients reported 6 357 kinds of diseases and 9 329 329 cases of outpatients in all clinics at all levels in the city; 3 622 kinds of diseases were reported in inpatients, the total number of cases 97 682 cases, outpatient and inpatient ratio was 1: 9.71; ③ disease by the system: the first three outpatient respiratory system (29.71%), digestive system (16.14%), genitourinary system disease (10.32%), hospitalization Respiratory system (17.95%), pregnancy and delivery and puerperium (15.46%) and circulatory system (14.46%) were the first three diseases. (4) The diseases were classified according to single disease: the top three outpatients were upper respiratory tract infections (3.93%), gastritis (3.74%) and colds (3.35%). The first three hospitalized patients were normal delivery (6.89%), head and neck delivery (3.22%) and pneumonia (2.86% In the rankings, the top 3 outpatient cases were classified as respiratory diseases, digestive diseases and genitourinary diseases, accounting for 49.08% of the total out-patient cases. The top 3 in-patient cases were classified as circulatory diseases, digestive diseases System diseases and respiratory diseases account for 43.87% of the total expenses of inpatient visits. Conclusion Respiratory disease is a major disease in Baiyin City and should be the focus of disease prevention and control in Baiyin City.