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目的分析2015年江阴市居民慢性病的流行情况和分布特征,评价该市自主开发的基于医院信息系统的慢性病监测系统的应用效果。方法收集2015年江阴市高血压、糖尿病、冠心病急性事件、脑卒中和恶性肿瘤发病病例,分析该市居民五种慢性病的发病率及监测质量。结果五种慢性病总的报告发病率为2 154.33/10万,其中男性2 345.18/10万,女性1 965.05/10万,男性高于女性,差异有统计学意义(P<0.001)。五种慢性病发病率由高到低依次为高血压、脑卒中、糖尿病、恶性肿瘤、冠心病急性事件,发病趋势均随年龄增加而升高。2015年该市启用慢性病监测系统后,慢性病监测报告率、完整率、及时率显著上升,重报率显著下降,差异均有统计学意义(P<0.001)。结论高血压、脑卒中是江阴市的重点防控病种。中老年人群尤其是中老年男性居民是该市慢性病重点干预人群。开发和应用基于医院信息系统的慢性病监测系统开展慢性病监测,成效显著,值得推广。
Objective To analyze the prevalence and distribution characteristics of chronic diseases in Jiangyin City in 2015 and evaluate the application effect of the chronic disease monitoring system based on hospital information system independently developed by the city. Methods The incidence of hypertension, diabetes mellitus, coronary heart disease, stroke and malignant tumor in Jiangyin City in 2015 were analyzed. The incidence and monitoring quality of five chronic diseases in the city residents were analyzed. Results The overall incidence rate of the five chronic diseases was 2 154.33 / lakh, including 2 345.18 / lakh males and 1 965.05 / lakh females, higher in males than in females, the difference was statistically significant (P <0.001). The five chronic diseases from high to low followed by hypertension, stroke, diabetes, cancer, acute coronary events, the incidence trends are increased with age. After the chronic disease surveillance system was activated in the city in 2015, the report rates of chronic disease surveillance, complete rate, prompt rate increased significantly, and the retribution rate decreased significantly with statistical significance (P <0.001). Conclusion Hypertension and stroke are the key prevention and control diseases in Jiangyin City. Middle-aged and elderly people, especially middle-aged men, are the key intervention groups for chronic diseases in the city. The development and application of chronic disease monitoring system based on hospital information system to monitor chronic diseases has achieved remarkable results and is worthy of promotion.