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目的:分析某部军队住院患者主要疾病构成,为提高部队医疗服务效能、合理利用卫生资源、完善部队卫勤保障体系提供依据。方法:提取某军队医院2007年6月-2010年5月军队住院患者病案首页信息,分析住院人员身份类别分布情况,参照ICD-9标准对研究对象进行系统分类、顺位排列,对单病种情况进行描述和顺位排列。结果:年龄分组前3位的是21～30岁、11～20岁和0～10岁组。系统疾病分类前5位是呼吸内科、骨科、泌尿外科、耳鼻喉科和普外科。排名前10的单病种分别为上呼吸道感染,包皮过长,肺炎,急性支气管炎,腰椎间盘突出,脑供血不足,急性胃肠炎,慢性前列腺炎,精索静脉曲张和高血压。结论:明确了军队住院患者基本疾病种,为医疗保健机构做好为军服务工作提供重要参考。
OBJECTIVE: To analyze the composition of the major diseases in inpatients in a military unit and provide basis for improving the effectiveness of military service, rational utilization of health resources and improvement of the troop medical security system. Methods: The medical records of military hospital from June 2007 to May 2010 were extracted from the first page of the medical records of hospitalized patients. The distribution of the status of inpatients was analyzed. The subjects were systematically classified according to ICD-9 standard, The situation is described and sorted. Results: The top three groups were 21-30 years old, 11-20 years old and 0-10 years old group. The top 5 systemic diseases were respiratory medicine, orthopedics, urology, otolaryngology and general surgery. The top 10 single diseases were upper respiratory tract infection, long foreskin, pneumonia, acute bronchitis, lumbar disc herniation, cerebral insufficiency, acute gastroenteritis, chronic prostatitis, varicocele and hypertension. Conclusion: The basic disease types of inpatients in the military are clearly defined, which provides an important reference for the medical and health care institutions to do a good job in military service.