【摘要】 [目的]掌握住院患者疾病构成,及时发现疾病谱变化,为制定卫生政策和合理有效配置医疗卫生资源提供依据。[方法]采用描述性流行病学方法,对8家综合医院2008年住院患者病案记录资料进行分析。[结果]2008年8家综合医院住院患者共计114055人,不同年龄组人群疾病病种构成不同,15~44岁年龄组住院患者比例最高,占40.33%。女性患者妊娠分娩和产褥期疾病构成比居首位,占21.92%。除妊娠分娩和产褥期疾病外,男性和女性住院患者前5位疾病顺位一致,依次为循环系统疾病、呼吸系统疾病、损伤中毒、消化系统疾病和肿瘤,占住院患者总数的58.69%;男性和女性前10位疾病病种相同,但顺位不同,占住院患者总数的72.24%。[结论]15~44岁年龄组人群是疾病防控的重点对象;妊娠分娩和产褥期疾病占女性住院患者总数比例的54.25%,加强妇女保健工作意义重大;循环系统疾病、肿瘤对45岁以上中老年人危害大,对医疗卫生资源占用和消耗最大,是今后疾病防治的重点。更多还原

【Abstract】 [Objective]To analyze the inpatients’ disease composition,to discover the changes of spectrum of diseases and provide the basis for rational allocation of medical and health resources.[Methods]Adopted the descriptive epidemiological method to analyze the medical record data of inpatients in eight general hospitals in Anyang City in 2008.[Results]There were 114 055 inpatients in eight general hospitals in Anyang City in 2008,of which the ages were mainly between 15 to 44 years old,accounting for 40.33%.While diseases during pregnancy,childbirth and stegmonth was on the first place,accounting for 21.92%,except the above related diseases,the top 5 diseases among male and female inpatients were of the same sequence,followed by circulatory system,respiratory system,injury and poisoning,digestive system,tumour,which accounted for 58.69%;the top 10 diseases were of the same disease kind but different sequence,which accounted for 72.24% of inpatients.[Conclusion]The age group of 15-44 years old is the focus of disease prevention and control;incidence of diseases during pregnancy,childbirth and stegmonth is 54.25% of the female inpatients,so it is of great significance to strengthen women’s health;circulatory system diseases,tumors often happens to the elderly over the age of 45,who take the most medical resource consumption,which is the focus of future disease control.更多还原