2008年安阳市出院慢性非传染性疾病病人病种构成分析

目的]了解安阳市出院慢性非传染病（慢性病）病人的病种构成情况,以便为制定慢性病防治策略提供科学依据。方法]对2008年安阳市8家综合医院出院慢性病病人资料进行分析。结果]2008年8家医院出院病人总数为114055例,其中慢性病病人52529例,占46.06%。慢性病病人中,脑血管病占20.96%,恶性肿瘤占11.56%,缺血性心脏病占10.74%,肝疾病占2.60%,糖尿病占2.08%,胆结石胆囊炎占2.06%,慢性阻塞肺病占1.97%,高血压占1.68%,尿石病占1.17%,椎间盘疾病占0.99%,其他慢性病占44.19%。出院病人中慢性病病人所占比例,市级医院为53.01%,县级医院为37.69%（P〈0.01）;男性为55.20%,女性为38.38%（P〈0.01）;〈5岁、5～14岁、15～44岁、45～59岁、≥60岁分别为18.82%、39.75%、21.71%、74.81%、83.35%（P〈0.01）。病例数居前2位的慢性病,男性是脑血管病、恶性肿瘤,女性是脑血管病、缺血性心脏病;≥60岁为恶性肿瘤、缺血性心脏病,45～59岁和15～44岁均为脑血管病、恶性肿瘤,5～14岁为慢性阻塞性肺病、恶性肿瘤,〈5岁为慢性阻塞性肺病、脑血管病。结论]综合医院出院病人中慢性病病人占较大比例,其中主要是脑血管病、恶性肿瘤、缺血性心脏病、肝疾病和糖尿病病人。

Analysis on Constitution of the Chronic Non-communicable Diseases of the Outpatients of Anyang in 2008

Objective] To analyze the conditions of the outpatients of chronic non-communicable diseases and the distribution of the kinds of diseases to provide scientific basis for the prevention and cure of chronic non-communicable diseases.Methods]Data were analyzed on the kinds of chronic non-communicable diseases of the outpatients in 8 general hospitals of Anyang City in 2008.Results]There were 114 055 outpatients in 8 general hospital,among which,52 529 were chronic non-communicable diseases accounting for 46.06%.In all the chronic non-communicable diseases patients,20.96% was cerebrovascular diseases,11.56% in malignant neoplasms,10.74% in ischaemic heart disease,2.60% in liver diseases,2.08% in diabetes mellitus,2.06% in cholelith cholecystitis,1.97% in COPD,1.68% in hypertension,1.17% in urolithiasis,0.99% in intervertebral disc disorders,other chronic non-communcable diseases in 44.19%.The outpatients of chronic non-communicable diseases were 58.01% of the total number of the outpatients from the city level hospitals,37.69% in county level hospitals,55.20% in male,38.38% in female（P0.01）,18.82%,39.75%,21.71%,74.81%,83.35%（P0.01）in under 5 yers,5-14 yers,15-44 yers,45-59 years and≥60 years.The top two leading causes of chronic diseases were cerebrovascular diseases,ischaemic heart disease in male,malignant neoplasms,ischaemic heart diseases in female,cerebrovascular diseases,malignant neoplasms in 45-59 years and 15-44 years,COPD,malignant neoplasms in 5-14 years,COPD,cerebrovascular diseases in under 5 years.Conclusion]The ratio is very high of the outpatients of chronic non-communciable diseases in 8 general hospital in 2008.The key points of the prevention and cure are cerebrovascular diseases,malignant neoplasms,ischaemic heart diseases,diabetes mellitus and liver diseases.