某部队医院2014-2017年内科住院军人疾病谱分析

 目的 了解某部队医院2014-2017年内科住院军人疾病构成特点及变化趋势,为制定疾病防控重点及健康管理方案提供依据。方法 选取2014-01-01至2017-12-31某院内科住院军人病案资料,分析疾病构成、顺位及变化趋势。结果 内科住院军人以男性病员为主,年龄分布集中在18～44岁,顺位前四位的疾病为呼吸、循环、神经、消化系统疾病,前两者具有明显季节性;不同性别的病种构成比差异无统计学意义(Z=-1.257,P=0.209),不同年龄组的病种构成比差异具有统计学意义(χ²=50.096,P＜0.05)。呼吸系统疾病始终排在第一位,但呈下降趋势;消化系统疾病波动中有上升,循环和神经系统疾病,2015年达峰后呈下降趋势;循环及消化系统疾病有年轻化趋势。结论 呼吸系统疾病始终居首位,加强防控措施可以有效控制;循环及消化系统疾病有年轻化趋势,建议加强健康宣教,制定系统化、个体化、多学科的综合健康管理方案来有效控制。

Disease Spectrum of Military Inpatients in an Air Force Hospital from 2014 to 2017

Objective To devise measures to promote disease prevention and cure,and to provide data for working out health management plans by studying the disease constituent ratio and the change patterns of military patients in an air force hospital from 2014 to 2017.Methods The medical records of military inpatients hospitalized between January 1, 2014 and December 31, 2017 were selected to analyze the composition,ranking and trends of diseases.Results Most of the military inpatients at the Department of Internal Medicine were male, whose age ranged from 18 to 44. The top four diseases were associated with the respiratory system, circulatory system, nervous system and digestive system. The first two types of diseases were obviously seasonal. The difference in gender-specific disease composition was of no statistical significance. However, there was statistically significant difference in the proportion of disease types between different age groups. Respiratory diseases always ranked first, but showed a downward trend. Digestive diseases fluctuated upwards, while circulatory and nervous system diseases began to decrease after peaking in 2015. Circulatory and digestive system diseases became more prevalent among the young.Conclusion Respiratory diseases have been taking the first place, which, however, can be effectively controlled. It is recommended that education on disease should be strengthened and systematic, individualized and multi-disciplined health management schemes should be formulated to effectively control disease so as to improve the overall health quality of the army.