| 摘要: |
| 目的 调查分析住院海军官兵疾病谱，为其健康管理和医疗保障提供参考。方法 基于某地区6家医院2013年至2017年住院海军官兵的病案首页数据分析其疾病谱。根据国际疾病分类（ICD）-10标准对住院海军官兵的主要出院诊断进行分类和统计分析。结果 共纳入21 177人次海军官兵住院诊疗数据，排名前10位的疾病诊断大类总占比为85.98%（18 208/21 177）。循环系统疾病（14.79%，3 132人次）、消化系统疾病（14.59%，3 090人次）、呼吸系统疾病（14.06%，2 978人次）、泌尿生殖系统疾病（9.94%，2 104人次）列居疾病主要诊断大类的前4位。上述4种疾病主要诊断大类的主要病种分别是慢性缺血性心脏病[21.87%（685/3 132）]、急性阑尾炎[16.38%（506/3 090）]、肺炎（病原体未特指）[19.21%（572/2 978）]、肾和输尿管结石[20.77%（437/2 104）]。不同性别、年龄段住院海军官兵的疾病谱具有不同特征。结论 循环系统、消化系统、呼吸系统、泌尿生殖系统疾病是海军官兵住院的主要疾病类型，应加强对以上疾病主要诊断大类及主要病种的诊疗服务能力和防控教育。 |
| 关键词: 海军官兵 住院 疾病谱 构成分析 |
| DOI：10.16781/j.CN31-2187/R.20230077 |
| 投稿时间：2023-02-24修订日期：2023-06-09 |
| 基金项目:国家自然科学基金（82373687），上海市卫生健康委员会新兴交叉领域研究专项（2022JC011），上海市科学技术委员会“科技创新行动计划”扬帆计划（20YF1457900），上海市科学技术委员会“科技创新行动计划”启明星项目（22QA1411400），海军军医大学（第二军医大学）深蓝工程领航人才计划. |
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| Disease spectrum of hospitalized naval officers and soldiers of 6 hospitals in a region |
| QIN Yuchen,QIN Yingyi,HE Qian,GUO Wei,WU Cheng* |
(Department of Military Health Statistics, Faculty of Health Services, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To investigate and analyze the disease spectrum of hospitalized naval officers and soldiers, so as to provide reference for their health management and medical support. Methods The disease spectrum of hospitalized naval officers and soldiers was analyzed based on the front page data of medical records collected from 6 hospitals in a region between 2013 and 2017. The principal discharge diagnoses of inpatients were classified and statistically analyzed according to the International Classification of Diseases (ICD)-10. Results A total of 21 177 hospitalized diagnosis and treatment data of naval officers and soldiers were included, and the top 10 diagnostic categories accounted for 85.98% (18 208/21 177). In the major diagnostic categories of inpatients, circulatory system diseases (14.79%, 3 132 cases), digestive system diseases (14.59%, 3 090 cases), respiratory system diseases (14.06%, 2978 cases), and genitourinary system diseases (9.94%, 2 104 cases) ranked the top 4. Common diseases under the top 4 major diagnostic categories included chronic ischemic heart disease (21.87%[685/3 132］), acute appendicitis (16.38%[506/3 090］), pneumonia (pathogen unspecified) (19.21%[572/2 978］), and kidney and ureteral calculus (20.77%[437/2 104］). The disease spectrum of hospitalized naval officers and soldiers of different genders and ages displayed different characteristics. Conclusion Circulating system diseases, digestive system diseases, respiratory system diseases, and genitourinary system diseases are the main types of diseases of hospitalized naval officers and soldiers. The abilities of diagnosing and treating and prevention and control education should be strengthened for the above major diagnostic categories and corresponding common diseases. |
| Key words: naval officers and soldiers in hospital disease spectrum constituent analysis |
