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[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。
[Objective] To understand the constitution of diseases in patients with chronic non-communicable diseases (chronic diseases) discharged from Anyang City in order to provide a scientific basis for formulating prevention and control strategies for chronic diseases. [Method] The data of 8 chronic patients discharged from hospitals in Anyang in 2008 were analyzed. [Results] The total number of discharged patients in 8 hospitals in 2008 was 114,055, of which 52,529 were chronic diseases, accounting for 46.06%. Chronic disease patients, cerebrovascular disease accounted for 20.96%, malignant tumors accounted for 11.56%, ischemic heart disease accounted for 10.74%, liver disease accounted for 2.60%, diabetes accounted for 2.08%, gallstone cholecystitis accounted for 2.06%, chronic obstructive pulmonary disease accounted for 1.97 %, Hypertension accounted for 1.68%, urolithiasis accounted for 1.17%, disc disease accounted for 0.99%, other chronic diseases accounted for 44.19%. The proportion of discharged patients with chronic diseases was 53.01% in municipal hospitals and 37.69% in county hospitals (P <0.01), 55.20% in males and 38.38% in females (P <0.01) The patients aged 15-44, 45-59 and ≥60 years old were 18.82%, 39.75%, 21.71%, 74.81% and 83.35%, respectively (P <0.01). The top two cases of chronic diseases, men are cerebrovascular disease, malignant tumors, women are cerebrovascular disease, ischemic heart disease; ≥ 60-year-old malignant tumor, ischemic heart disease, 45 to 59 years and 15 ~ 44-year-old are cerebrovascular disease, malignant tumor, 5 to 14 years old as chronic obstructive pulmonary disease, malignant tumor, <5 years old as chronic obstructive pulmonary disease, cerebrovascular disease. [Conclusion] Among the discharged patients in general hospitals, the proportion of chronic diseases accounted for a large proportion, of which the main ones are cerebrovascular disease, malignant tumor, ischemic heart disease, liver disease and diabetes.