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目的了解重庆市万州区(三峡移民库区)2009年的常见病、多发病的患病情况,掌握本地区住院病人疾病年龄构成、疾病谱构成的规律和特点。方法收集2009年全区二级以上综合医院住院病人64,248人次病案首页资料,采用ICD-10进行疾病分类。结果疾病分类系统前三位以消化、呼吸、循环系统疾病为主,累计发病占全年疾病的45.80%;单病种前三位是恶性肿瘤、脑血管病、支气管炎肺气肿,前十位累计占全年疾病的31.12%;单病种死因顺位前五位分别是恶性肿瘤、脑血管病、支气管炎肺气肿、缺血性心脏病、颅内损伤,累计死亡率54.89%。结论疾病控制的重点以消化、呼吸、循环系统为主;恶性肿瘤、心脑血管疾病及慢性支气管炎、肺气肿和损伤中毒疾病对人类健康威胁较大。
Objective To understand the prevalence of common diseases and frequently-occurring diseases in Wanzhou District of Chongqing Municipality (the Three Gorges Migrants Area) in 2009 and to understand the rules and characteristics of the composition of disease spectrum in the inpatients in this area. Methods The data of 64,248 inpatient cases of inpatients in Grade II and above general hospitals in 2009 were collected and classified by ICD-10. Results The top three diseases were digestive, respiratory and circulatory diseases, accounting for 45.80% of the total. The first three diseases were malignant tumors, cerebrovascular disease, bronchitis emphysema, The cumulative total number of deaths was 31.12% for the whole year. The top five causes of death due to single disease were malignant tumor, cerebrovascular disease, bronchitis emphysema, ischemic heart disease and intracranial injury. The cumulative death rate was 54.89%. Conclusion The focus of disease control is mainly digestive, respiratory and circulatory system. Malignancies, cardiovascular and cerebrovascular diseases, chronic bronchitis, emphysema and poisoning are more threatening to human health.