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目的掌握晋江市新型农村合作医疗(新农合)住院患者疾病构成,为指导防治管理工作提供依据。方法对晋江市2009—2013年住院疾病以国际疾病编码(ICD-10)进行分类,用SPSS 21和Excel 2007软件统计分析。结果5年来年均参合95.43万人次,平均参合率98.4%;平均住院率7.78%,住院人次年均增长5.76%;各年龄组住院率呈儿童和老人高、青年人低趋势;男女病例占比类似。住院“人口金字塔”呈“缩腰”型,女性25~29岁组最多(11.5%);男性以<5岁最多(13.2%),5~19岁组最少;住院者以呼吸系统疾病最多(23.4%),其次是循环系统12.5%、消化系统11.4%、肿瘤10.9%、妊娠分娩和产褥期9.2%、损伤中毒4.8%。除呼吸系统、传染病和寄生虫病外,总体上各系统疾病住院人次呈上升趋势。结论通过新农合数据库疾病构成分析,可了解各系统疾病住院规律与特征,为有效开展疾病研究和防治工作提供依据。
Objective To grasp the disease composition of Jinjiang New Rural Cooperative Medical System (NCMS) inpatients and provide basis for guiding prevention and control work. Methods The hospitalized diseases in Jinjiang from 2009 to 2013 were classified according to International Disease Code (ICD-10), and analyzed by SPSS 21 and Excel 2007 software. Results The average participation rate was 954,300 in the five years with an average rate of 98.4%. The average hospitalization rate was 7.78% and the average annual growth rate of inpatients was 5.76%. The hospitalization rate of all age groups was high in children and the elderly, and the youth rate was low. similar. The majority of women aged 25-29 years (11.5%) were male; those who were <5 years old (13.2%) were the most common, while those aged 5-19 years were the least. Residents were resuscitated with respiration The most cases were systemic diseases (23.4%), followed by 12.5% of circulatory system, 11.4% of digestive system, 10.9% of tumors, 9.2% of pregnancy, childbirth and puerperium, and 4.8% of injury poisoning. In addition to the respiratory system, infectious diseases and parasitic diseases, the overall inpatient rates of various system diseases are on the rise. Conclusion Through the analysis of the composition of the disease in NCMS, we can know the regularity and characteristics of hospitalization of various system diseases, and provide the basis for effective disease research and prevention and treatment.