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目的分析大同市居民住院病例五种慢性病构成及变化趋势。方法连续收集大同市18所医院2001—2008年住院病例资料68.6万人份,统一按照ICD-10规则要求编码归类,重点对五种慢性病构成、变化趋势、住院死亡病例构成进行统计分析。结果高血压、冠心病、脑卒中、糖尿病、COPD(慢阻肺)占总住院病例的15.99%,五种慢性病死亡病例占住院死亡病例的30.00%。男性冠心病、糖尿病、COPD,女性冠心病仍呈明显上升趋势;而女性糖尿病、COPD,男性脑卒中无显著上升或下降趋势;女性高血压、脑卒中,男性高血压呈显著性缓慢下降趋势。结论五种慢性病已经成为大同市居民主要疾病和主要死因;慢性病预防控制措施有效,但尚需加强。
Objective To analyze the composition and change trend of five chronic diseases inpatients in Datong City. Methods A total of 686,000 inpatients were collected from 18 hospitals in Datong in 2001-2008. The data were categorized according to ICD-10 rules, and the five chronic diseases were analyzed. Results Hypertension, coronary heart disease, stroke, diabetes mellitus and COPD (COPD) accounted for 15.99% of the total inpatient cases. The five chronic diseases accounted for 30.00% of hospitalized deaths. Coronary heart disease, diabetes mellitus, COPD and female coronary heart disease still showed a significant upward trend in men. There was no significant increase or decrease in female diabetes, COPD and male stroke. The incidence of hypertension, stroke and male hypertension in women tended to decline slowly. Conclusion Five kinds of chronic diseases have become the main diseases and major causes of death in Datong. The prevention and control measures of chronic diseases are effective, but they still need to be strengthened.