摘要
[目的]了解枣庄市城乡居民慢性病患病及其就诊情况，探讨影响因素，为制定防治对策，为医疗卫生制度改革提供依据。[方法]2004年5～6月，在枣庄市分层随机抽取城区6个居委会、农村9个高收入行政村和9个低收入村，对5207名常驻居民进行调查。[结果]合计调查4828人，过去1年内慢性病患病率为12．32％。慢性病患病率城区居民为16．41％，高收入村为9．33％，低收入村为11．60％，主要慢性病（按患病率排序）依次为心血管疾病、慢性支气管炎、高血压、胃病、关节炎、脑血管疾病、糖尿病；心血管疾病、高血压、糖尿病患病率城区居民最高，胃病患病率低收入村居民最高。调查5042人，两周患病率为12．53％，两周就诊率为10．13％。两周患病率城区居民为lO．13％，高收入村居民为10．70％，低收入村居民为16．33％；两周内所患主要慢性病中，心血管疾病和慢性支气管炎分别占5．58％。居民两周就诊率城区为7．33％，高收入村为9．40％，低收入村为13．48％；不同年龄、不同婚姻状况、不同文化程度、不同职业、不同人年收入者的两周患病率与就诊率存在差异。依据是否方便选择就诊医院的占83．39％，就诊医疗单位城区居民以县、市级医院为主，高收入村以乡镇卫生院为主，低收入村以村卫生室为主。
[Objective]To understand the prevalence rate of chronic diseases, their risk factors and consultation situation among Zaozhnang urban and rural residents, and. to povide information on prevention, cure and salvation programs from the governments. [Methods]Cluster random sampling was carried out in this survey, resulting of questionnaire being applied in 5207 residents from 6 resident committees in urban,9 administration villages with high incomes and 9 administration villages with low incomes during May to June of 2004. [Results]In total, the prevalence rate of the subjects in the past one year from 4828 persons was 12.32%. （Urban： 16.41% ;Village with high incomes：9.33%;Village with low incomes： 11.60%） The major diseases were cardiovascular diseases, chronic bronchitis, hypertension, gastrosis, arthritics, cerebrovascular disease and diabetes in order of rate. And the two-week prevalence rate was 12.53%. （Urban： 10. 13%;Village with high incomes ： 10.70 %; Village with low incomes; 16.33 % ）, of those diseases, cardiovascular diseases and chronic bronchitis was respectively 5. 58%. The two-week consultation rate was 10.13%. （Urban： 7.33%; Village with high incomes： 9.40%; Village with low incomes.. 13.48 %）. There existed a significantly statistical difference between the twoweek prevalence rate and the two-week consultation rate respectively in age, marriage status, culture degree,occupation and income per person year. According to the consultation option,the consultation rate was 83.39% ,the major medical institutions eonsuhed were hospitals of the level of city or county. （Village with high incomes： the county hospitals; Village with low incomes：the village clinics）. [Conclusion]There were different characteristics of chronic diseases and consultation among Zaozhuang urban and rural residents. The health service should be strengthened and improved according to those characteristics.
出处
《预防医学论坛》
2006年第1期8-10,共3页
Preventive Medicine Tribune
关键词
慢性病
患病
就诊
Chronic diseases
Prevalence
Consultation
