摘要
目的调查武警某部官兵骨科住院疾病谱,为军队骨科疾病防治及合理配置医疗资源提供依据。方法调阅我院骨科2009-01至2013-12武警伤病员住院病历,按国际疾病分类(ICD-10)进行统计并制成Excel表格,采用SPSS 14.0软件进行分析。结果共收集病例1048人次,其中首次住院923例,2次住院125例。住院例数最多的是颈、腰腿疼疾病,占总例数的20.6%,排名第2、3的分别是下肢损伤和关节损伤,三者合计57.5%。住院时间方面,各类疾病间存在统计学差异,最长的是脊柱骨盆骨折,达(29.4±23.1)d,最少的是软组织感染,仅(15.8±8.9)d。人均费用方面,各类疾病间也存在统计学差异,费用最高的还是脊柱骨盆骨折,接近一万元。单病种分析中,腰椎间盘突出例数最多,占全部疾病的17.6%;排名第2、3的依次是手掌指骨骨折和膝关节损伤;前10项疾病共672例,占64.1%。结论下肢骨与关节损伤、腰椎间盘突出是骨科最多见军人住院病种,平均住院时间较长,消耗医疗资源最多,应积极采取措施防治。
Objective To investigate the orthopedic disease classification in the military inpatients from CAPF , thereby provi-ding scientific evidence to improve disease prevention and treatment , and allocate medical resources rationally .Methods All the mili-tary patients from 2009 to 2013 in this hospital were investigated .According to International Classification of Diseases （ ICD-10） , data were collected and made into an Excelltable .Descriptive analysis was performed using SPSS 14.0.Results Of 1048 patients, admis-sion for the first time in 923 cases and second time in 125 cases.The largest number of patients were affected with neck and low back pain, accounting for 20.6%, followed by the lower limbs injury and joint injury , the three in total 57.5%.The hospitalization time, showing a significant difference between all kinds of diseases , the longest of which was the spine and pelvis fracture , up to （29.4 ±23. 1） d, the least was soft tissue infection, only （15.8 ±8.9） d.The per capita cost, also significantly different between all kinds of dis-eases, was the most expensive for spine and pelvis fracture , close to ten thousand yuan .In analysis of single disease , lumbar disc her-niation was most frequent , accounting for 17.6%of all diseases;followed by the metacarpal and phalangeal fractures and knee joint in-jury;the top 10 diseases were in 672 cases, accounting for 64.1%.Conclusions The lower limb bone and joint injury , prolapse of lumbar intervertebral disc and lumbocrural pain are the most common diseases in Department of Orthopedics of Military Hospital .The average hospitalization time is long , and consumption of medical resources is the most .We should take active measures to prevent such diseases .
出处
《武警医学》
CAS
2014年第9期902-904,共3页
Medical Journal of the Chinese People's Armed Police Force
关键词
骨科
军队伤病员
疾病谱
orthopedics
military inpatients
disease classification
