凉州区2011―2013年新农合心血管疾病住院患者构成分析.docVIP

凉州区2011―2013年新农合心血管疾病住院患者构成分析 　　doi：10.3969/j.issn.1007-614x.2014.14.89 　　摘 要 目的：分析凉州区新农合心血管疾病住院患者病种的构成比，探讨凉州区心血管疾病住院患者病种构成和发病情况。方法：回顾分析2011年1月-2013年12月凉州区新农合心血管疾病住院患者39 028例，病种参考国际疾病分类（ICD-10），按年度对心血管疾病病种和年龄进行分析。结果：心血管疾病构成比排在前8位的疾病为冠心病、高血压病、心律失常、风湿性心脏病、心肌炎、先天性心脏病、特发性心肌病、心脏神经症；女性冠心病、高血压病和心律失常患病率及年龄均高于男性，差异均有统计学意义（P0.05）；60～69岁年龄段为冠心病、高血压病和心律失常的主要住院年龄段。结论：基层医疗卫生工作者应实施干预措施和规范管理，以控制居民心血管疾病危险因素，降低心血管事件发生率。 　　关键词 新农合 心血管疾病 流行病学 　　Composition analysis of new rural cooperative medical care hospitalized patients with cardiovascular disease in Liangzhou from 2011 to 2013 　　Liu Duji 　　Center Hospital of Wunan town of Liangzhou Area of Wuwei City in Gansu Province，733009 　　Abstract Objective：To analyze the composition ratio of new rural cooperative medical care hospitalized patients with cardiovascular disease in Liangzhou，and to explore the constitutes and incidence of hospitalized patients with cardiovascular disease in Liangzhou.Methods：Retrospective analysis of 39028 new rural cooperative medical care hospitalized patients with cardiovascular disease from January 2011 to December 2013，reference to International Classification of Diseases（ICD-10），analysis of cardiovascular disease by year and age.Results：The top eight of cardiovascular disease constitutes：coronary heart disease，hypertension，arrhythmia，myocarditis，rheumatic heart disease，congenital heart disease，idiopathic cardiomyopathy，cardiac neurosis.Women prevalence and age in coronary heart disease，high blood disease and arrhythmia were both higher than men，and the differences were statistically significant（PO.05）.60～69 age group as the main hospital aged coronary heart disease，hypertension and arrhythmia segment.Conclusion：The primary care health interventions should be implemented and standardized management，to control the population of cardiovascular disease risk factors to reduce the incidence of cardiovascular events. 　　Key words new rural cooperative medical care；cardiovascular disease；epidemiology