目的 分析某市冠心病、糖尿病、脑卒中、高血压等4种常见慢性病的住院情况,以此了解慢性病治疗的发展趋势.方法 对2002年2013年某市所有二级及以上医院的4种慢性病患者的住院病案首页资料进行整理,计算各种慢性病患者的住院人数、30天再住院率、住院天数、住院费用等.结果 12年间,4种慢性病患者的住院比例均上升(P＜0.001),其中冠心病的住院比例上升最显著,平均每年提高0.18个百分点.4种慢性病的住院天数都呈逐年显著递减(P＜0.001).与之相反的是,患者次均住院费用呈显著逐年上升(P＜0.001).高血压患者30天再住院率平均每年增长0.25个百分点(P＜0.05),其他三种疾病30天再住院率增长较缓慢.结论 冠心病、脑卒中、糖尿病、高血压4种慢性病患者的住院比例、住院天数及费用、30天再住院率等呈现出不同的变化趋势,为有关部门制定慢性病管理相关政策提供了参考依据.%Objective To analyze the hospitalization status among inpatients with coronary heart disease,diabetes,stroke,or hypertension,to understand the treatment trend on chronic diseases.Methods Data on home page of medical records of inpatients from all second-level and above hospitals were collected in a city from 2002 to 2013.The admission rate,readmission rate within 30 days,length of stay,and hospitalization expense were analyzed.Results During the 12 years,all the admission rates of the four chronic diseases increased (P ＜0.001).Among them,coronary heart disease showed the highest increment per year of 0.18％.All four chronic diseases showed significant decrease in length of stay (P ＜0.001).In contrast,the hospitalization expense per stay increased significantly in all diseases (P ＜0.001).Readmission rate within 30 days among inpatients with hypertension increased 0.25％ per year (P ＜0.05),which was higher than those of other chronic diseases.Conclusion The admission rate,readmission rate within 30 days,length of stay,and hospitalization expense among inpatients with coronary heart disease,stroke,diabetes or hypertension showed a different trend during the 12 years.It provided evidence for policy making on chronic diseases management.
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