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目的了解社区卫生服务中心住院患者的现状,为其病房的发展及管理提供依据。方法通过对住院患者的病案及相关登记资料的数据进行统计分析。结果2008年1-12月住院患者446例,其中<60岁有24例(5.4%),60～69岁有49例(1.10%),70～79岁有158例(35.42%),80～97岁有217例(48.65%)。患有各种疾病病种达26种,人均患有4种疾病,95%住院患者同时患有≥3种疾病,最多的可同时患有9种慢性疾病。其中,慢性阻塞性肺疾病113例(25.34%),脑梗塞99例(22.19%),冠心病77例(17.26%),高血压66例(14.79%),肿瘤32例(7.17%),糖尿病25例(5.61%),肝硬化9例(2.01%),尿路感染6例(1.35%),其他(骨折,褥疮等)19例(4.26%)。结论社区卫生服务中心全科病房主要服务对象是老年患者,一体多病,多种疾病共存是老年疾病特点,呼吸系统、心、脑血管疾病是住院的主要疾病,应根据老年人的生理及疾病特点对病房进行管理。
Objective To understand the current status of hospitalized patients in community health centers and provide evidence for the development and management of their wards. Methods The data of inpatients’ medical records and related registration data were statistically analyzed. Results There were 446 inpatients from January to December in 2008, of which, there were 24 cases (5.4%) in <60 years, 49 cases (1.10%) in 60-69 years, 158 cases (35.42%) in 70-79 years, There were 217 cases (48.65%) at 97 years old. There are 26 kinds of diseases of various diseases, 4 kinds of diseases per capita, 95% of inpatients suffering from ≥3 kinds of diseases at the same time and up to 9 kinds of chronic diseases at the same time. Among them, 113 cases (25.34%) had chronic obstructive pulmonary disease, 99 cases (22.19%) had cerebral infarction, 77 cases (17.26%) had coronary heart disease, 66 cases (14.79%) had hypertension, 32 cases (7.17%) had diabetes, There were 25 cases (5.61%), cirrhosis in 9 cases (2.01%), urinary tract infection in 6 cases (1.35%) and the other 19 cases (4.26%) with fracture and bedsore. Conclusion Community-based health service center general ward is the main service object for elderly patients, one disease, coexistence of multiple diseases is characterized by senile disease, respiratory system, heart and cerebrovascular disease is the main hospitalization, should be based on the elderly physiology and disease Features Ward management.