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 providing scientific evidence to improve disease prevention and treatment, and allocate medical resources rationally.Methods All the military 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 Excel table. Descriptive analysis was performed using SPSS 14.0. Results Of 1048 patients, admission 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 diseases, was the most expensive for spine and pelvis fracture, close to ten thousand yuan. In analysis of single disease, lumbar disc herniation was most frequent, accounting for 17.6% of all diseases; followed by the metacarpal and phalangeal fractures and knee joint injury; 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.