目的 调查武警某总队医院2005-2014年住院官兵疾病谱,为武警部队疾病防治及合理配置医疗资源提供依据。方法 调阅该总队医院2005-01至2014-12武警官兵住院病例,按照国际疾病分类(ICD-10)进行统计并制成EXCEL表格,采用SPSS 19.0软件进行分析。结果 共纳入6498人次住院信息,年平均收治住院官兵约为650人次,平均23.4岁。2005年收治最多,为934人次;2010年收治最少,为497人次;近五年收治患者人数虽然在2011和2012年有小幅增加但整体上呈下降趋势。导致官兵住院的系统疾病排名前5位的是运动损伤及中毒、消化系统、泌尿生殖、耳鼻喉科和呼吸系统疾病,分别占总体的30.90%、20.50%、9.93%、9.57%、7.48%,累计占整体78.38%,其中损伤和中毒类疾病,以及消化系统疾病十年中一直居前两位,累计占51.40%;单病种排名中前五位疾病为骨折、阑尾疾病、肛周疾病、上呼吸道感染、腰椎间盘突出,分别占总体的11.68%、5.60%、4.43%、4.00%、3.59%。结论 根据该总队医院收治部队官兵的疾病谱特点,科学合理地制定卫勤保障策略,以及搞好相应健康宣教工作,有助于保障官兵健康,减少非战斗减员。

Objective To investigate the disease spectrum of in-hospital soldiers in a Chinese People’s Armed Police Forces (CAPF) hospital between 2005 and 2014, thereby providing scientific evidence for prevention of disease and allocate medical resources rationally. Methods The first discharge diagnosis of in-hospital military soldiers from 2005 to 2014 were collected from the hospital case database and classified according to the ICD-10. Data were collected and made into an Excel table. Descriptive analysis was performed using SPSS 19.0. Results 6498 cases were collected with the mean age 23.4 years old,almost 650 persons for every year; maximum value equaled 934 in 2005 and minimum equaled 497 in 2010. The number of patients treated has been declining since last five years, despite a few upturns in 2011 and 2012. The top five of the system disease constituent rates in order were injury and poisoning, digestive system, urogenital system, otolaryngology and respiratory system, accounting for 78.38%, in which injury and poisoning (30.90%) and digestive system (20.50%) were the main causes for admission. The top five of the single disease constituent ratio in order were fracture, appendix disease disease, perianal disease, upper respiratory tract infection and lumbar disc herniation. Conclusions The characteristics of the disease spectrum can provide the basis for the medical service and guide the health education which would be useful in ensuring health and reducing non-combat attrition in CAPF.