目的：了解兰州地区疾病发生、分布和构成状况，为疾病的控制干预提供依据。方法按国际疾病标准编码(ICD-10)分类，分疾病系统和病种进行统计。结果门诊病种占门诊病例总数前10位的是：上呼吸道感染(7.03%)、女性不育不孕症(4.72%)、高血压(2.92%)、乳腺增生(2.45%)、腹痛(1.89%)、慢性胃炎(1.63%)、阴道炎(1.40%)、糖尿病 NOS(1.19%)、屈光不正(1.10%)、失眠(1.04%)。住院病种占住院病例总数的前10位的是：高血压(2.73%)、脑血管疾病(2.64%)、糖尿病(1.84%)、冠心病(1.60%)、骨折(1.38%)、肺炎(1.38%)、非胰岛素依赖型糖尿病(1.32%)、冠状动脉粥样硬化性心脏病(1.16%)、支气管炎与肺气肿和其他慢性阻塞性肺病(0.98%)、糖尿病 NOS(0.79%)。结论多发病、常见病已成为影响人们健康的主要因素，应依据疾病谱的排序和构成分析，制定合理的干预措施，并开展预防控制。%Objectives To understand the development,distribution and constitutions of diseases in Lanzhou city, and to provide the basis for the prevention and the control of the diseases.Methods The International disease standard code (ICD-10)was used to sort the types of the diseases.Results The top ten of outpatient clinic cases were upper respiratory tract infection (7.03%),female infertility (4.72%),hypertension (2.92 %),hyperplasia of mammary glands (2.45 %),stom-achache (1.89%),chronic gastritis (1.63%),vaginitis (1.40%),diabetes mellitus NOS (1.1 9%),ametropia (1.10%)and sleeplessness (1.04%).The top ten of hospital cases were hypertension (2.73 %),cerebrovascular disease (2.64%),diabe-tes mellitus (1.84%),coronary heart disease (1.60%),bone fracture (1.38%),pneumonia (1.38%),non-insulin-depend-ent diabetes mellitus (1.32%),coronary atherosclerotic heart disease (1.1 6%),bronchitis (1.38%),emphysema and other chronic obstructive pulmonary disease (0.98%),and diabetes mellitus NOS (0.79%).Conclusions Frequently-occurring dis-eases and commonly encountered diseases have become the main factors influencing people`s health,and it's necessary to make the advisable intervention measure according to the constituents of disease.
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