慢性病主要指以心脑血管疾病(高血压、冠心病、脑卒中等)、糖尿病、恶性肿瘤、慢性阻塞性肺部疾病(慢性气管炎、肺气肿等)、精神异常和精神病等为代表的一组疾病,具有病程长、病因复杂、健康损害和社会危害严重等特点。社区居民慢性病档案的内容全部来自于基层群众,是由社区责任医生通过给社区居民的直接服务而取得的原始资料,社区居民慢性病档案主要包括:高血压、冠心病、脑卒中、糖尿病、肿瘤等几类 Chronic disease mainly refers to the cardiovascular and cerebrovascular diseases (hypertension, coronary heart disease, stroke, etc.), diabetes, cancer, chronic obstructive pulmonary disease (chronic bronchitis, emphysema, etc.), mental disorders and mental illness as the representative A group of diseases, with longer duration, complex causes, health damage and serious social hazards. The contents of chronic disease files of community residents are all from the grass-roots people. They are the original data obtained by community-responsible doctors through direct services to community residents. The files of chronic diseases of community residents mainly include: hypertension, coronary heart disease, stroke, diabetes, cancer, etc. Several categories