中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
25期
158-161
,共4页
儿童%住院%疾病%病种%花费
兒童%住院%疾病%病種%花費
인동%주원%질병%병충%화비
Children%Hospitalization%Disease%Entity%Cost
目的：了解儿童住院疾病谱及住院费用情况，为优化医疗资源的配置提供参考依据。方法采用回顾性资料分析方法对河南省巩义市2011~2013年0~14岁新农合住院患者的资料进行统计分析。结果巩义市0~14岁儿童以呼吸系统疾病占第1位(55.68%)，其次为消化系统疾病(19.44%)；排行前10位的单病种疾病分别为气管支气管炎(18.98%)、上呼吸道感染(8.93%)、扁桃体炎(8.79%)、疱疹性咽峡炎(6.86%)、肺炎(5.42%)、支气管肺炎(5.05%)、喘息性支气管炎(4.80%)、手足口病(4.56%)、黄疸(3.32%)、腹股沟疝(2.96%)。大多数患者选择县级医院治疗；医院级别越高，日均花费越多(P=0.000)，平均住院日越长(P=0.001)。结论巩义市0~14岁儿童住院疾病以呼吸系统疾病占第1位，应加强乡级医院建设。
目的：瞭解兒童住院疾病譜及住院費用情況，為優化醫療資源的配置提供參攷依據。方法採用迴顧性資料分析方法對河南省鞏義市2011~2013年0~14歲新農閤住院患者的資料進行統計分析。結果鞏義市0~14歲兒童以呼吸繫統疾病佔第1位(55.68%)，其次為消化繫統疾病(19.44%)；排行前10位的單病種疾病分彆為氣管支氣管炎(18.98%)、上呼吸道感染(8.93%)、扁桃體炎(8.79%)、皰疹性嚥峽炎(6.86%)、肺炎(5.42%)、支氣管肺炎(5.05%)、喘息性支氣管炎(4.80%)、手足口病(4.56%)、黃疸(3.32%)、腹股溝疝(2.96%)。大多數患者選擇縣級醫院治療；醫院級彆越高，日均花費越多(P=0.000)，平均住院日越長(P=0.001)。結論鞏義市0~14歲兒童住院疾病以呼吸繫統疾病佔第1位，應加彊鄉級醫院建設。
목적：료해인동주원질병보급주원비용정황，위우화의료자원적배치제공삼고의거。방법채용회고성자료분석방법대하남성공의시2011~2013년0~14세신농합주원환자적자료진행통계분석。결과공의시0~14세인동이호흡계통질병점제1위(55.68%)，기차위소화계통질병(19.44%)；배행전10위적단병충질병분별위기관지기관염(18.98%)、상호흡도감염(8.93%)、편도체염(8.79%)、포진성인협염(6.86%)、폐염(5.42%)、지기관폐염(5.05%)、천식성지기관염(4.80%)、수족구병(4.56%)、황달(3.32%)、복고구산(2.96%)。대다수환자선택현급의원치료；의원급별월고，일균화비월다(P=0.000)，평균주원일월장(P=0.001)。결론공의시0~14세인동주원질병이호흡계통질병점제1위，응가강향급의원건설。
Objective To understand the hospitalization disease spectrum and cost in children and provide the refer-ence for the optimization of the allocation of medical resources. Methods Data of new rural cooperative medical inpa-tients of 0-14 years old in Gongyi city of Henan province from 2011 to 2013 was retrospective analyzed. Results The respiratory disease (55.68%) of 0-14 years old children in Gongyi city was ranked the first,followed by the digestive sys-tem diseases (19.44%);the top 10 single disease were bronchitis (18.98%),upper respiratory tract infection (8.93%),ton-sillitis (8.79%), herpes simplex pharyngeal diverticulum (6.86%), pneumonia (5.42%), bronchial pneumonia (5.05%), asthmatic bronchitis (4.80%),foot and mouth disease (4.56%), jaundice (3.32%),inguinal hernia (2.96%).The majority of patients choosed county hospital treatment;the higher the level of hospital,average daily spend more (P=0.000),the aver-age hospitalization days longer (P=0.001). Conclusion The respiratory disease of 0-14 years old children in Gongyi city is ranked the first,the construction of township hospitals should be strengthened.
