CAJ | 학술논문

目的：探索晋江市新农合住院儿童疾病谱特点，为制定儿童疾病预防和控制策略提供依据。方法对2013年1~12月间晋江市14周岁及以下新农合住院患儿病历资料进行疾病谱分析。结果新农合住院儿童发病与年龄、性别有关系，不同年龄阶段的儿童住院疾病构成比顺位有所区别，但呼吸与消化系统疾病始终排在各年龄组前3位；影响儿童健康的前5位系统疾病分别是呼吸系统疾病(63.60%)、消化系统疾病(11.04%)、某些传染病和寄生虫病(5.41%)、起源于围生期的某些情况(3.17%)、损伤中毒和外因的某些其他后果(2.76%)，前5位系统疾病占总住院患儿数的85.99%；单病种排序中，前5位均为呼吸系统疾病：支气管肺炎(未特指)(22.83%)、急性扁桃体炎(未特指)(9.26%)、急性上呼吸道感染(未特指)(8.99%)、急性支气管炎(未特指)(8.82%)、肺炎(未特指)(5.38%)，前5位疾病占总住院患儿数的55.28%。结论呼吸系统疾病是威胁晋江儿童健康最主要的疾病病种，建议合理调整医疗卫生资源，针对性地提供防治呼吸系统疾病的有效方法和措施，并根据儿童不同年龄组疾病构成的差异，制定相应防治策略。
목적：탐색진강시신농합주원인동질병보특점，위제정인동질병예방화공제책략제공의거。방법대2013년1~12월간진강시14주세급이하신농합주원환인병력자료진행질병보분석。결과신농합주원인동발병여년령、성별유관계，불동년령계단적인동주원질병구성비순위유소구별，단호흡여소화계통질병시종배재각년령조전3위；영향인동건강적전5위계통질병분별시호흡계통질병(63.60%)、소화계통질병(11.04%)、모사전염병화기생충병(5.41%)、기원우위생기적모사정황(3.17%)、손상중독화외인적모사기타후과(2.76%)，전5위계통질병점총주원환인수적85.99%；단병충배서중，전5위균위호흡계통질병：지기관폐염(미특지)(22.83%)、급성편도체염(미특지)(9.26%)、급성상호흡도감염(미특지)(8.99%)、급성지기관염(미특지)(8.82%)、폐염(미특지)(5.38%)，전5위질병점총주원환인수적55.28%。결론호흡계통질병시위협진강인동건강최주요적질병병충，건의합리조정의료위생자원，침대성지제공방치호흡계통질병적유효방법화조시，병근거인동불동년령조질병구성적차이，제정상응방치책략。
Objective To explore the disease spectrum characteristics of hospitalized children having joined new rural cooperative medical system (NCMS) in Jinjiang, in order to provide reference for developing disease prevention and control measures for the children. Methods The disease spectrum of NCMS hospitalized children under 14 years old in Jinjiang from January to December 2013 were analyzed. Results The NCMS hospitalized children's disease attack was related to age and sex. Children in different age stages had different ranks of disease constitution, but respiratory and digestive system diseases always ranked the top 3 in each age group. The top 5 system diseases affecting children's health were respiratory diseases ( 63 . 60%) , digestive diseases ( 11 . 04%) , certain infectious and parasitic diseases (5.41%), certain conditions originated in perinatal period (3.17%), and certain consequences caused by injury, poison-ing and external causes (2.76%);The top 5 system diseases affected 85.99%of the total hospitalized children. Regard-ing to single disease rank, the top 5 diseases were all respiratory system diseases, (unspecified) bronchial pneumonia (22.83%), (unspecified) acute tonsillitis (9.26%), (unspecified) acute upper respiratory tract infection (8.99%), (unspecified) acute bronchitis (8.82%) and unspecified pneumonia (5.38%); The top 5 diseases affected 55.28% of the total hospital-ized children. Conclusion Respiratory disease is the major disease threatening the children's health in Jinjiang. It is suggested that medical and health resources be adjusted rationally, specific effective methods and measures be taken to prevent respiratory diseases, and relevant prevention and control measures be developed based on the disease constitu-tions of children in different age groups.