CAJ | 학술논문

目的分析温州医科大学附属育英儿童医院2004年1月至2013年12月住院儿童死亡病例的年龄分布、总费用和不同疾病平均费用、住院天数,病死率与季节分布、死亡原因及不同疾病死亡率等变化趋势.方法对温州医科大学附属育英儿童医院2004年1月至2013年12月共219 429例0～18岁住院儿童中531例死亡病例进行统计分析.结果 2004年1月至2013年12月住院儿童总死亡率为0.24％ (531/219 429例),其中0 ～28 d年龄段死亡率最高,为0.77％(138/17 922例).死亡病例平均住院费用是平均住院费用的3.4倍,其中花费最高的3种疾病依次为先天性畸形、变形和染色体异常;呼吸系统疾病及肿瘤.死亡病例中位住院天数为5.8d.前5位死因:围生期疾病,先天性畸形,变形和染色体异常,外伤、中毒和其他外因,传染病和寄生虫病,呼吸系统疾病.2004年1月至2013年12月,住院儿童死亡率从0.34％下降到0.12％,差异有统计学意义(x2=67.138,P＜0.001),总体呈下降趋势.结论相关政府部门应当加强围生期保健管理,推动先天性疾病筛查干预措施的发展,预防呼吸道感染,提高医务人员急诊抢救水平,减少中毒、交通意外事故发生.根据不同年龄组死亡原因的特点,采取不同的疾病防治措施.
목적 분석온주의과대학부속육영인동의원2004년1월지2013년12월주원인동사망병례적년령분포、총비용화불동질병평균비용、주원천수,병사솔여계절분포、사망원인급불동질병사망솔등변화추세.방법 대온주의과대학부속육영인동의원2004년1월지2013년12월공219 429례0～18세주원인동중531례사망병례진행통계분석.결과 2004년1월지2013년12월주원인동총사망솔위0.24％ (531/219 429례),기중0 ～28 d년령단사망솔최고,위0.77％(138/17 922례).사망병례평균주원비용시평균주원비용적3.4배,기중화비최고적3충질병의차위선천성기형、변형화염색체이상;호흡계통질병급종류.사망병례중위주원천수위5.8d.전5위사인:위생기질병,선천성기형,변형화염색체이상,외상、중독화기타외인,전염병화기생충병,호흡계통질병.2004년1월지2013년12월,주원인동사망솔종0.34％하강도0.12％,차이유통계학의의(x2=67.138,P＜0.001),총체정하강추세.결론 상관정부부문응당가강위생기보건관리,추동선천성질병사사간예조시적발전,예방호흡도감염,제고의무인원급진창구수평,감소중독、교통의외사고발생.근거불동년령조사망원인적특점,채취불동적질병방치조시.
Objective To analyze the death cases of hospitalized children in Yuying Children's Hospital of Wenzhou Medical College from January 2004 to December 2013,and to detect the age distribution of deaths,the total cost and cost of different diseases,length of hospital stays,season distribution of deaths and mortality rates trends.Methods Five hundred and thirty-one death cases of 0-18 years old hospitalized children from 219 429 cases in Yuying Children's Hospital of Wenzhou Medical College during January 2004 to December 2013 were collected and analyzed.Results From January 2004 to December 2013,the total mortality rate of hospitalized children was 0.24％ (531/219 429 cases).The mortality rate of 0-28 d was highest (0.77％).The average economic cost of dead cases was 3.4 times compared with other hospitalized cases,three diseases with highest treatment expenses were congenital malformation,deformations and chromosomal abnormalities ; as well as the respiratory system diseases and tumor.Median hospital stay of the dead cases was 5.8 days.The top five causes of death were certain conditions originating in the perinatal period,such as congenital malformation,deformations and chromosomal abnormalities ; injury,poisoning and certain other consequences of external causes;certain infectious and parasitic diseases;diseases of the respiratory system.From January 2004 to December 2013,the mortality rate declined from 0.34％ to 0.12％ (x2 =67.138,P ＜ 0.001),and it was in a descending order.Conclusions Related departments of government should pay more attention to perinatal care,promote the congenital diseases screening,prevent respiratory infections,improve the level of emergency room,reduce poisoning and traffic accidents.And different measures should be taken according to the different characteristics of the death causes of different age groups.