中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
675-678
,共4页
刘永林%刘娟%郝晓霞%王强%焦富勇
劉永林%劉娟%郝曉霞%王彊%焦富勇
류영림%류연%학효하%왕강%초부용
住院儿童%疾病谱%变迁%神木县
住院兒童%疾病譜%變遷%神木縣
주원인동%질병보%변천%신목현
hospitalized children%disease spectrum%change%Shenmu County
目的 了解神木县医院儿科住院病例疾病谱及病死率的变化趋势,为今后该地区儿童疾病医疗和预防保健工作提供科学依据. 方法 收集神木县医院儿科1998年1月1日至2012年12月31日出院患儿的病案资料病历信息,进行回顾性统计分析. 结果 1998年至2012年,本院儿科14岁及以下的住院患儿共23 448例,其中男性17 173人,占73.2%. 年龄多集中于3岁以前,占78.8%(其中0~1岁患儿占57.2%). 患儿平均住院天数6.8天,中位时间6天. 呼吸系统疾病在各年度疾病系统构成中始终居于首位. 传染病、消化系统疾病、新生儿疾病以及神经系统疾病也是本院儿科患儿罹患的主要系统疾病. 死亡患儿共144人,病死率有逐年下降的趋势(χ2 =13.46,P<0.01). 死亡患儿罹患的前3位疾病分别为新生儿窒息、早产儿和新生儿呼吸窘迫综合征. 结论 15年间儿科住院病例疾病谱发生了变化,应引起儿科临床医生的高度重视.
目的 瞭解神木縣醫院兒科住院病例疾病譜及病死率的變化趨勢,為今後該地區兒童疾病醫療和預防保健工作提供科學依據. 方法 收集神木縣醫院兒科1998年1月1日至2012年12月31日齣院患兒的病案資料病歷信息,進行迴顧性統計分析. 結果 1998年至2012年,本院兒科14歲及以下的住院患兒共23 448例,其中男性17 173人,佔73.2%. 年齡多集中于3歲以前,佔78.8%(其中0~1歲患兒佔57.2%). 患兒平均住院天數6.8天,中位時間6天. 呼吸繫統疾病在各年度疾病繫統構成中始終居于首位. 傳染病、消化繫統疾病、新生兒疾病以及神經繫統疾病也是本院兒科患兒罹患的主要繫統疾病. 死亡患兒共144人,病死率有逐年下降的趨勢(χ2 =13.46,P<0.01). 死亡患兒罹患的前3位疾病分彆為新生兒窒息、早產兒和新生兒呼吸窘迫綜閤徵. 結論 15年間兒科住院病例疾病譜髮生瞭變化,應引起兒科臨床醫生的高度重視.
목적 료해신목현의원인과주원병례질병보급병사솔적변화추세,위금후해지구인동질병의료화예방보건공작제공과학의거. 방법 수집신목현의원인과1998년1월1일지2012년12월31일출원환인적병안자료병력신식,진행회고성통계분석. 결과 1998년지2012년,본원인과14세급이하적주원환인공23 448례,기중남성17 173인,점73.2%. 년령다집중우3세이전,점78.8%(기중0~1세환인점57.2%). 환인평균주원천수6.8천,중위시간6천. 호흡계통질병재각년도질병계통구성중시종거우수위. 전염병、소화계통질병、신생인질병이급신경계통질병야시본원인과환인리환적주요계통질병. 사망환인공144인,병사솔유축년하강적추세(χ2 =13.46,P<0.01). 사망환인리환적전3위질병분별위신생인질식、조산인화신생인호흡군박종합정. 결론 15년간인과주원병례질병보발생료변화,응인기인과림상의생적고도중시.
Objective To understand the disease spectrum and changing trends of mortality rate of hospitalized cases in pediatrics department in Shenmu County Hospital, so as to provide scientific basis for the future medical care and prevention of childhood diseases. Methods A retrospective statistical analysis was conducted on the hospitalization records of cases discharged from Shenmu County Hospital from January 1st, 1998 to December 31st, 2012.Results From 1998 to 2012 in Shenmu County Hospital 23 448 children aged 14 years or under 14 were hospitalized, among whom 17 173 were males, accounting for 73.2%.Majority of the patients were less than 3 years old, occupying 78.8%(including 57.2%of children aged 12 months to 1 year old).The average hospitalization stay was 6.8 days, with a median stay of 6 days.Respiratory system disease was the leading disease in each year.Other major illnesses causing hospitalization included infectious diseases, digestive tract diseases, neonatal diseases and nervous system diseases.A total of 144 children died during this period, and the mortality rate showed a declining trend (χ2 =13.46,P<0.01).The top three causes of death in sick children were neonatal asphyxia, premature birth and neonatal respiratory distress syndrome.Conclusion During these 15 years, the pediatric inpatient disease spectrum changes, which should attract high concentration from pediatric clinicians.
