利用ICD-10分类对深圳市病残儿医学鉴定病种的趋势分析  

Analysis of disabled children applied for medical authentication with ICD-10

作　　者：谢立春 陈火星 

机构地区：[1]深圳市人口和计划生育科学研究所,518048

出　　处：《中国计划生育学杂志》2011年第1期18-21,共4页Chinese Journal of Family Planning

基　　金：广东省人口计生委2010年科研立项重点项目(编号:2010103)

摘　　要：目的:对深圳市病残儿医学鉴定病种及其构成趋势进行统计分析,为病残儿的防治提供依据。方法:对深圳市近5年病残儿医学鉴定患儿资料用《疾病和有关健康问题的国际分类ICD-10》进行疾病分类与编码,用SPSS统计软件进行分析。结果:近5年主要致残病种依次为先天性畸形类、精神行为障碍、神经系统疾病、肿瘤,合计占79.74%,其中先天性畸形类、神经系统疾病相对稳定,而精神行为障碍及肿瘤所占比重呈上升趋势;病残儿出生缺陷累计发生率达62.63%,最高是循环系统先天畸形;主要单病种顺位依次为:童年孤独症、脑瘫、先天性心脏病、精神发育迟滞等。结论:出生缺陷是造成儿童病残的主要原因。应重点加强对先天性心脏病、脑瘫、孤独症和少儿肿瘤的研究和预防。建议在全国范围内建立病残儿鉴定资料信息库,统一按ICD-10进行疾病分类,动态监测分析,为出生缺陷干预和病残儿的防治服务。Objective：To provide a scientific basis for birth defect prevention by analyzing disease categories of disabled children applied for medical authentication.Methods：Diseases suffered by 691 children applied for medical authentication between 2005 and 2009 were classified and coded according to ICD-10 standard,and analyzed with SPSS software.Results：The top four kinds of diseases were congenital malformation,mental and behavior disorders,nervous system diseases and tumor,accounting for 79.74%.The incidence of the former two remained relatively stable,but the percentage of the latter two had been increasing.The cumulative incidence of birth defects reached 62.63%,and the highest prevalence of congenital malformations of circulatory system was found.The top four single-type diseases were as follows：autism,cerebral palsy,congenital heart disease and mental retardation.Conclusion：Birth defects could be the primary cause of children disability.Researches and interventions on congenital heart diseases and cerebral palsy as well as autism and tumor should be strengthened.It is necessary to establish information databases of disabled children applied for medical authentication and managed according to ICD-10 coding standard for birth defect intervention and disabled prevention in nationwide.

关 键 词：病残儿 医学鉴定 ICD-10 出生缺陷 趋势分析 

分 类 号：R174[医药卫生—妇幼卫生保健]