浙江省台州市病残儿医学鉴定10年资料回顾分析  

Retrospective analysis on current situation of medical authentication of disabled children in the past 10 years in Taizhou

作　　者：许鹿舫 李建邦 梁玲飞[2] 

机构地区：[1]浙江省台州市计划生育技术指导站,318000 [2]浙江省台州市中心医院

出　　处：《中国计划生育学杂志》2014年第3期161-165,共5页Chinese Journal of Family Planning

摘　　要：目的:通过对台州市近10年病残儿医学鉴定资料的统计分析,了解病残儿鉴定疾病种类的构成、顺位、变化趋势,针对问题提出建议。方法:对台州市2002～2011年病残儿医学鉴定资料运用《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10年台州市病残儿主要致残原因依次为先天性畸形/变形和染色体异常、神经系统疾病、精神和行为障碍和肿瘤,合计74.75%(3 609/4 828);其中出生缺陷累计发生率占病残儿总数的37.88%(1 829/4 828),先天性心脏病发病率最高。结论:出生缺陷是造成病残儿病残的主要原因,应重点完善出生缺陷"三级预防"干预体系;建议修订鉴定办法,完善诊断标准;开发应用集管理、服务、科研为一体的病残儿医学鉴定信息化平台。Objective： To explore categories and incidence rates of diseases in medical authentication by analyzing medi- cal statistical materials of disabled children in the past 10 years in Taizhou. Methods： Diseased suffered by children ap plied for medical authentication between 2002 and 2011 were classified and coded according to the International Classifi- cation of Diseases （ICD-10）. And data were analyzed with SPSS software. Results： ~Fhe top six kinds of diseases were congenital malformation, chromosome abnormality, neurological disease, mental illness, behavior disorder and tumor, accounting for 74.75% （3609/4828）. The cumulative incidence of birth defects reached 37.880//oo （1829/4828）, and the highest prevalence of congenital heart diseases was found. Conclusion： Birth defects could be the primary cause of chil- dren disability. To prevent congenital defects, the ＂three-grade＂ birth defect prevention system needs to be reinforced. Furthermore, revisions on the disability identifying methods and diagnosis criteria are advocated, and an information platform integrated management, service and research needs to be developed promptly.

关 键 词：病残儿医学鉴定 出生缺陷 ICD-10 信息系统 先天性心脏病 ICD-10 

分 类 号：R174[医药卫生—妇幼卫生保健]