2013年晋江市14周岁以下新农合住院儿童疾病谱分析  

Disease spectrum analysis of the NRCMCS hospitalized children in Jinjiang under the age of 14 in 2013

作　　者：洪培昆[1,2] 林清爽[3] 蔡良友 李文宇[3] 孙丰裕 林清火 张德雄[3] 

机构地区：[1]福建省晋江市疾病预防控制中心,福建晋江362200 [2]福建省晋江市卫生局疾控科,福建晋江362200 [3]福建省晋江市疾病预防控制中心防疫科,福建晋江362200 [4]福建省晋江市磁灶中心卫生院,福建晋江362214

出　　处：《中国现代医生》2014年第30期112-115,共4页China Modern Doctor

基　　金：福建省泉州市科技计划项目(2012Z080)

摘　　要：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。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, poisoning and external causes（2.76%）; The top 5 system diseases affected 85.99% of the total hospitalized children. Regarding 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 hospitalized 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 constitutions of children in different age groups.

关 键 词：新型农村合作医疗制度 儿童 住院 疾病谱 分析 

分 类 号：R197[医药卫生—卫生事业管理]