2008～2013年宁夏回族、汉族住院儿童死亡分析及干预措施探讨  

Analysis on death of hospitalized children of Hui nationality and Han nationality and interventional measures in Ningxia from 2008 to 2013

作　　者：赵芳[1] 闫亚萍 丁宁[2] 聂黎虹[3] 

机构地区：[1]宁夏医科大学总医院,宁夏银川750004 [2]宁夏医科大学 [3]宁夏医科大学基础医学院

出　　处：《中国妇幼保健》2015年第11期1652-1654,共3页Maternal and Child Health Care of China

基　　金：宁夏自然科学基金〔NZ14078〕

摘　　要：目的：了解2008-2013年在宁夏医科大学总医院住院的回族、汉族患儿死亡率情况,并探讨干预措施。方法：选取2008年1月-2013年12月收住于该院的0-14岁回族、汉族住院患儿61 109例为研究对象,其中汉族43 945例,回族17 164例。对其临床资料进行回顾性分析,计算不同居住地、入院死亡时间及收住科别的患儿死亡率。结果：2008-2013年入院患儿总体死亡率、回族和汉族患儿死亡率均有降低趋势;城市回族患儿、农村回族患儿和农村汉族患儿死亡率有下降趋势,农村回族患儿死亡率高于农村汉族患儿死亡率;入院24 h内死亡的农村回族患儿死亡率有下降趋势,入院24 h外死亡的农村回族、汉族患儿死亡率均有下降趋势,但入院24 h外死亡的农村回族患儿死亡率较高;收住儿科重症监护病房（PICU）的农村回族、汉族患儿死亡率均有下降趋势,但收住PICU农村回族患儿死亡率较高。结论：农村患儿尤其是农村回族患儿是宁夏地区患儿死亡率的高发人群,降低农村回族入院患儿死亡率是降低住院患儿死亡率的关键措施。Objective： To understand the mortalities of hospitalized children of Hui nationality and Han nationality in General Hospital of Ningxia Medical University from 2008 to 2013,explore the interventional measures. Methods： A total of 61 109 hospitalized children of Hui nationality and Han nationality under 14 years old in the hospital from January 2008 to December 2013 were selected as study objects,including 43 945 Han children and 17 164 Hui children. The clinical data was analyzed retrospectively,the mortalities of children living in different areas,with different time of death in hospital,and in different admission departments were calculated. Results： From 2008 to 2013,the total mortality of all hospitalized children and mortalities of hospitalized children of Hui nationality and Han nationality showed decreasing trends. The mortalities of urban hospitalized children of Hui nationality,rural hospitalized children of Hui nationality,and urban hospitalized children of Han nationality showed decreasing trends. The mortality of urban hospitalized children of Hui nationality was higher than that of rural hospitalized children of Han nationality. The mortality of rural hospitalized children of Hui nationality within 24 hours after admission to hospital showed decreasing trend. The mortalities of rural hospitalized children of Hui nationality and rural hospitalized children of Han nationality after 24 hours after admission to hospital showed decreasing trends,but the mortality of rural hospitalized children of Hui nationality after 24 hours after admission to hospital was relatively high. The mortalities of rural hospitalized children of Hui nationality and rural hospitalized children of Han nationality in PICU showed decreasing trends,but the mortality of rural hospitalized children of Hui nationality in PICU was relatively high. Conclusion： The mortality of rural children is high in Ningxia,especially among the rural hospitalized children of Hui nationality,reducing rural hospitalized children of Hui national

关 键 词：儿童 死亡率 干预措施 回族 汉族 

分 类 号：R179[医药卫生—妇幼卫生保健]