2010-2014年湖南省某儿童医院异物伤害住院病例特征分析  

The analysis of characteristics of inpatient with children foreign body injury in a children's hospital in Hunan Province from 2010 to 2014

作　　者：涂娇[1] 陈卉[1] 吴卓敏[2] 田丹平[2] 倪平[1] 肖婉[1] 齐潇[1] 许林勇[1,3] 胡明[1] 

机构地区：[1]中南大学公共卫生学院流行病与卫生统计学系,湖南长沙410078 [2]湖南省儿童医院病案图书统计办,湖南长沙410007 [3]中南大学湘雅三医院药物临床研究统计分析中心,湖南长沙410013

出　　处：《中华疾病控制杂志》2016年第4期387-391,共5页Chinese Journal of Disease Control & Prevention

基　　金：中南大学教师研究基金(2013JSJJ031)

摘　　要：目的 分析湖南省某儿童医院儿童异物伤害住院病例特征,为儿童异物伤害的防控提供一定依据。方法 从湖南省某儿童医院的医院信息系统中收集2010-2014年间确诊为异物伤害的患儿有关信息,采用描述性及单因素分析方法分析异物伤害的有关特征。结果 2010-2014年间异物伤害患儿住院3782人次,患儿人次数呈逐年增加趋势,男女比例为1.77∶1,呼吸道异物伤害性别比高于消化道异物伤害和其他异物伤害,异物伤害的高发年龄段为1～2岁,呼吸道异物伤害在儿童1～3月易发生,不同部位异物伤害治愈率均高于90%,住院天数逐年下降,而住院费用逐年上升,其中呼吸道异物伤害住院天数和住院费用均大于消化道和其他异物伤害。结论应根据异物伤害住院病例特征,针对高危人群,高发年龄段,高发季节采取强化防控措施。Objective To analyze the characteristics of inpatient with children foreign body injury in a children＇ s hospital in HuMan province and to provide evidence for countermeasures of preventing children foreign body injury. Meth- ods The records of Children patient diagnosed with foreign body injury from 2010 to 2014 were collected from Hospital In- formation System in one children＇ s hospital in HuMan. And descriptive analysis and univariate analysis were adopted to an- alyze the characteristics of foreign body injury. Results The total number of person-time of inpatient with children foreign body injury between 2010 and 2014 was 3 782, and the person-time tended to increase with years. The sex ratio was 1.77 ： 1. The sex ratio of airway foreign body injury was higher than those of digestive tract and other type. Children foreign body injury occurred most frequently in Children aged 1-2 years old. And airway foreign body injury was liable to occur be- tween January and March. The overall cure rate of foreign body injury in different parts was higher than 90%. The inpatient day decreased with years, and inpatient fee went in the opposite direction. The inpatient day and fee of airway foreign body injury were more than those of the other two types. Conclusions We should take enforced focusing on high-risk population and peak age on the basis of the characteristics of inpatient with children foreign body iniurv

关 键 词：儿童 病例报告 异物 

分 类 号：R179[医药卫生—妇幼卫生保健] R726.494[医药卫生—公共卫生与预防医学]