307例因中毒住院儿童临床特征分析  

The Clinical Analysis of 307 Poisoning Cases in Hospitalized Children

作　　者：唐颖[1] 王刚[2] 郝志红[1] 胡瑞杰[1] 邢玉梅[1] 王莉[1] 

机构地区：[1]山西医科大学公共卫生学院,太原030001 [2]山西省儿童医院,太原030013

出　　处：《伤害医学（电子版）》2017年第1期25-29,共5页Injury Medicine(Electronic Edition)

摘　　要：目的了解因中毒住院儿童的临床特征和疾病负担,为儿童中毒的预防和控制提供参考依据。方法对2008—2013年在山西省儿童医院住院诊治的307例中毒儿童进行回顾性流行病学分析。结果 307例因中毒住院儿童中,0~4岁组所占构成比最高(66.1%),乡村(59.3%)高于城市(39.4%);因中毒住院儿童平均住院时间为(3.0±1.0)d,平均住院费用为(2 705.88±3 454.39)元;出院时以痊愈和好转为主(98.3%);儿童中毒的原因的构成比以药物、药剂和生物制品中毒为主(63.2%);住院费用多重线性回归分析结果显示:年龄、入院月份、住院天数、入院危急程度、手术与否是其影响因素。结论儿童中毒虽然预后较好,但也会给儿童的健康造成损害,给家庭和社会带来经济和心理负担,因此需要采取综合的干预措施以期减少儿童中毒事件的发生。Objective To analyze the clinical characteristics and disease burden of hospitalized children due to poisoning in Shanxi Provincial Children＇s Hospital so as to provide a reference for the prevention and control of children＇s poisoning. Methods Retrieved the data of all 307 cases of poisoned children admitted to the Children＇s Hospital of Shanxi Province and retrospective epidemiological analysis was done with the data. Results Of the total 307 cases, the dominant group was at aged of 0~4（66.1%）; the incidence of poisoning in rural children was higher（59.3%） than that in urban chidlren（39.4%）. The averaged hospitalized time for poisoned children was（3.0±4.0） d, and the averaged hospitalization cost was（2 705.88±3 454.39） yuan. The vast majority of cases were cured and improved（98.3%） when dischargaged from the hospital. The leading cause of poisoning in the children was drugs, medicaments and biological substances（63.2%）. The multiple linear regression revealed multiple risk factors influencing the hospitalization cost, including age and the month when a patient was admitted, the duration of hospital staying, the instant situation of a case at the admission time, as well as the treatments applied for a case. Conclusion Children with poisoning discharged from the hospital with an overall better prognosis, while it did damage children＇s health and bring economic and psychological burden to families and society. As such, comprehensive interventions are needed to reduce the incidence of accidental poisoning in children.

关 键 词：住院儿童 中毒 临床特征 

分 类 号：R725.9[医药卫生—儿科]