江西省某儿童专科医院2009-2018年住院糖尿病患儿状况及分析  

Analysis of the Inpatients situation with diabetes from 2009 to 2018 in A Jiangxi Provincial children′s specialist hospital

作　　者：杨利[1] 杨玉[1] 章恺[1] 胡云[1] 谢理玲[1] 彭晓红 金丽珠 YANG Li;YANG Yu;ZHANG Kai;HU Yun;XIE Liling;PENG Xiaohong;JIN Lizhu(Depart ment of Genetics and Metabolism,Jiangxi Provincial Children′s Hospital,Affiliated Children′s Hospital of Nan chang University,Nanchang 330006,China)

机构地区：[1]江西省儿童医院,南昌大学附属儿童医院内分泌遗传代谢科,南昌330006

出　　处：《实用医学杂志》2020年第9期1247-1250,共4页The Journal of Practical Medicine

基　　金：江西省社会发展领域计划项目(编号:20132BBG70084)。

摘　　要：目的了解江西省某儿童专科医院近10年住院糖尿病患儿疾病变化趋势及临床状况。方法收集2009年1月至2018年12月住院糖尿病患儿病例资料进行整理,回顾性分析患儿性别、年龄分布趋势、发病到就诊时间、合并酮症酸中毒(diabetic ketoaoidosis,DKA)情况、DKA纠正时间、住院天数等。结果 2009年1月至2018年12月住院糖尿病患儿583例,其中男300例(51.5%),女283例(48.5%);各年度年龄分布不同,差异有统计学意义(P <0.01),以学龄期及青春期患儿为主;从出现症状到来该院就诊时间呈逐渐缩短趋势;各年度DKA发生率差异无统计学意义(P> 0.05);前五年DKA纠正时间平均(3.77±3.32)d、住院天数平均(9.05±5.28)d,后五年DKA纠正时间平均(2.72±2.20)d,住院天数平均(7.97±5.00)d,两者差异均有统计学意义(P <0.05)。结论江西省儿童糖尿病患儿逐年增加,以学龄期及青春期患儿发病为主,随着江西省对儿童糖尿病患儿进行综合管理,运用"五架马车"规范诊治,糖尿病患儿确诊时间、DKA纠正时间、住院时间均缩短。Objective To understand the trend and clinical status of diabetes inpatients in a children’sspecialist hospital in Jiangxi in the past 10 years.MethodCollected the case data of inpatients with diabetes fromJanuary 2009 to December 2018,and retrospectively analyzed the patient’s gender,age distribution trend,timefrom onset to consultation,diabetic ketoacidosis(DKA),DKA correction time,and hospitalization days and so on.Results From January 2009 to December 2018,583 children were hospitalized with diabetes,including 300 boys(51.5%)and 283 women(48.5%). There was no significant difference in gender between men and women;theage distribution was different in each year. It was statistically significant(P < 0.01),mainly in children of schoolage and adolescence;the time of hospital visits gradually decreased from the onset of symptoms;there was no sig-nificant difference in the incidence of ketoacidosis in each year(P > 0.05);The average correction time of DKA inthe first five years was(3.77 ± 3.32)days,the average number of days of hospitalization was(9.05 ± 5.28)days,the average correction time of DKA in the next five years was(2.72 ± 2.20)days,and the average number ofdays of hospitalization was(7.97 ± 5.00)days. The t test was performed. Significance(P < 0.05).Conclusion The number of children with diabetes in Jiangxi Province has increased year by year,mainly in children ofschool age and adolescence. With the comprehensive management of children with diabetes in Jiangxi Province,the use of"five carriages"to standardize diagnosis and treatment,the diagnosis time of diabetes patients,the timeof DKA correction,Shorter hospital stay.

关 键 词：住院 儿童糖尿病 状况分析 

分 类 号：R587[医药卫生—内分泌]