2014~2019年某三甲综合医院住院12岁以下儿童死因分析  

Analysis of death causes of children under 12 years old in a tertiary first-class general hospital from 2014 to 2019

作　　者：覃灵玲 覃焱 岑朝[1] 农小珍[2] 黄坤炯 QIN Lingling;QIN Yan;CEN Chao;NONG Xiaozhen;HUANG Kunjiong(Department of Quality Control,2.Department of Medical Records,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]右江民族医学院附属医院质控科,广西百色533000 [2]右江民族医学院附属医院病案科,广西百色533000

出　　处：《右江医学》2020年第10期751-754,共4页Chinese Youjiang Medical Journal

基　　金：百色市科学研究与技术开发计划项目(百科20193118)。

摘　　要：目的了解桂西地区某三甲综合医院住院12岁以下儿童死亡原因,为合理有效降低儿童死亡率提供依据。方法对某三甲综合医院2014~2019年住院12岁以下儿童死亡的病历资料进行回顾性分析。结果 2014~2019年6年间,住院患者86 661例,死亡89例,病死率为1.03‰。住院儿童中,男童病死率0.89‰,女童病死率1.29‰,差异无统计学意义(P>0.05)。<3岁组病死率1.28‰和≥3岁组病死率0.68‰,差异有统计学意义(P<0.01)。壮族儿童病死率0.89‰、汉族儿童病死率1.48‰、其他民族儿童病死率0.96‰,无统计学意义(P>0.05)。来源农村儿童病死率1.23‰、城镇儿童病死率0.55‰,差异有统计学意义(P<0.01)。疾病死因构成中:前3位分别是呼吸系统疾病、手足口病、意外损伤和中毒。结论近6年该院病死率呈下降趋势;呼吸系统疾病、传染病病死率高是该地区下一步预防保健工作重点方向,侧重点在农村和小于3岁儿童。Objective To understand the death causes of children under 12 years old in a tertiary first-class general hospital in western Guangxi,so as to provide the basis for the reasonable and effective reduction of child mortality.Methods Retrospective analysis was carried out on the medical records of children under 12 years old who died in tertiary first-class general hospital from 2014 to 2019.Results From 2014 to 2019,there were 86661 inpatients and 89 deaths,and the mortality rate was 1.03‰.Among the hospitalized children,the mortality rate of boys was 0.89‰and that of girls was 1.29‰,and difference was not statistically significant(P>0.05)The fatality rate of<3 years old group was 1.28‰,and that of≥3 years old group was 0.68‰,and difference was statistically significant(P<0.01).The mortality rate of Zhuang children,Han children and children of other nationalities was 0.89‰,1.48‰and 0.96‰,respectively,and difference was not statistically significant(P>0.05).The mortality rate of rural children was 1.23‰and that of urban children was 0.55‰,and difference was statistically significant(P<0.01).Among the causes of disease death,the top three were respiratory disease,hand foot mouth diseases,accidental injuries and poisoning.Conclusion In recent six years,the mortality of the hospital showed a downward trend.The high mortality of respiratory diseases and infectious diseases is the next focus of prevention and health care in this area,with special emphasis on rural children and children under 3 years old.

关 键 词：三甲综合医院 儿童 死因 

分 类 号：R197.32[医药卫生—卫生事业管理]