2010年-2019年某儿童专科医院住院疾病构成分析  

Analysis on the Composition of Inpatient Diseases in a Children’s Hospital from 2010 to 2019

作　　者：吴金星[1] 刘祥英[1] 胡佳华 胡梅英[1] Wu Jinxing;Liu Xiangying;Hu Jiahua;Hu Meiying(Jiangxi Provincial Children’s Hospital,Nanchang 330006,Jiangxi Province,China)

机构地区：[1]江西省儿童医院,江西省南昌市330006

出　　处：《中国病案》2022年第1期77-79,112,共4页Chinese Medical Record

摘　　要：目的分析某儿童专科医院住院患儿年龄、性别分布、各系统疾病谱顺位及其各年龄段变化趋势,为医院临床研究及疾病预防提供依据。方法回顾性分析2010年1月1日-2019年12月31日收治的743517例患儿病例资料,按年度、年龄段、性别对疾病构成进行χ^(2)检验及构成比分析。结果住院患儿男性多于女性,男女性别比为1.99:1;2015年-2019年收治的患儿人数较2010年-2014年增长16.71%;2010年-2019年收治的住院患儿疾病谱首位为呼吸系统疾病(28%),2015年-2019年内分泌、营养和代谢疾病的疾病构成比较2010年-2014年明显增加(P<0.001);各年龄段疾病谱顺位不同;女童内分泌、营养和代谢疾病的发生率高于男童(P<0.001)。结论呼吸系统疾病仍为儿童常见病、多发病,在提高对呼吸系统疾病诊疗水平的同时,应加强对内分泌、营养和代谢疾病的防治。Objectives To analyze the distribution of hospitalized children in children’s hospital, the trend of the disease spectrum, so as to provide basis for clinical research and disease prevention in the hospital.Methods The medical records of 743 517 children admitted from January 1, 2010 to December 31, 2019 were retrospectively analyzed, and the disease composition was analyzed by 2-test and component ratio analysis according to year, age and gender. Results The male hospitalized children were more than female, and the sex ratio was 1.99:1. The number of children hospitalized from 2015 to 2019 increased by 16.71% compared with that from 2010 to 2014;Among hospitalized children from 2010 to 2019, respiratory diseases topped the disease spectrum(28%), and the composition of endocrine, nutritional and metabolic diseases increased significantly from 2015 to 2019 compared with that from 2010 to 2014(P<0.001). The sequence of disease spectrum is different in each age group. The incidence of endocrine, nutritional and metabolic diseases was higher in girls than in boys(P<0.001).Conclusions Respiratory diseases were still common and frequently occurring diseases among children. While improving the diagnosis and treatment of respiratory diseases, prevention and treatment of endocrine, nutritional and metabolic diseases should be strengthened.

关 键 词：住院儿童 疾病谱 变化趋势 

分 类 号：R197.5[医药卫生—卫生事业管理]