某院2014年-2020年儿童住院疾病谱分析  

Analysis on the Spectrum of Hospitalized Diseases of Children in a Hospital from 2014 to 2020

作　　者：曹凤[1] 李丞[1] 李军[1] 赵锋[1] Cao Feng;Li Cheng;Li Jun;Zhao Feng(The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang Uygur Autonomous Region,China;不详)

机构地区：[1]新疆医科大学第一附属医院,新疆维吾尔自治区乌鲁木齐市830000

出　　处：《中国病案》2023年第2期83-86,共4页Chinese Medical Record

基　　金：新疆维吾尔自治区自然科学基金(2020D01C249)。

摘　　要：目的 研究2014年-2020年新疆维吾尔自治区某三甲综合医院儿童住院疾病谱及变化趋势,为儿童医疗保健事业发展奠定理论基础。方法 通过医院HIS系统,病案系统收集整理2015年1月1日至2020年12月31日儿童病例,共92 915例儿童住院患者相关信息,采取描述法,对儿童疾病构成及顺位等情况进行分析。结果 儿童疾病谱有小范围波动,儿童平均年龄(4.8±4.29)岁,男童患者多于女童,0岁-1岁婴幼儿患者居多,2015年-2019年均增长率为8.86%;以呼吸系统疾病为主,疾病谱前四位占住院患者52.77%,泌尿系统疾病和内分泌系统疾病性别差异大;肺炎仍是常见病,前十位病种占住院患者32.35%;结论 患病率较高的疾病是新生儿肺炎,高胆红素血症,血液病,损伤、中毒和外因某些后果,针对以上疾病,结合不同年龄段特征,提出有效措施,多维度降低儿童患病风险。Objectives To Study the disease composition and trend of children in a hospital from 2014 to 2020 in Xinjiang, and lay a theoretical foundation for the development of children’s medical care. Methods From January 1st, 2015 to December 31st, 2020, a total of 92 915 cases of hospitalized children were collected and sorted through HIS system and medical record system of the hospital. The composition and sequence of children’s diseases were analyzed by means of description. Results The disease spectrum of children fluctuated in a small range. The average age of children was(4.8±4.29) years old, the number of male patients was more than that of girls, and the number of infants aged 0-1 years old was more. The average annual growth rate from 2015 to 2019 was 8.86%. The main diseases were respiratory system, the top four diseases accounted for 52.77% of the inpatients, urinary system diseases and endocrine system diseases had a large gender difference;Pneumonia was still a common disease, and the top ten diseases accounted for 32.35% of the hospitalized patients. Conclusions The diseases with high prevalence rate were neonatal pneumonia, hyperbilirubinemia, blood diseases, injury, poisoning and external causes of some consequences. In view of the above diseases, combined with the characteristics of different age groups, effective measures were proposed to reduce the risk of children with multiple dimensions.

关 键 词：住院儿童 疾病谱 疾病构成 

分 类 号：R197.323[医药卫生—卫生事业管理]