1177例儿童口腔急诊病例回顾分析  

Retrospective Analysis of 1177 Oral Emergency Cases of Children

作　　者：陈霞 王南南[1] 刘开 郭婷 黄兰柱[1] Chen Xia;Wang Nannan;Liu Kai;Guo Ting;Huang Lanzhu(Nanjing Stomatological Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing 210008,Jiangsu Province,China;不详)

机构地区：[1]南京大学医学院附属口腔医院,南京市口腔医院,江苏省南京市210008

出　　处：《中国病案》2023年第10期53-55,共3页Chinese Medical Record

基　　金：国家自然科学基金(81500872);江苏省重点研发计划(社会发展)项目(BE2019623)。

摘　　要：目的分析某口腔专科医院14岁以下急诊患儿的诊疗情况,对提高儿童口腔急诊医疗质量提出参考依据。方法从某院门急诊电子病历系统中提取2019年1月1日至2019年12月31日口腔急诊科接诊的1177名14岁及以下患儿病历相关数据,根据患儿年龄、性别、疾病诊断分类、就诊原因分类等角度进行统计与综合分析。结果5-9岁患儿就诊人次最多。男患儿占比(62.28%)显著高于女患儿(37.72%),男女比例为1.65:1,其中10-14岁年龄段的差异最大(男:65.16%;女:34.84%)。患儿就诊的原因主要是口腔颌面部各类外伤和感染性疾病的急性发作;随着患儿年龄的增长,口腔颌面部各类外伤的占比下降,而感染性疾病的占比上升。其中4岁及以下外伤占比为97.52%,5-9岁年龄段外伤占比为80.27%,10-14岁年龄段占比为71.43%;而4岁及以下感染类疾病占比为2.2%;5-9岁年龄段感染类疾病占比为14.99%;10-14岁年龄段占比为15.33%。结论儿童口腔急诊中男性患儿占比大,病种相对集中。口腔急诊医师需灵活根据不同年龄段儿童口腔危险因素进行健康宣教,并应进一步规范口腔急诊病历的书写,以提升医疗质量。Objectives The current situation of diagnosis and treatment of children patients under the age of 14 in emergency department of a specialized stomatology hospital was analyzed to provide reference for the improvement of children's oral emergency medical safety.Methods From the electronic medical record system,1177 children patients aged under 14 emergency medical records in a special stomatology hospital from January 1st,2019 to December 31st,2019 were collected.The relevant data of aforementioned records were comprehensively analyzed and evaluated from different dimensions:the basic age and gender composition of children,the diagnosis and classification of the diseases,and the reasons for the visits.Results The patients aged 5-9 years were the most.The proportion of male children(62.28%)was significantly higher than that of female children(37.72%),and the male to female ratio was 1.65:1,of which the difference between the ages of 10-14 years was the largest(male:65.16%;female:34.84%).The main reasons for the treatment were acute attacks of various kinds of trauma and infectious diseases in the oral and maxillofacial region.With the increase of the age,the proportion of all kinds of injuries in the oral and maxillofacial region decreased,aged under 4(97.52%),5-9 years old(80.27%),and 10-14 years old(71.43%);while the proportion of infectious diseases increased,aged under 4(2.2%),5-9 years old(14.99%),and 10-14 years old(15.33%).Conclusions The incidence rate of oral emergency in children was high,the proportion of male children was relatively large,and the type of disease was relatively concentrated.Oral emergency physicians should flexibly carry out health education according to the changes in oral risk factors of children at different ages.In addition,the writing of oral emergency medical records should be further standardized to improve medical quality.In addition,the writing of oral emergency medical records should be further standardized to improve the medical quality.

关 键 词：口腔专科医院 急诊 儿童 病例 

分 类 号：R788[医药卫生—口腔医学]