某儿童专科医院42892例新生儿疾病谱分析  

Analysis of the Disease Spectrum of 42892 Neonates in a Children's Hospital

作　　者：田素明[1] 唐路 宋萍[1] Tian Suming;Tang Lu;Song Ping(Big Data Engineering Center(Medical Record Management Center),Children's Hospital of Chongqing Medical University,Chongqing 401122,China;不详)

机构地区：[1]重庆医科大学附属儿童医院大数据工程中心(病案管理中心),重庆市401122

出　　处：《中国病案》2024年第11期61-64,共4页Chinese Medical Record

摘　　要：目的了解新生儿住院疾病谱,为临床防治提供依据。方法回顾性分析某儿童专科医院2019年1月1日-2023年12月31日新生儿科收治新生儿42892例,通过秩和比及和谐系数对住院新生儿疾病谱顺位进行一致性检验分析,按性别、来源、季度、年龄分别进行分组统计,并应用χ^(2)检验。结果前10位疾病分别为新生儿肺炎、新生儿病理性黄疸、低出生体重儿、新生儿败血症、新生儿ABO溶血症、新生儿呼吸窘迫征、早产儿、新生儿高胆红素血症、新生儿胃肠道出血、新生儿肠炎,占全部住院新生儿的79.23%。男女患儿比为1.33:1,住院新生儿按性别、患者来源、季度、年龄分析,差异具有统计学意义(P<0.05),前10位病种变化不大,除2022年外,其余年份均以新生儿肺炎排在首位。结论新生儿肺炎、新生儿病理性黄疸、低出生体重儿、新生儿败血症、早产儿、新生儿高胆红素血症是该院新生儿科最常见疾病,应加强围生期保健工作,降低新生儿肺炎及败血症等感染性疾病发生。Objectives This study aims to Understand the spectrum of diseases among hospitalized neonates and provide a basis for clinical prevention and treatment.Methods 42,892 newborns admitted to the neonatal department of a children's hospital from January 1,2019 to December 31,2023 were retrospectively analyzed.The consistency of the order of disease spectrum of hospitalized neonates was analyzed by rank sum ratio and harmony coefficient,and the statistics were grouped by gender,origin,season and age,and the χ^(2) test was applied.Results The top ten diseases were neonatal pneumonia,neonatal pathological jaundice,low birth weight infants,neonatal sepsis,neonatal ABO hemolysis,neonatal respiratory distress sign,preterm infants,neonatal hyperbilirubinemia,neonatal gastrointestinal hemorrhage,and neonatal enteritis,accounting for 79.23%of all hospitalized newborns.The male-to-female ratio was 1.33:1.The differences in gender,patient source,season,and age of hospitalized newborns were statistically significant(P<0.05).There was little change in the top 10 diseases.Except for 2022,neonatal pneumonia ranked first in all other years.Conclusions Neonatal pneumonia,neonatal pathologic jaundice,low birth weight infants,neonatal sepsis,prematurity,and neonatal hyperbilirubinemia are the most common disorders in the neonatal unit of the hospital.Perinatal health care should be strengthened to reduce the incidence of infectious diseases such as neonatal pneumonia and sepsis.

关 键 词：新生儿 疾病谱 围生期保健 

分 类 号：R197.323[医药卫生—卫生事业管理]