摘要
目的回顾性调查西南某三级妇女儿童医院2015年儿童(0岁~18岁)住院患者的疾病构成,掌握儿童患者疾病就诊需求的特点及规律,为儿童疾病的预防和诊治及儿童药物配备提供临床证据。方法通过该院信息系统提取2015年儿童住院患者资料,按ICD-10标准对主要诊断进行系统分类,采用Excel软件进行数据整理和分析。结果儿童住院病例男女性别比为1.34:1;住院儿童前6类系统疾病依次是起源于围生期的某些情况、呼吸系统疾病、影响健康状态和保健机构接触的因素、某些传染病和寄生虫病、血液及造血器官疾病和某些涉及免疫机制的疾患、先天性畸形、变形和染色体异常,累计构成比为76.07%;不同年龄阶段和不同季节,儿童疾病构成均有极显著差异;前15位单病种共11 941人次,占全院住院儿童的68.30%,单病种排序前3位的依次为其他医疗照顾、病原体未特指肺炎、其他和未特指原因所致的新生儿黄疸,分别占17.12%、13.62%和5.72%;平均住院日为7.61天,人均住院费用为11 984.03元。结论该院住院患儿不同年龄、不同季节疾病构成有所不同,医院及相关部门应根据此特点,将儿童疾病的治疗和预防重心放在不同的疾病类型中。
Objectives To retrospectively investigate the disease constitution and expense of children inpatients in a third-level of women and children＇s hospital in southwest China in 2015, so as to grasp the characteristics and demand of children patients, and provide clinical evidence for the prevention and treatment of childhood diseases.Methods The inpatients＇ information in 2015 was collected from hospital information system（HIS）. The diseases were classified according to ICD-10 based on the first discharge diagnosis. Data rearrangement and analysis were carried out by Microsoft Excel soft ware. Results The sex ratio of male and female hospitalized cases was 1.34：1.The top 6 system diseases of children inpatients included in turn were some cases originated in the perinatal period,respiratory disease and the influencing factors of health status and health care institutions contact, certain infectious diseases and parasitic diseases, blood and blood-forming organs disease, and some disorders of the immune mechanism, congenital malformation, deformation and chromosomal abnormalities, the cumulative proportion was 76.07%. There were significant differences in the composition of children＇s diseases at different ages and seasons.Before 15 single disease entities, a total of 11941 person-times of single diseases, accounting for 68.30% of the floor hospitalized children, the three sorts of single diseases did not specifically for medical care and other pathogens in turn caused by pneumonia, other and not specifically because of neonatal jaundice, accounted for 17.12%,13.62% and 13.62% respectively. The average hospital stay day was 7.61 days, and the per capita hospitalization cost was 11984.03 yuan. Conclusions The disease constitution of children inpatients was different in different ages and different seasons. Hospital and relevant departments should put emphasis on different disease types of the treatment and prevention of children＇s diseases.
出处
《中国病案》
2017年第11期71-76,共6页
Chinese Medical Record
关键词
西南某三级妇女儿童医院
2015年
儿童
住院患者
疾病构成
A third-level of women and children＇s hospital in southwest China
2015
Children
Inpatient
Disease constitution
作者简介
通信作者
