摘要
目的分析某医院2016—2023年住院患儿疾病谱,为政府配置儿童医疗资源及开展儿童疾病预防保健工作提供科学支持。方法收集温州医科大学附属第二医院儿童住院病案首页资料,使用《疾病和有关健康问题的国际统计分类》对患儿出院主要诊断进行分类统计,采用SAS 9.4软件对数据进行清理和分析。结果2016—2023年出院患儿总数呈上升趋势,前五顺位的疾病系统分别为呼吸系统疾病(34.10%)、某些传染病和寄生虫病(9.73%)、消化系统疾病(9.12%)、泌尿生殖系统疾病(8.09%)、起源于围生期的某些疾病(6.74%),前五位的病种分别为肺炎(15.90%)、支气管炎(5.94%)、扁桃体/腺样体肥大(5.77%)、急性上呼吸道感染(3.95%)、腹股沟疝(3.51%)。近年来女性患儿占比上升,婴幼儿患儿占比下降,外科患儿占比上升。结论不同年份、性别、年龄、内外科患儿的疾病系统以及病种构成均存在差异,管理部门应当更有针对性地分配医疗资源。
Objective To analyze the disease spectrum of hospitalized children in a hospital from 2016 to 2023,aiming to provide scientific support for the government in rational allocation of pediatric medical resources and the implementation of pediatric disease prevention and healthcare programs.Methods The primary data of hospitalized children’s medical records from the Second Affiliated Hospital of Wenzhou Medical University were collected,and the primary discharge diagnosis of children were classified and counted using the International Statistical Classification of Diseases and Related Health Problems 10th Revision.SAS 9.4 software was utilized for data cleaning and analysis.Results The total number of pediatric discharges showed an upward trend from 2016 to 2023.The top five disease systems were respiratory diseases(34.10%),certain infectious and parasitic diseases(9.73%),digestive system diseases(9.12%),genitourinary system diseases(8.09%),and certain conditions originating in the perinatal period(6.74%).The top five specific diseases were pneumonia(15.90%),bronchitis(5.94%),adenotonsillar hypertrophy(5.77%),acute upper respiratory infections(3.95%),and inguinal hernia(3.51%).In recent years,the proportion of female children had increased,while the proportion of infants and young children had decreased,and the proportion of surgical children had risen.Conclusion Variations exist in the distribution of diseases among pediatric patients across different years,genders,age groups,and between internal and surgical pediatric patients.Management should be more targeted in allocating medical resources.
作者
杜旭东
DU Xudong(Department of Quality Management,the Second Affiliated Hospital of Wenzhou Medical University,Zhejiang Province,Wenzhou 325000,China)
出处
《妇儿健康导刊》
2025年第11期180-185,共6页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
住院患儿
疾病谱
趋势
Hospitalized children
Disease spectrum
Trend
