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目的分析2家医院住院儿童10年疾病谱,为儿科工作重点提供依据。方法对温州医科大学附属育英儿童医院(育英)和台州市第一人民医院(台一医)2003—2012年0~14岁儿童住院病例,进行疾病谱分析。结果 10年中,育英和台一医儿童住院人数年平均分别上升8.99%和9.05%。患儿年龄均以0~1岁为主(50.18%和49.65%),患儿住院季节均集中在秋季,占26.95%和28.01%;男性均多于女性(2.05∶1和1.85∶1);均以呼吸系统疾病居首位(25.33%和37.90%),疾病病种均以肺炎居首(9.52%和14.54%)。2家医院比较,育英以呼吸系统疾病及传染病和寄生虫病为主,占16.66%;台一医以呼吸系统疾病及新生儿疾病为主,占16.83%。2家医院前、后5年住院患儿病死率差异均有统计学意义(P<0.01)。结论十年来2家医院儿科住院人数上升,疾病谱发生变化,应规划不同等级医院儿科的发展。
Objective To analyze the disease spectrum of hospitalized children in two hospitals for 10 years and provide the basis for the pediatric work. Methods Disease spectrum analysis was performed on hospitalized children aged 0-14 years from 2003 to 2012 at Yuyin Children’s Hospital Affiliated to Wenzhou Medical University (Yuying) and First People’s Hospital of Taizhou (Taiyi Medical College). Results In 10 years, the average annual number of children hospitalized in Yuying and Taiyi Medicine increased by 8.99% and 9.05% respectively. The children were mostly aged 0-1 years (50.18% and 49.65%). The hospitalization season was concentrated in the autumn, accounting for 26.95% and 28.01% of the patients, respectively. More males than females (2.05:1 and 1.85:1) Respiratory diseases ranked the top (25.33% and 37.90%) respectively, and pneumonia was the most common disease (9.52% and 14.54%). In comparison with two hospitals, Yuying mainly reported respiratory diseases and infectious diseases and parasitic diseases, accounting for 16.66% of the total. Taiyi Medical was dominated by respiratory diseases and neonatal diseases, accounting for 16.83% of the total. The mortality rates of hospitalized children in two hospitals before and after five years were significantly different (P <0.01). Conclusions The number of pediatric inpatients has risen in the past two years and the disease spectrum has changed. The development of pediatrics in different levels of hospitals should be planned.