安徽某医院2013-2017年住院儿童疾病谱变化研究
|
摘要
目的分析安徽省儿童医院住院儿童疾病谱构成及其变化趋势,为医疗资源合理配置和疾病防治工作提供科学依据。方法对安徽省儿童医院2013-2017年268 809例住院儿童疾病构成进行分析,并与该院2003-2007年疾病谱数据进行比较。结果与前次统计数据比较,2013-2017年住院儿童人数和涉及病种数均大幅增加。儿童呼吸系统(28. 73%vs 26. 49%)、消化系统(12. 68%vs 10. 78%)和神经系统(6. 22%vs 3. 72%)等常见疾病住院构成比下降;损伤和中毒(2. 13%vs 7. 4%),传染病和寄生虫(7. 15%vs 10. 69%)、肿瘤(2. 65%vs 4. 12%)和血液免疫(1. 42%vs 3. 19%)等系统疾病住院构成比升高。呼吸系统疾病仍是住院儿童首位系统疾病,占住院儿童总数26. 49%,肺炎为单病种首位疾病。2013-2017年住院儿童前5位病种为肺炎、支气管炎、疝气、呼吸道感染、新生儿肺炎。结论医院服务人数与服务能力大幅提高;在提高儿童常见发病和多发病诊疗水平的同时,应加强损伤中毒、精神行为疾病和传染病等疾病的防治。
Objective To investigate the composition of the disease spectrum of hospitalized children in Anhui Provincial Children's Hospital,so as to provide scientific basis of the strategy to refine pediatric medical resources and health care. Methods Totally 268809 patients from 2013 to 2017 was analyzed and compared with the 2003-2007 data. Results Compared to 2003-2007,the number of hospitalized children and involved diseases increased significantly in 2013-2017. The proportion of common diseases such as respiratory system( 28. 73% vs 26. 49%), digestive system( 12. 68% vs10. 78%),and nervous system( 6. 22% vs 3. 72%)) significantly decreased; while the proportion of injury and poisoning( 2. 13% vs 7. 4%),infectious diseases,parasites( 7. 15% vs 10. 69%),tumors( 2. 65% vs 4. 12%),and blood immunity( 1. 42% vs 3. 19%) increased. Respiratory diseases remain the first ranking disease in hospitalized children( 26. 49%),with pneumonia as the first ranking single disease among it. The top 5 hospitalized children in 2013-2017 were pneumonia,bronchitis,hernia,respiratory infections,and neonatal pneumonia. Conclusions The absolute number and capacity of services have been greatly improved in the hospital. While constantly improving the level of diagnosis and treatment of common diseases,we should pay more attention to the injury poisoning,mental and behavioral diseases and infectious diseases in children.
Objective To investigate the composition of the disease spectrum of hospitalized children in Anhui Provincial Children's Hospital,so as to provide scientific basis of the strategy to refine pediatric medical resources and health care. Methods Totally 268809 patients from 2013 to 2017 was analyzed and compared with the 2003-2007 data. Results Compared to 2003-2007,the number of hospitalized children and involved diseases increased significantly in 2013-2017. The proportion of common diseases such as respiratory system( 28. 73% vs 26. 49%), digestive system( 12. 68% vs10. 78%),and nervous system( 6. 22% vs 3. 72%)) significantly decreased; while the proportion of injury and poisoning( 2. 13% vs 7. 4%),infectious diseases,parasites( 7. 15% vs 10. 69%),tumors( 2. 65% vs 4. 12%),and blood immunity( 1. 42% vs 3. 19%) increased. Respiratory diseases remain the first ranking disease in hospitalized children( 26. 49%),with pneumonia as the first ranking single disease among it. The top 5 hospitalized children in 2013-2017 were pneumonia,bronchitis,hernia,respiratory infections,and neonatal pneumonia. Conclusions The absolute number and capacity of services have been greatly improved in the hospital. While constantly improving the level of diagnosis and treatment of common diseases,we should pay more attention to the injury poisoning,mental and behavioral diseases and infectious diseases in children.
引文
[1]樊琳.9600例儿科急诊患儿疾病谱和临床特征分析[J].中国初级卫生保健,2014,28(6):63-64.DOI:10.3969/j.issn.1001-568X.2014.06.0027.Fan L.Analysis on spectrum disease and clinical characteristics of9 600 children with pediatric emergency[J].Chinese Primary Health Care,2014,28(6):63-64.DOI:10.3969/j.issn.1001-568X.2014.06.0027.
[2]倪虹,张宁,叶冬青.安徽省某儿童医院1993-2007年住院患者疾病谱变化[J].中华疾病控制杂志,2009,13(3):313-316.Ni H,Zhang N,Ye DQ.Analysis on disease spectrum in resident patients(1993-2007)of a children's hospital in Anhui Province[J].Chin J Control Prev,2009,13(3):313-316.
[3]胡亚美,江载芳,申昆玲,等.诸福棠实用儿科学[M].第8版.北京:人民卫生出版社,2015:146-149.Hu YM,Jiang ZF,Shen KL,et al.Zhu Futang Practice of Pediatric[M].8th Edition.Beijing:People's Medical Publishing House,2015:146-149.
[4]匡寒琴.28096例儿童住院疾病谱及费用分析[J].中国病案,2016,17(1):53-55.Kuang HQ.Analysis on the disease spectrum and hospitalization expenses of 28 096 children[J].Chinese Medical Record,2016,17(1):53-55.
[5]黄晓亮,陈子星,杨延斌,等.我国住院病人疾病谱研究现状及新思路[J].中国卫生统计,2012,29(3):466.DOI:10.3969/j.issn.1002-3674.2012.03.063.Huang XL,Chen ZX,Yang YE,et al.The present situation and new ideas of disease spectrum research of inpatients in China[J].Chin J Health Stati,2012,29(3):466.DOI:10.3969/j.issn.1002-3674.2012.03.063.
[6]薛格艳,王莉.2009-2013年某三甲医院住院儿童疾病谱分析[J].中国药物与临床,2015,15(10):1421-1423.DOI:10.11655/zgywylc2015.10.014.Xue GY,Wang Li.Analysis of disease spectrum of children admitted to a third-tier and first-tier hospital from 2009 to 2013[J].Chinese journal of medicine and clinical medicine,2015,15(10):1421-1423.DOI:10.11655/zgywylc2015.10.014.
[7]高晓琪,郑庆鸣,胡卉,等.1996-2011年深圳光明新区住院病人疾病谱变化趋势分析[J].中华疾病控制杂志,2014,18(8):760-763.Gao XQ,Zheng QM,Hu H,et al.Trend analysis of disease spectrum of inpatient in Guangming New District,Shenzhen City,1996-2011[J].Chin J Control Prev,2014,18(8):760-763.
[8]马丽霞,王广新,李楠,等.1998-2009年山东省住院儿童疾病谱变化规律的研究[J].中华临床医师杂志(电子版),2011,5(15):4445-4448.DOI:10.3877/cma.j.issn.1674-0785.2011.15.027.Ma LX,Wang GX,Li N,et al.A study on changes of paediatric disease spectrum of Shandong province from 1998 to 2009[J].Chin J Clinicians(Electronic Edition),2011,5(15):4445-4448.DOI:10.3877/cma.j.issn.1674-0785.2011.15.027.
[9]Black RE,Cousens S,Johnson HL,et a1.Global,regional,and national causes of child mortality in 2008:a systematic analysis[J].Lancet,2010,375(9730):1969-1987.DOI:10.1016/S0140-6736(10)60549-1.
[10]宛传丹,秦一鸣,宋逸萍,等.2007-2011年儿童院内感染病原微生物种类及其耐药率变化趋势[J].中华疾病控制杂志,2013,17(3):254-257.Wan CD,Qin YM,Song YP,et al.Survey on pathogenic microorganisms in children diagnosed with hospital onset of infections and their tendency of drug resistant rate[J].Chin J Control Prev,2013,17(3):254-257.
[11]吴金菊,尤恩情,张文艳,等.2011~2015年合肥市手足口病流行病学及病原学特征分析[J].安徽医学,2017,38(10):1351-1354.DOI:10.3969/j.issn.1000-0399.2017.10.039.Wu JJ,You EQ,Zhang WY,et al.Epidemiological and etiological characteristics of hand,foot and mouth disease in Hefei from2011 to 2015[J].Anhui Med J,2017,38(10):1351-1354.DOI:10.3969/j.issn.1000-0399.2017.10.039.
[12]孙美兰,宋玉华,唐继海,等.巢湖市2009-2015年手足口病时空流行特征分析[J].中华疾病控制杂志,2017,21(8):809-812.DOI:10.16462/j.cnki.zhjbkz.2017.08.014.Sun ML,Song YH,Tang JH,et al.Spatio-temporal characteristics analysis of hand,foot and mouth disease in Chaohu City[J].Chin J Dis Control Prev,2017,21(8):809-812.DOI:10.16462/j.cnki.zhjbkz.2017.08.014.
[13]屈剑飞.1993~2010年23 124例住院儿童疾病谱统计分析[J].中国现代医生,2013,51(15):130-131.Qu JF.Disease spectrum analysis for 23 124 infant inpatients in1993 to 2010[J].China Modern Doctor,2013,51(15):130-131.
[14]赵科伕,方雪晖,苏虹,等.安徽省留守儿童意外伤害的流行特征及其影响因素[J].中华疾病控制杂志,2007,11(3):277-279.DOI:10.3969/j.issn.1674-3679.2007.03.012.Zhao KF,Fang XH,Su Hong,et al.Study on epidemiological characteristics and influencing factors of unintentional injuries among children left behind in Anhui Province[J].Chin J Dis Control Prev,2007,11(3):277-279.DOI:10.3969/j.issn.1674-3679.2007.03.012.
[2]倪虹,张宁,叶冬青.安徽省某儿童医院1993-2007年住院患者疾病谱变化[J].中华疾病控制杂志,2009,13(3):313-316.Ni H,Zhang N,Ye DQ.Analysis on disease spectrum in resident patients(1993-2007)of a children's hospital in Anhui Province[J].Chin J Control Prev,2009,13(3):313-316.
[3]胡亚美,江载芳,申昆玲,等.诸福棠实用儿科学[M].第8版.北京:人民卫生出版社,2015:146-149.Hu YM,Jiang ZF,Shen KL,et al.Zhu Futang Practice of Pediatric[M].8th Edition.Beijing:People's Medical Publishing House,2015:146-149.
[4]匡寒琴.28096例儿童住院疾病谱及费用分析[J].中国病案,2016,17(1):53-55.Kuang HQ.Analysis on the disease spectrum and hospitalization expenses of 28 096 children[J].Chinese Medical Record,2016,17(1):53-55.
[5]黄晓亮,陈子星,杨延斌,等.我国住院病人疾病谱研究现状及新思路[J].中国卫生统计,2012,29(3):466.DOI:10.3969/j.issn.1002-3674.2012.03.063.Huang XL,Chen ZX,Yang YE,et al.The present situation and new ideas of disease spectrum research of inpatients in China[J].Chin J Health Stati,2012,29(3):466.DOI:10.3969/j.issn.1002-3674.2012.03.063.
[6]薛格艳,王莉.2009-2013年某三甲医院住院儿童疾病谱分析[J].中国药物与临床,2015,15(10):1421-1423.DOI:10.11655/zgywylc2015.10.014.Xue GY,Wang Li.Analysis of disease spectrum of children admitted to a third-tier and first-tier hospital from 2009 to 2013[J].Chinese journal of medicine and clinical medicine,2015,15(10):1421-1423.DOI:10.11655/zgywylc2015.10.014.
[7]高晓琪,郑庆鸣,胡卉,等.1996-2011年深圳光明新区住院病人疾病谱变化趋势分析[J].中华疾病控制杂志,2014,18(8):760-763.Gao XQ,Zheng QM,Hu H,et al.Trend analysis of disease spectrum of inpatient in Guangming New District,Shenzhen City,1996-2011[J].Chin J Control Prev,2014,18(8):760-763.
[8]马丽霞,王广新,李楠,等.1998-2009年山东省住院儿童疾病谱变化规律的研究[J].中华临床医师杂志(电子版),2011,5(15):4445-4448.DOI:10.3877/cma.j.issn.1674-0785.2011.15.027.Ma LX,Wang GX,Li N,et al.A study on changes of paediatric disease spectrum of Shandong province from 1998 to 2009[J].Chin J Clinicians(Electronic Edition),2011,5(15):4445-4448.DOI:10.3877/cma.j.issn.1674-0785.2011.15.027.
[9]Black RE,Cousens S,Johnson HL,et a1.Global,regional,and national causes of child mortality in 2008:a systematic analysis[J].Lancet,2010,375(9730):1969-1987.DOI:10.1016/S0140-6736(10)60549-1.
[10]宛传丹,秦一鸣,宋逸萍,等.2007-2011年儿童院内感染病原微生物种类及其耐药率变化趋势[J].中华疾病控制杂志,2013,17(3):254-257.Wan CD,Qin YM,Song YP,et al.Survey on pathogenic microorganisms in children diagnosed with hospital onset of infections and their tendency of drug resistant rate[J].Chin J Control Prev,2013,17(3):254-257.
[11]吴金菊,尤恩情,张文艳,等.2011~2015年合肥市手足口病流行病学及病原学特征分析[J].安徽医学,2017,38(10):1351-1354.DOI:10.3969/j.issn.1000-0399.2017.10.039.Wu JJ,You EQ,Zhang WY,et al.Epidemiological and etiological characteristics of hand,foot and mouth disease in Hefei from2011 to 2015[J].Anhui Med J,2017,38(10):1351-1354.DOI:10.3969/j.issn.1000-0399.2017.10.039.
[12]孙美兰,宋玉华,唐继海,等.巢湖市2009-2015年手足口病时空流行特征分析[J].中华疾病控制杂志,2017,21(8):809-812.DOI:10.16462/j.cnki.zhjbkz.2017.08.014.Sun ML,Song YH,Tang JH,et al.Spatio-temporal characteristics analysis of hand,foot and mouth disease in Chaohu City[J].Chin J Dis Control Prev,2017,21(8):809-812.DOI:10.16462/j.cnki.zhjbkz.2017.08.014.
[13]屈剑飞.1993~2010年23 124例住院儿童疾病谱统计分析[J].中国现代医生,2013,51(15):130-131.Qu JF.Disease spectrum analysis for 23 124 infant inpatients in1993 to 2010[J].China Modern Doctor,2013,51(15):130-131.
[14]赵科伕,方雪晖,苏虹,等.安徽省留守儿童意外伤害的流行特征及其影响因素[J].中华疾病控制杂志,2007,11(3):277-279.DOI:10.3969/j.issn.1674-3679.2007.03.012.Zhao KF,Fang XH,Su Hong,et al.Study on epidemiological characteristics and influencing factors of unintentional injuries among children left behind in Anhui Province[J].Chin J Dis Control Prev,2007,11(3):277-279.DOI:10.3969/j.issn.1674-3679.2007.03.012.