急性呼吸道感染管理对5岁以下儿童肺炎死亡率的影响

THE INFLUENCE OF ACUTE RESPIRATORY INFECTION ADMINISTRATION ON MORTALITY OF PNEUMONIA IN CHILDREN UNDER FIVE YEARS OLD

目的探讨急性呼吸道感染管理(ARI)对5岁以下儿童肺炎死亡率的影响。方法我所自1995年开始推广呼吸感染监测技术,建立儿童呼吸感染监测网,对儿童肺炎进行登记及分类诊断,并实行儿童肺炎分级治疗,重症肺炎及时转诊的监测制度。结果5岁以下儿童肺炎死亡率呈逐年下降趋势(χ2=53.33,P<0.01)。结论儿童ARI监测技术是一项简便、有效、经济、实用的技术,可在基层医疗及社区卫生服务单位推广应用。

Objective To explore the effect of monitoring for acute respiratory infection on death rate in children under five years old. Methods A respiratory-infection monitoring system （RIMS） has been carried out since 1995. Pneumonia in children was registered and classified, and treated accordingly. Severe cases were offered transfer treatment. Results The mortality of pneumonia in the under five-year-old dropped year by year （χ^2=53.33,P〈0.01）. Conclusion RIMS is a simple, effective, economical, and useful method, which should be popularized in grass-roots medical settings.