北京儿童医院2008年皮肤病初诊病例统计分析

Analysis of dermatological outpatients first visit to Beijing children's hospital in 2008

目的:通过对北京儿童医院皮肤科门诊初诊患儿的统计分析,了解该院儿童皮肤病的构成,以制定相应的诊疗、防控和管理措施。方法:统计于2008年2月16日—2009年2月15日在北京儿童医院皮肤科门诊初诊的104 278例患儿的基本信息。统计资料应用SPSS12.0软件分析。结果:常见疾病(前10位):湿疹34 687例(32.0%),丘疹样荨麻疹12 791例(11.8%),荨麻疹7 798例(7.2%),摩擦性苔藓样疹4 490例(4.1%),血管瘤及血管畸形3 540例(3.3%),病毒疹3 152例(2.9%),白色糠疹2 706例(2.5%),传染性软疣2 015例(1.9%),汗疱疹1 663例(1.5%),痤疮1 492例(1.4%)。年龄分布:新生儿858例(0.8%),婴儿28 512例(27.3%),幼儿28 396例(27.2%),学龄前儿童21 396例(20.5%),学龄期儿童21 603例(20.7%),青春期儿童3 513例(3.4%)。时间分布:1月份6 703例(6.4%),2月份8 955例(8.6%),3月份8 475例(8.1%),4月份9 124例(8.7%),5月份10 291例(9.9%),6月份9 272例(8.9%),7月份10 793例(10.4%),8月份9 982例(9.6%),9月份7 877例(7.6%),10月份8 880例(8.5%),11月份7 373例(7.1%),12月份6 553例(6.3%)。结论:湿疹、丘疹样荨麻疹和荨麻疹等变态反应性皮肤病是本院皮肤病诊疗、防控和管理的重点疾病,5月份和10月份是本院皮肤病诊疗、防控和管理的重点时间段,婴、幼儿是本院皮肤病诊疗、防控和管理的重点人群。

Objective： To determine the constitution of skin diseases of the patients first visit to Beijing Children＇s Hospital, so as to develop appropriate treatment, prevention and management measures for the skin diseases. Methods： The basic information of these outpatients from February 16,2008 to February 15,2009 was collected. SPSS12.0 software was used to an- alyze the data. Results： The number of total patients was 104 278 cases,among them： eczema 34 687 cases （32.0%）, papular urticaria 12 791 cases（ll.8%）, urticaria 7 798 cases （7.2%）, frictional lichenoid eruption 4490 cases （4.1%）, vascular tumors 3 540 cases （3.3%）, viral examthema 3 152 cases （2.9%）, pityriasis alba 2 706 cases （2.5%）, molluscum eontagiosum 2015 cases （1.9%）, pompholyx 1 663 cases （1.5%）, acne 1 492 cases （1.4%）. Age distribution： 858 cases were neonates （0.8%）, infants （〈1 year） 28 512 cases （27.3%）, infants （1-3 year） 28 396 cases （27.2%）, pre-school children 21 396 cases（20.5%）, school-age children 21 603 cases （20.7%）, adolescent 3 513 cases （3.4%）. Monthly distribution： January 6 703 cases （6.4%）, February 8 955 cases （8.6%）, March 8 475 cases （8.1%）, April 9 124 cases （8.7%）, May 10291 cases （9.9%）, June 9272 eases（8.9%）, July 10 793 cases （10.4%）, August 9 982 cases （9.6%）, September 7 877 cases （7.6%）, October 8 880 cases （8.5%）, November 7 373 cases （7.1%）, December 6 553 cases （6.3%）. Conclusion： Allergic dermatoses, including eczema, papular urticaria and urticaria, are the key diseases for treatment, prevention and management in children. Infants （〈3 year） are the key age for the treatment, prevention and management in children. May and October are the key time for the treatment, prevention and management in children.