轮状病毒肠炎13125例住院病例分析

Statistical analysis of 13125 in- patients with rotavirus enteritis

目的 对深圳市近五年0～18岁的轮状病毒肠炎住院病例进行统计分析，为制定防控措施和费用控制措施提供依据。方法 对轮状病毒肠炎住院病例的年龄、性别、疗效、有无一级护理、住院费用等指标进行统计描述；运用回归树的方法 对住院费用的影响因素进行分析。结果 轮状病毒肠炎住院患者集中在婴幼儿阶段，2岁以上病例明显减少；住院费用中位数1005．50元，住院日是影响住院费用的首要因素，疗效和年龄是影响日均住院费用的因素。结论 深圳轮状病毒肠炎住院费用比全国平均水平高，疾病负担值得重视，建议在婴幼儿人群中推广轮状病毒疫苗接种以及控制医院内感染以减少轮状病毒肠炎的发生，并通过对住院日的严格把控降低住院费用。

Objective To analyze the rotavirus enteritis inpatients under the age of 18 in recent 5 years of Shenzhen with statistical method, and we wanted to find control measure of the disease prevention and medical cost for the government. Methods The statistical description was applied for age, sex, curative effect, first class nursing, hospital inpatient costs; And the regression tree was applied for analyzing the influence facts of the rotavirus enteritis inpatients costs. Results The major of the rotavirus enteritis inpatients were babies; The amount of the inpatient of 2 ages and above was decrease rapidly. We found the median of inpatient costs was 1005. 50 Yuan, and the most important influence facts was length of stay, and the influence facts of average hospital inpatient costs were the curative effect and the age. Conclusion The disease cost of the rotavirus enteritis in Shenzhen was higher than the average of the nation which we should pay great attention to. We suggested the rotavirus vaccine applied to baby and hospital infections control were the effective measure of reducing the rotavirus enteritis, and shortening the length of stay was the effective measure of reducing the inpatient costs.