2013～2016年安徽省某医院新生儿科住院情况统计

Statistics on neonatal inpatients in a hospital in Anhui Province from 2013 to 2016

目的:通过调查某院3年间住院新生儿疾病谱的构成、住院天数等情况,为合理调配医疗卫生资源提供依据。方法:对医院2013～2016年间新生儿病例进行回顾性分析。结果:新生儿住院前三位疾病为新生儿肺炎、新生儿高胆红素血症和新生儿窒息,占住院新生儿86%,男女比为1.34:1,早期新生儿占住院新生儿总人数61.6%,平均住院天数8.19±4.96。新生儿高胆红素血症逐年增加,新生儿肺炎晚期新生儿比早期新生儿要多(χ2=17. 50, 66. 28, P <0. 05);住院天数逐年减少,而住院费用逐年增加(F=3. 40, 18. 98, P <0. 05);男婴入院日龄比女婴大,住院时间比女婴要长(t=2.99,2.17, P<0.05)。结论应注重对新生儿肺炎、新生儿高胆红素血症和新生儿窒息的预防、围生期保健,缩短住院天数,控制住院费用增长,减少新生儿疾病的发生。

Objectives To investigate the length of hospital stay and the disease spectrum composition of hospitalized neonates for making the allocation of medical resource more reasonably. Methods Neonatal cases from June 1, 2013 to May 31 ,2016 year were analyzed retrospectively. Results The top 3 diseases of hospitalized neonates respectively were： neonatal pneumonia, neonatal hyperbilirubinemia, neonatal asphyxia, accounted for 86% of all hospital admissions. The sex ratio was 1.29：1. Early newborn infants were major cause in hospitalized neonates accounting for 61.6% of all and the average length of hospital stay was 8.19 ±4.96. Neonatal hyperbilirubinemia was increased and neonatal pneumonia was the major reasons of late newborn infants （χ2=17.50,66.28, P〈0.05）. The average length of hospital stay was decreased and the average hospital charges of neonates were increased （F=3.40,18.98, P〈0.05）. There had differences between the age in days of newborn and gender, the average length of hospital stay and gender （t = 2.99,2.17, P 〈0.05）. Conclusions We should pay attention to the prevention of neonatal pneumonia, neonatal hyperbilirubinemia and neonatal asphyxia, The hospital should to shorten hospitalization days, to control the growth of hospital charges, for reducing the incidence of neonatal diseases.