2015—2016年苏州市某三级儿童医院住院患儿疾病构成分析

Analysis of Disease Constitution of Hospitalized Children in A Three Grade Children's Hospital in Suzhou during 2015-2016

目的通过对2015年7月至2016年6月苏州某三级儿童医院住院患儿的疾病构成分析,了解儿童常见病和多发病,为儿童疾病的治疗和预防保健工作提供参考,为医院管理者决策的制定和合理有效配置医疗卫生资源提供依据。方法回顾某院2015年7月至2016年6月收治的所有住院患儿的疾病信息,分析住院患儿的疾病构成以及常见病的季节性时间变化。结果不同性别、不同季节之间单病种和系统性疾病构成均有统计学差异。前五位单病种中,除了性早熟,其他四种疾病住院患儿数女性均高于男性,一年四季中前五位单病种顺位不变,均是支气管肺炎、腹股沟斜疝、新生儿肺炎、新生儿黄疸和过敏性紫癜。前五位系统性疾病中,男性住院患儿数均高于女性,四季系统性疾病构成第一位和第二位相同,均是呼吸系统疾病和肿瘤,其中呼吸系统疾病住院患儿数第一季度和第四季度高于第二季度和第三季度,消化系统疾病住院患儿数第三季度和第四季度高于第一季度和第二季度,损伤中毒住院患儿数第二季度和第三季度高于第一季度和第四季度。结论某儿童医院住院患儿中不同性别和不同季度单病种疾病和系统性疾病构成不同,医院及相关部门应根据不同性别、季度的单病种和系统性疾病的构成特点,采取相应的防治措施。

Objective By the analysis of the disease constitution of hospitalized children in a three grade children's Hospital from July 2015 to June 2016 in Suzhou, to understand the common diseases and frequent diseases of children, and to provide reference for the treatment and preventive health care of children, and to provide evidence for the formulation of hospital administrators' decision-making and the rational and effective allocation of medical and health resources. Methods The disease information of all inpatients in our hospital from July 2015 to June 2016 was reviewed, the disease constitution and seasonal variation of common diseases in hospitalized children were analyzed. Results There were statistically significant differences in single disease and systemic diseases between different sexes and seasons. Among the first five single diseases, except for sexual precocity, the number of hospitalized children with the other four diseases of females was higher than that of males, throughout the year, the first five diseases were unchanged, including bronchopneumonia, indirect inguinal hernia, neonatal pneumonia, neonatal jaundice and allergic purpura. Among the first five systemic diseases, the number of hospitalized of males was higher than that of females, systemic diseases constitute the first and second bit are the same in the four seasons, they were all respiratory diseases and tumors, among them, in the first quarter and the fourth quarter, the number of hospitalized children with respiratory diseases was higher than that in the second quarter and the third quarter, the number of hospitalized children with digestive diseases in the third quarter and the fourth quarter was higher than that in the first quarter and the second quarter, the number of hospitalized children with injury poisoning in the second quarter and the third quarter was higher than that in the first quarter and the fourth quarter. Conclusion The constitution of single disease and systemic diseases in different gender and different seasons is different in hospitalized children in a children's Hospital, hospitals and related departments should take corresponding prevention measures according to the constituent characteristics of single diseases and systemic diseases of different genders and seasons.