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目的分析近10年某医院住院患儿死亡情况及主要死因分布,为儿童疾病的预防和控制提供参考依据。方法整理2003-2012年某医院15岁以下住院儿童病例资料,统计死亡病例数。疾病分类以《国际疾病分类》ICD-10编码为标准,采用第一诊断进行分类统计。采用SPSS 10.0软件进行统计学分析,率的比较采用χ2检验,P<0.05为差异有统计学意义。结果 2003-2012年成都市第三人民医院儿童住院患者20 087例,其中男性患儿占60.90%(12 233例),女性患儿占39.10%(7 854例)。10年间住院患儿共死亡109例,病死率为5.43‰。12 233例男性住院患儿中,死亡61例,病死率为4.99‰,女性患儿死亡48例,病死率为6.11‰,差异无统计学意义。城镇患儿17 804例,死亡87例,病死率4.89‰,农村患儿2 283例,死亡22例,病死率9.64‰,差异有统计学意义(χ2=34.12,P<0.05)。109例死亡病例中,前五位主要死因中感染性疾病居首位,占43.12%;年龄越小,住院患儿病死率越高(χ2=26.01,P<0.05)。结论应进一步加强农村和低龄儿童的预防保健,降低感染性疾病的病死率。
Objective To analyze the distribution and distribution of death in hospitalized children in a hospital in recent 10 years and provide references for the prevention and control of childhood diseases. Methods The data of hospitalized children under 15 years old in a hospital from 2003 to 2012 were collected, and the number of death cases was counted. Classification of diseases The International Classification of Diseases ICD-10 coding as the standard, using the first diagnosis of classification statistics. SPSS 10.0 software was used for statistical analysis, the rate of comparison using χ2 test, P <0.05 for the difference was statistically significant. Results A total of 20 087 hospitalized children were enrolled in the Third People’s Hospital of Chengdu from 2003 to 2012, of which 60.90% (12 233) were male and 39.10% (7 854) female. 109 cases of hospitalized children died in 10 years, the case fatality rate was 5.43 ‰. Among the 233 cases of male inpatients, 61 were fatal, with a mortality rate of 4.99 ‰. There were 48 deaths in female patients, with a mortality rate of 6.11 ‰, with no significant difference. There were 17 804 urban children with 87 deaths, with a mortality rate of 4.89 ‰. There were 2 283 rural children with 22 deaths, with a mortality rate of 9.64 ‰. The difference was statistically significant (χ2 = 34.12, P <0.05). Of the 109 deaths, the first five major causes of death were infectious diseases, accounting for 43.12%. The younger the age, the higher the mortality rate of hospitalized children (χ2 = 26.01, P <0.05). Conclusion The prevention and care of rural children and young children should be further strengthened and the case fatality rate of infectious diseases should be reduced.