[1]师雯琦,詹少英.2015~2019年某医院新生儿科出院患儿疾病构成分析[J].医学信息,2020,33(08):140-143.[doi:10.3969/j.issn.1006-1959.2020.08.046]
　SHI Wen-qi,ZHAN Shao-ying.Analysis of the Disease Composition of Children Discharged from the Neonatal Department of a Hospital from 2015~2019[J].Medical Information,2020,33(08):140-143.[doi:10.3969/j.issn.1006-1959.2020.08.046]
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2015~2019年某医院新生儿科出院患儿疾病构成分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年08期
页码:
140-143
栏目:
调查分析
出版日期:
2020-04-15

文章信息/Info

Title:
Analysis of the Disease Composition of Children Discharged from the Neonatal Department of a Hospital from 2015~2019
文章编号:
1006-1959（2020）08-0140-04
作者:
师雯琦; 詹少英
（广东省广州市中山大学附属第三医院病案管理科，广东 广州 510630）
Author(s):
SHI Wen-qi; ZHAN Shao-ying
(Department of Medical Record Management,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,Guangdong,China)
关键词:
新生儿; 出院病例; 疾病构成
Keywords:
Newborn; Discharged cases; Disease composition
分类号:
R195.4
DOI:
10.3969/j.issn.1006-1959.2020.08.046
文献标志码:
A
摘要:
目的 分析2015~2019年某医院新生儿科出院患儿主要病种，为新生儿疾病防控工作提供思路及参考。方法 选取该医院2015~2019年新生儿科14400例出院患儿的病案首页数据，分析不同年份、性别以及年龄的患儿病种分布情况。结果 2015~2019年该医院新生儿科共收治患儿14400例，排名前5病种及构成依次为新生儿黄疸4995例（34.69%），早产低出生体重儿1620例（11.25%），新生儿肺炎1018例（7.07%），早产儿994例（6.90%），新生儿子宫内低氧症691例（4.80%）。男、女婴前4病种顺位一致，依次为新生儿黄疸、早产低出生体重儿、新生儿肺炎以及早产儿，第5~10病种相同但顺位排名略有差别，不同性别住院患者病种分布比较，差异均无统计学意义（P>0.05）。不同年龄排名前10疾病种类、占比差别较大，仅有新生儿黄疸、早产低出生体重儿、早产儿、新生儿肺炎与新生儿ABO溶血5个病种相同，其中晚期新生儿及婴幼儿与早期新生儿的新生儿黄疸、早产低出生体重儿、早产儿占比比较，差异有统计学意义（P＜0.05）；晚期新生儿及婴幼儿与早期新生儿的新生儿肺炎与新生儿ABO溶血占比比较，差异无统计学意义（P＞0.05）。结论 2015~2019年该医院新生儿科出院患儿主要病种是新生儿黄疸、早产儿、早产低出生体重儿，新生儿肺炎以及新生儿子宫内低氧症。随着医疗水平的提高，新生儿疾病诊治的性别间差异有所下降，但不同年龄新生儿病种差异较大。因此，新生儿有关医疗卫生工作应根据以上特征有针对性地制定预防措施和诊治方案，合理分配医疗资源。
Abstract:
Objective To analyze the main diseases of children discharged from the neonatal department of a hospital from 2015 to 2019, and to provide ideas and reference for the prevention and control of neonatal diseases.Methods Selecting the first page data of the medical records of 14,400 children discharged from the neonatal department of the hospital from 2015~2019, analyze the distribution of disease types of children in different years, genders and ages.Results From 2015 to 2019, the hospital’s neonatal department treated a total of 14,400 children, and the top 5 diseases and constitutions were 4,995 cases of neonatal jaundice (34.69%), 1,620 cases of premature low birth weight children (11.25%), and neonatal pneumonia 1018 cases (7.07%), 994 cases (6.90%) of premature infants, 691 cases (4.80%) of neonatal intrauterine hypoxia. The first four diseases of male and female infants are in the same order, followed by neonatal jaundice, preterm low birth weight infants, neonatal pneumonia and premature infants. The 5th to 10th diseases are the same but the rankings are slightly different. The hospitalization of different genders,there was no statistically significant difference in the distribution of disease types(P>0.05). The top ten diseases of different ages and their proportions vary greatly. Only neonatal jaundice, preterm low birth weight infants, premature infants, neonatal pneumonia and neonatal ABO hemolysis are the same. Among them, late neonates and infants Compared with the proportion of neonatal jaundice, premature low birth weight infants and premature infants in early neonates, the difference was statistically significant(P<0.05); neonatal pneumonia and neonatal ABO in late neonates and infants and early neonates compared with the proportion of hemolysis, the difference was not statistically significant(P>0.05).Conclusion The main diseases of children discharged from the neonatal department of this hospital from 2015 to 2019 are neonatal jaundice, premature babies, premature babies with low birth weight, neonatal pneumonia and neonatal intrauterine hypoxia. With the improvement of medical standards, the gender differences in the diagnosis and treatment of neonatal diseases have declined, but the differences in neonatal diseases of different ages are large. Therefore, the medical and health work of newborns should be based on the above characteristics to formulate preventive measures and diagnosis and treatment plans, and rationally allocate medical resources.

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更新日期/Last Update: 2020-04-15