摘要
目的通过对该院儿科近6年住院儿童死亡病例回顾分析,研究该地区儿童死亡的主要死因、病死率及变化趋势,为儿童医疗保健、制定相应的预防控制措施提供一定的客观依据。方法收集该院儿科2006—2011年202例死亡病例的数据资料,进行统计分析。结果 2006—2011年该院儿科住院患儿死亡共202例,男女比例为2.06∶1,病死率由2006年的1.06%降至2011年的0.49%,总体呈下降趋势,但死亡患儿数却没有减少。入院24 h内死亡患儿最多,106例(52.48%),比例呈逐年下降趋势。小于1岁的婴儿死亡比例最高,占全部死亡病例57.43%。主要病死原因按疾病系统分类前5位分别是新生儿疾病63例(31.19%)、肿瘤31例(15.35%)、损伤与中毒18例(8.91%)、先天性畸形16例(7.92%)、呼吸系统疾病16例(7.92%)。不同年龄段主要病死原因不同,0～28 d为早产/低出生体重儿,28 d～1岁为先天性心脏病,1～5岁为意外伤害,5～16岁为白血病。结论根据不同年龄组患儿死因特点,采取不同的防治措施,同时做好围生期保健及婴幼儿疾病的防治。积极防治儿童先天性心脏病、恶性肿瘤,预防或避免儿童意外伤害的发生,进一步加大对农村及基层卫生工作的投入,改善儿童的生活环境,是降低住院患儿病死率的关键。
Objective Through a retrospective analysis of children＇ s death causes in Anhui Provincial Hospital for the past six years, this paper focuses on the research of the main death causes, mortality rate and trend to provide a certain objective basis for children＇ s health care and developing appropriate prevention and control measures. Methods This paper conducted a statistic analysis through a collec- tion of data and material of 202 death cases of hospitalized children between the year of 2006 and 2011. Results There were 202 death cases of hospitalized children in Anhui Provincial Hospital from the year 2006 to 2011, with a male to female ratio of 2.06：1 and the mor- tality rate dropping from 1.06% in 2006 to 0.49% in 2011. However, the number of deaths in hospitalized children was not reduced even if there was an overall downward trend of mortality rate. There were 106 death cases（ with a proportion of 52.48% ） of children Who died within 24 hours of admission, with the ratio trend declining every year. The proportion of deaths of infants less than 1 year old was the highest, accounting for 57.43% of all deaths. According to systematic classification of disease ,the top 5 death causes were：neonatal dis- ease in 63 cases （31.19% ）, tumor in 31 cases （ 15.35% ）, injury and poisoning in 18 cases （8.91% ）, congenital malformations in 16 eases（7.92% ） ,respiratory disease in 16 cases（7.92% ） ,with different causes for different age groups. Children in different ages died for different reasons. For example, from 0 to 28 days mainly premature birth/low birth weight, from 28 d to 1-year-old mainly congenital heart disease, from 1 to 5-year-old mainly accidental injury, and from 5 to 16-year-old mainly leukemia. Conclusion Based on the char- acteristics of death cause of children from different age groups, different control measures should be taken while perinatal care and the prevention and treatment of infant diseases should be made. To prevent and treat children with congenital heart di
出处
《安徽医药》
CAS
2013年第2期263-265,共3页
Anhui Medical and Pharmaceutical Journal
关键词
住院儿童
病死率
病死原因
hosptalized children
mortality
cause of death
