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目的分析儿童患者住院基本情况及住院费用,为合理安排卫生资源,制定疾病防治计划及加强医院管理提供依据。方法对铜陵市妇幼保健院2004年1月1日~2013年12月31日30 814例住院病人病案进行回顾性分析。结果所有住院病人中以1~岁年龄段最多;入院时病情普通的占大多数,出院时治愈、好转病人多于死亡、未愈病人;住院病人数排名前三位的依次是:支气管肺炎、支气管炎、上呼吸道感染;住院费用最高的年龄段是新生儿,新生儿疾病(早产儿、新生儿肺炎及新生儿高胆红素血症)的人均花费在全部住院疾病中排名前三。结论呼吸道疾病仍是儿童疾病的主要病种;新生儿期疾病花费高,应加强妇幼保健和特殊年龄段疾病筛查、预防,减少儿童呼吸道疾病的发病率,并把费用较高的新生儿期疾病发病率降到最低。
Objective To analyze the basic hospitalization and hospitalization costs of children in order to provide the basis for rational arrangement of health resources, formulation of disease prevention and control plans and strengthening of hospital management. Methods A retrospective analysis of 30 814 inpatient cases in Tongling Maternal and Child Health Hospital from January 1, 2004 to December 31, 2013 was conducted. Results The majority of hospitalized patients were in the age group of 1 ~. Most of the patients were admitted to the hospital and were cured when they were discharged from the hospital. More patients than deaths were recovered and the patients were cured. The top three inpatients were bronchopneumonia, Bronchitis, and upper respiratory tract infections; and the highest hospitalization age group is neonatal, with per capita spending on neonatal diseases (premature babies, neonatal pneumonia and neonatal hyperbilirubinemia) in the top three of all hospitalizations. Conclusions Respiratory diseases are still the major diseases in children. In the neonatal period, the diseases are expensive. The screening of maternal and child health care and special age-specific diseases should be strengthened to prevent and reduce the incidence of respiratory diseases in children. In addition, the costly neonatal period Disease incidence to a minimum.