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目的:分析宁夏医科大学总医院2008~2013年入院患儿病死率情况,并探讨干预措施。方法:选取2008~2013年该院入院儿童的病例资料,并进行回顾性分析,计算不同年龄段、居住地及收住科别的患儿病死率。结果:2008~2013年入院儿童病死率总体呈下降趋势,其中婴儿病死率下降趋势明显,而<5岁和5~14岁儿童病死率无明显下降趋势;入院农村儿童病死率明显高于城市儿童,2008~2013年农村患儿病死率有下降趋势;收住儿科重症监护病房(pediatric intensive care unit,PICU)患儿病死率高于收住其他科室患儿,且收住PICU患儿入院24 h内死亡率较高;2008~2013年收住不同科别农村患儿病死率及收住PICU患儿病死率均有下降趋势。结论:降低农村入院患儿病死率是降低医院患儿病死率的关键措施,应加强农村医疗机构医疗水平和设施的建设。
Objective: To analyze the case fatality rate of children admitted to Ningxia Medical University General Hospital from 2008 to 2013 and to explore the intervention measures. Methods: The data of children hospitalized in this hospital from 2008 to 2013 were selected and analyzed retrospectively to calculate the case fatality rate of children of different ages, residences and families. Results: The overall mortality rates of children admitted to hospital from 2008 to 2013 showed a decreasing trend. The mortality rate of infants was significantly lower than that of children aged <5 years and 5 to 14 years. The case fatality rate of rural children admitted to hospital was significantly higher than that of urban children , The mortality rate of children in rural areas decreased from 2008 to 2013. The mortality rate of pediatric intensive care unit (PICU) children was higher than those of other departments and was admitted to hospital for 24 hours The higher the mortality rate was, the higher the mortality rate was; the mortality rates of children admitted to rural families in different divisions from 2008 to 2013 and the mortality rate of PICU-housed children all showed a downward trend. Conclusion: To reduce the case fatality rate of children hospitalized in rural areas is a key measure to reduce the mortality of children in hospital. The construction of medical facilities and facilities in rural medical institutions should be strengthened.