2014—2015年重庆某医院门诊儿童传染性疾病流行特征研究

发布时间：2018-07-11 17:13

本文选题：传染病 + 儿童　；参考：《中国全科医学》2017年02期

【摘要】：目的通过了解2014—2015年重庆某医院门诊儿童传染性疾病的流行特征,为儿童传染性疾病的预防控制和合理诊疗提供参考依据。方法 2016年2—5月,采用Microsoft SQL Server 2008 R2软件调取于2014—2015年重庆医科大学附属儿童医院门诊就诊的传染性疾病患儿的信息,包括姓名、性别、年龄、第一诊断、就诊日期等,根据ICD-10对诊断统一编码,分析不同年龄组、就诊月份儿童主要传染性疾病构成比的差异。结果 2014—2015年该院诊断儿童传染性疾病共242 843例,其中2014年诊断115 012例,2015年诊断127 831例。2014、2015年手足口病、感染性胃肠炎、疱疹性咽峡炎、传染性单核细胞增多症、水痘、寻常疣构成比居前6位。除传染性单核细胞增多症外,不同年龄组主要传染病构成比比较,差异均有统计学意义(P0.05)。不同月份手足口病、感染性胃肠炎构成比比较,差异均有统计学意义(P0.05)。手足口病、疱疹性咽峡炎好发在幼儿期,主要发生于5—6月和10—11月;感染性胃肠炎好发在婴儿期,主要发生在7—12月;传染性单核细胞增多症、水痘、寻常疣好发在学龄期,水痘主要发生在5—6月和10—12月。结论儿童主要传染性疾病为手足口病、感染性胃肠炎、疱疹性咽峡炎、传染性单核细胞增多症、水痘、寻常疣等,各疾病具有明显的好发年龄和好发时间。应针对儿童主要传染性疾病谱和流行特征,加强预防保健工作,引导合理诊疗。
[Abstract]:Objective to investigate the epidemic characteristics of infectious diseases in outpatients of a hospital in Chongqing from 2014 to 2015, and to provide a reference for the prevention, control and rational diagnosis and treatment of infectious diseases in children. Methods from February to May 2016, Microsoft SQL Server 2008 R2 software was used to retrieve the information of children with infectious diseases, including name, sex, age, first diagnosis, date of visit, and so on, in the outpatient clinic of affiliated Children's Hospital of Chongqing Medical University from 2014 to 2015. According to ICD-10 unified code for diagnosis, the difference of composition ratio of major infectious diseases in children in different age groups and months was analyzed. Results A total of 242,843 cases of infectious diseases in children were diagnosed in the hospital in 2014-2015, of which 115,012 cases were diagnosed in 2014, 127,831 cases were diagnosed in 2015, hand, foot and mouth disease, infectious gastroenteritis, herpes spondylitis, infectious monocytosis, varicella were diagnosed in 2015. Verruca vulgaris is more common than the top 6. In addition to infectious mononucleosis, different age groups of major infectious disease composition ratio, the differences were statistically significant (P0.05). In different months hand, foot and mouth disease, infectious gastroenteritis composition ratio, the differences were statistically significant (P0.05). Hand, foot and mouth disease, herpes spondylitis predilection in early childhood, mainly from May to June and October to November, infectious gastroenteritis in infancy, mainly in July and December, infectious mononucleosis, chickenpox, Verruca vulgaris predominate in school age, chickenpox mainly occurs in May-June and October-December. Conclusion the main infectious diseases in children are hand, foot and mouth disease, infectious gastroenteritis, herpes spondylitis, infectious mononucleosis, varicella, verruca vulgaris and so on. The prevention and health care should be strengthened to guide rational diagnosis and treatment according to the spectrum and epidemic characteristics of major infectious diseases in children.
【作者单位】：重庆医科大学公共卫生与管理学院
【基金】：重庆市科委社会事业与民生保障科技创新专项(cstc2015shmszx120011)——基于大数据和DRGs的疾病编码辅助支持系统研发与应用研究重庆医科大学医学信息学院院级课题(2014A001)——儿童门诊信息数据挖掘与应用研究
【分类号】：R725.1;R181.3

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