关键词: 疾病谱, 变迁, 儿科消化, 住院儿童

Abstract:

Objective　To study the variation tendency of pediatric gastroenteric disease spectrum in order to provide scientific evidence for prophylaxis，treatment of disease， preventive health care and rational allocation of medical resources. Methods　A retrospective analysis was perfomed about the disease species，constitute ratio，gender， age and area distribution of 16，127 children admitted to Department of Pediatric Gastroenterology， Shengjing Hospital， from January 2007 to December 2015，to analyze the spectrum trend and epidemiological characteristics. Results　Boys were significantly more than girls，the ratio being 1.52∶1. The patients ranged from 1 month to 16 years old，the ratios of infants and toddlers being 39.39% and 26.25% respectively， who accounted for most part of total patients. Patients from the city of Shenyang accounted for almost half of total number（49.7%），with 42.6% from other cities and 7.7% from other provinces. Top five diseases were diarrhea（34.05%）， Henoch Schonlein purpura（11.56%）， jaundice（11.12%），infection-associated hepatitis（10.87%） and EB virus infection（7.19%）. Functional gastrointestinal diseases were more commnon in girls. Conclusion　During the 9 years，the patients’ number is increasing，the species and composition of the diseases have changed. Diarrhea is the top disease in hospitalized children，which shows a growing trend. The species difference in different age groups is significant，and infants and young children are at higher risk of diarrhea. The incidence of infection associated hepatitis，inflammatory bowel disease and cow’s protein allergy shows a rising trend.

Key words: disease spectrum, transition, pediatric digestive, hospitalized children