中国实用儿科杂志

中国实用儿科杂志 ›› 2024, Vol. 39 ›› Issue (8): 590-594.DOI: 10.19538/j.ek2024080608

• 论著 • 上一篇    下一篇

儿童康复科现状和发展分析——基于某三甲医院大型数据报告

  

  1. 1.重庆医科大学附属儿童医院康复科  儿童发育疾病研究教育部重点实验室  国家儿童健康与疾病临床医学研究中心  儿童发育重大疾病国家国际科技合作基地  儿科学重庆市重点实验室，重庆  400014；2.重庆市永川区妇幼保健院  儿童保健科康复病区，重庆  402160 
  • 出版日期:2024-08-06 发布日期:2024-09-23
  • 通讯作者: 肖农，电子信箱：xiaonongwl@163.com

Analysis of the situation and development of Department of Children's Rehabilitation：Based on big datareport from a tertiary A hospital

  1. *Department of Rehabilitation， Children's Hospital of Chongqing Medical University；National Clinical Research Center for Child Health and Disorders；Ministry of Education Key Laboratory of Child Development and Disorders；China International Science and Technology Cooperation Base of Child Development and Critical Disorders；Chongqing Key Laboratory of Pediatrics，Chongqing 400014，China
  • Online:2024-08-06 Published:2024-09-23

摘要： 目的    探讨近9年来重庆医科大学附属儿童医院康复科住院患儿疾病信息的变化及特点。 方法    回顾性分析2014年1月1日至2022年12月31日就诊于重庆医科大学附属儿童医院康复科8171例住院患儿的病例资料，统计比较患儿基本信息、入院情况、住院情况、主要诊断等信息。结果    近9年康复科住院人数总体增加，男女比为1.60，以1月龄至6岁儿童居多，外埠病人占59.71%；研究的3个阶段中，首诊科室为康复科的患儿中，疑难重症收治例数及构成比均上升（P<0.001）；总平均住院日为（31.90±19.29）d，呈下降（P<0.001）；共涉及681种疾病，排序前3位疾病中，发育迟缓（24.72%）例数上升，构成比无明显变化，脑性瘫痪（20.57%）数量及构成比均下降，脑外伤（9.07%）数量及构成比均上升（P<0.05）。结论    康复科涉及病种多，疾病谱在9年来有变迁，以发育迟缓、脑性瘫痪、脑外伤等功能障碍儿童为主要服务对象，三级医院康复科应以解决疑难重症为临床工作重点。

关键词: 儿童康复, 住院儿童, 主要诊断

Abstract: To investigate the trend and characteristics of disease information of hospitalized children in the Department of Rehabilitation， Children's Hospital of Chongqing Medical University， in the recent 9 years. Methods    The case data of 8171 hospitalized children admitted to the department from Jan. 1，2014 to Dec.31，2022 were retrospectively analyzed，and the information of gender，age，native place，admission condition，length of hospital stay and main diagnosis were statistically analyzed. Results    In the recent 9 years，the number of inpatients in the department showed an increasing trend，the ratio of male to female was 1.60，and most of them were from 1 month to 6 years old，of whom59.71%were not local. Among the children whose first treatment department was the Department of Rehabilitation，the number and the ratio of patients whose admission condition was difficult or severe showed an increasing trend（P< 0.001）. The total average length of hospital stay was 31.90±19.29 days， which declined（P< 0.001）.A total of 681 diseases were involved，and among the top 3 diseases，the number of cases of developmental delay（24.72%） showed an increasing trend，while the ratio had no significant change； the number and ratio of cerebral palsy（20.57%） showed a decreasing trend，and the number and ratio of traumatic brain injury（9.07%） showed an increasing trend（P< 0.05）. Conclusion    Many kinds of diseases are involved and the spectrum of diseases has changed in the Department of Rehabilitation during the recent9 years.The children with developmental delay，cerebral palsy，traumatic brain injury and other functional disorders are the main service subjects，and the rehabilitationdepartment of tertiary hospitals should focus on managing difficult and severe diseases. 

Key words: children's rehabilitation, hospitalized child, main diagnosis