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目的回顾性分析某教学三甲医院2002-2012年住院病人传染病疾病谱分布特征,为制定传染病防治策略提供依据。方法 11年间传染病住院病人资料由病案管理专职人员导出,包括传染病诊断、年龄、性别、住院时间、疾病转归等,采用Excel 2003和SPSS 13.0软件对数据进行统计分析。结果 11年来,医院共有住院传染病患者20 022例次;前5位传染病依次为乙型病毒性肝炎、肺结核、手足口病、感染性腹泻;男女传染病住院病人比例为1.96∶1;11年来医院收治传染病病人病死率为1.39%,病死率呈逐年下降趋势(2趋势=24.06,P=0.007),其中病死率最高的为狂犬病(100.00%)。结论住院病人传染病以乙型病毒性肝炎、肺结核以及少年儿童高发的手足口病等为主;加强传染病预防、监控、诊治仍是一项任重道远的工作。
Objective To retrospectively analyze the distribution of infectious disease spectrum of inpatients in a teaching top three hospital from 2002 to 2012, and to provide the basis for the development of prevention and treatment of infectious diseases. Methods The data of inpatients with infectious diseases were derived from the staff of case management in 11 years, including the diagnosis of infectious diseases, age, sex, length of hospital stay, and prognosis of diseases. The data were analyzed by Excel 2003 and SPSS 13.0 software. Results In the past 11 years, there were 20 022 hospital inpatient infectious diseases in the hospital. The top 5 infectious diseases were hepatitis B, tuberculosis, hand-foot-mouth disease and infectious diarrhea in turn. The proportion of in-patients with male and female infectious diseases was 1.96: 1. In recent years, the hospital mortality rate of infectious diseases was 1.39%. The mortality rate showed a declining trend year by year (2 trend = 24.06, P = 0.007). The highest case fatality rate was rabies (100.00%). Conclusions Inpatient infectious diseases are mainly hepatitis B virus, tuberculosis and hand-foot-mouth disease in children and adolescents. It is still a long way to go to step up prevention, surveillance and treatment of infectious diseases.