Effect factors of general outpatients visited in paediatric hospitals under Epidemic of major infectious diseases
重大传染病流行下综合医院儿科普通门诊就诊影响因素分析

摘要

目的 分析重大传染病流行对综合医院儿科普通门诊患儿就诊情况的影响因素。方法 应用某综合医院信息平台，回顾性收集某综合医院重大传染病流行下2020年1月至6月儿科普通门诊患儿就诊数据，并以2019年1-6月对比分析同期就诊情况差异。结果 与2019年同期相比，2020年上半年某综合医院儿科门诊量由占全院门诊就诊的8.9%(38625/431976)下降到5.2%(17626/336192)；儿内科在2020年上半年的就诊率降低至71.5%(12607/17626)，小儿外科和儿童保健门诊就诊率增加至21.7%(3830/17626)和6.8%(1189/17626)(P<0.05)；儿内科就诊患儿在支气管炎、扁桃体炎、肺炎、上呼吸道感染和哮喘就诊人次显著降低(P<0.05)，而肠道疾病就诊人次差异较小(P>0.05)。结论 重大传染病流行对儿内科冲击较大，戴好口罩等增加自我防护可能有效降低支气管炎、肺炎、扁桃体炎和上呼吸道感染的发生。

Abstract

Objective: To analyze the effect factors of epidemic of major infectious diseases on pediatric outpatient visits in general hospitals.
Methods: Pediatric general outpatients visited from January to June 2020 in a general hospital under epidemic of major infectious diseases were collected retrospectively with patients visited during January to June 2019 as control group.
Results: Compared with 2019, paediatrics outpatients were decreased from 8.9% (38625/431976) to 5.2% (17626/336192) in the first half of 2020.In the first half of 2020, the outpatient service rate of pediatric medicine decreased to 71.5% (12,607/17,626), and the outpatient service rate of pediatric surgery and child health care increased to 21.7%(3830/17626) and 6.8%(1189/17626)(P<0.05).The number of medical visited in pediatric patients was significantly reduced in bronchitis, tonsillitis pneumonia, upper respiratory tract infection and asthma (P <0.05).There was no significant difference in the number of patients of intestinal diseases (P>0.05).
Conclusion  : Epidemic of major infectious diseases has a great impact on internal medicine. Wearing masks and other self-protection measures may effectively reduce the incidence of bronchitis, pneumonia, tonsillitis and upper respiratory tract infection.