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目的探讨内蒙西部区某三级乙等医院近8年内住院患者死亡病例的主要特点,为医院管理和相关部门制定针对性卫生策略和疾病预防措施提供科学依据。方法按ICD-10疾病分类编码,通过HIS系统统计2007年-2014年期间307 563例住院患者的基本信息,对于其中2077例死亡病例应用Excel 2003和SPSS19.0统计软件进行分析,以x~2检验及秩和检验做组间数据对比。结果男女死亡比例1.97:1,8年期间男性死亡率高于女性(x~2=158.67,P<0.01)。排名前五位死因为循环系统疾病、肿瘤、呼吸系统疾病、损伤中毒和外因的某些其他后果、消化系统疾病;蒙汉民族死因统计死亡率对比有差异(P<0.01);死亡高发年龄段为70岁~79岁年龄组,与全国人口普查预期人均寿命一致。结论结合本地区死亡高危因素及不同民族死亡特点制定预防、诊断和治疗措施,以降低病死率。
Objective To explore the main characteristics of deaths of inpatients in a tertiary hospital in western Inner Mongolia in the recent 8 years and provide a scientific basis for hospital management and relevant departments to formulate targeted health strategies and disease prevention measures. Methods The basic information of 307 563 inpatients from 2007 to 2014 was analyzed by HIS system according to the classification of ICD-10 diseases. The data of 2077 death cases were analyzed with Excel 2003 and SPSS 19.0 statistical software, Test and rank sum test data comparison between groups. Results The death rate of males and females was 1.97: 1 and 8 years, the male mortality rate was higher than that of females (x ~ 2 = 158.67, P <0.01). The top five deaths were due to circulatory system diseases, cancer, respiratory diseases, injuries and other external causes of some of the consequences of digestive diseases; statistic mortality rates were significantly different between the Mongolian and Han nationalities (P <0.01); and those with high death rates For the 70 to 79 age group, life expectancy per capita is consistent with the national census. Conclusion Combined with the risk factors of death in the region and the characteristics of different ethnic deaths, prevention, diagnosis and treatment measures are formulated to reduce the case fatality rate.