某院2009年-2014年住院死亡病例分析  

Analysis on the Hospitalized Death Cases of a Comprehensive Hospital from 2009 to 2014

作　　者：蒋雯雯[1] 胡胜英[1] 胡峻[1] 肖利敏[1] 耿敏[1] 潘昀[1] 吴福霞[1] 汪树枝[1] 胡晓[2] 

机构地区：[1]安徽医科大学第二附属医院医学工程与信息部病案统计室,合肥市230601 [2]安徽医科大学第一附属医院医院管理教研室,合肥市230022

出　　处：《中国病案》2016年第1期69-72,共4页Chinese Medical Record

摘　　要：目的对某院6年住院死亡病例进行分析,找出死亡患者的主要死因及其分布特征,为医院管理及卫生部门制定卫生保健措施提供依据。方法根据《国际疾病分类》标准,运用Excel和IBMSPSS19.0对某院1963份死亡病例按其性别构成、年龄分组、死因顺位进行处理、分析。结果总病死率为0.77%,男性(0.51%)明显高于女性(0.27%),死亡患者集中于60岁及以上。前5位死因为:恶性肿瘤(39.63%)、循环系统疾病(17.83%)、损伤及中毒(15.59%)、呼吸系统疾病(12.74%)、消化系统疾病(6.37%)。结论应特别关注男性、60岁及以上老年组这两个群体。重点加强恶性肿瘤、循环及呼吸系统等疾病的防治,根据死因顺位等合理配置卫生资源,同时倡导健康的生活态度并宣传交通事故危害性,改善生存环境,降低病死率,提高人群期望寿命。Objectives To analyze the hospitalized death cases of a comprehensive hospital in six years, find out the principal death causes and distribution characters, so as to provide references for the hospital management and professional ministries to formulate health care measures reasonably. Methods To conduct a comparative analysis on the gender composition, age grouping and death cause sequence of 1963 death cases of a hospital according to the classification rules in ICD-10, then make data settlement analysis and management with the application of Excel software and IBMSPSS19.0. Results The total fatality rate was 0.77%, which was obviously high in male patients（0.51%）than female ones（0.27%）, and the high death rate was centered on the age group above 60 years. The top five death causes were malignant tumors（39.63%）, circulation system diseases（17.83%）, injury and position（15.59%）, respiratory system diseases（12.74%） and digestion system diseases（6.37%）. Conclusions We should pay special attention to the two crowds of male and old patients above 60 years old, put emphasis on the prevention and cure of malignant tumor, circulation system and respiratory system diseases. We should also allocate medical resource reasonably according to the syn-position of death causes, advocate health life attitude, advertise the hazard of traffic accident, improve our living environment, decrease death rate and increase the life expectancy of the humans.？

关 键 词：死亡原因 死因分析 疾病谱 

分 类 号：R197.323[医药卫生—卫生事业管理]