内蒙古西部区某院2077例住院死亡病例分析  

Analysis on 2077 Hospitalized Cases of Death in a Hospital of the West District in Inner Mongolia

作　　者：盖红卫[1] 赵莉[1] 盖自强[1] 

机构地区：[1]内蒙古巴彦淖尔市医院,巴彦淖尔市015000

出　　处：《中国病案》2016年第3期70-72,共3页Chinese Medical Record

摘　　要：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。Objectives To investigate the characters of hospitalized cases of death in a Third Grade Class B Hospital in the west district of Inner Mongolia, provide scientific basis for hospital management and relevant departments to make regional and targeted health strategies as well as preventive measures. Methods According to the diseases classification coding in ICD-10, to collect the basic information of 307563 of hospitalized cases from 2007 to 2014 through the HIS system, and conducted statistical analysis on the 2077 death cases with Excel 2003 2 and SPSS19.0. x test and rank-sum test were used to compare the data between groups, if P〈0. 01, the difference between the two groups was statistically significant. Results The death rate between male and female was 1.97： 1, and male patients had higher death rate than female ones in the past 8 years （x2 =158.67, P〈0. 01）. The five leading causes of death were circulation system disease, tumor, respiratory diseases, damage poisoning or other results from external reasons and digestive system disease. The difference of death causes mortality had statistical significance in Mongolian and Han （P〈0. 01）. The age of high death rate group was 70 to 79 years old and consist with the expected life time in the population general survey of the whole nation. Conclusion We should formulate prevention, diagnosis and treatment measures combined with the death risk factors and the death characteristics of the region, so as to decrease the mortality.

关 键 词：死亡病例 死亡率 统计分析 

分 类 号：R197.323[医药卫生—卫生事业管理]