2011-2020年住院病人死因分析  

Analysis of death causes of inpatients from 2011 to 2020

作　　者：王乐[1] 王明霞[2] 李丞[2] 梁敏[2] WANG Le;WANG Mingxia;LI Cheng;LIANG Min(Xinjiang Medical University Jointly Established State Key Lab of High Incidence Causes and Prevention in Central Asia,Urumqi,830054,China;The First Affiliated Hospital of Xinjiang Medical University,Urumqi,830054,China)

机构地区：[1]省部共建中亚高发病成因与防治国家重点实验室,新疆医科大学第一附属医院,乌鲁木齐830054 [2]新疆医科大学第一附属医院,乌鲁木齐830054

出　　处：《新疆医学》2023年第1期71-74,共4页Xinjiang Medical Journal

基　　金：省部共建中亚高发病成因与防治国家重点实验室开放课题(项目编号:SKL-HIDCA-2022-41)。

摘　　要：目的 了解医院死亡疾病构成及其变化趋势和分布,为进一步合理配置医疗资源,创造更好的医疗环境提供参考。方法 本研究以新疆某综合性三甲医院2011年-2020年住院死亡病例为研究对象,对其进行回顾性调查分析。死因分类根据《国际疾病分类》(ICD-10)标准分类。用Microsoft Excel 2013建立数据库,SPSS18.0统计软件对该院死因构成,死因顺位进行统计描述分析。结果 在8602份住院死亡病例中,构成死因前5位的疾病分别是循环系统疾病(38.78%),恶性肿瘤(22.22%),呼吸系统疾病(13.43%),消化系统疾病(7.89%),损伤、中毒和外因后果(4.22%),前五大系统疾病占全部死因构成的86.54%。住院病人年龄不同死亡人数构成比有差异,儿童(0-9岁组)死亡人数构成比较高,进入青壮年期后(10-19岁组)呈下降趋势,老年(60岁以上)死亡人数构成比最高。男性死亡人数高于女性。不同性别、不同年龄组死因顺位不同。结论 医院应有针对性的加强慢性非传染性疾病和损伤中毒的主要死因构成的健康宣教,提高医疗质量,合理分配医疗资源配置,降低疾病的死亡风险。Objective To understand the composition, change trend and distribution of hospital death diseases, so as to provide reference for further rational allocation of medical resources and creating a better medical environment. Methods In this study, the death cases in a tertiary first-class general hospital from 2014 to 2019 in Xinjiang were retrospectively investigated. The cause of death was classified according to the international classification of diseases(ICD-10). The database was established with Microsoft Excel 2013, and SPSS18.0 statistical software was used to statistically describe and analyze the composition and sequence of causes of death in the hospital.Results Among 8602 hospitalized deaths, the top five causes of death were circulatory diseases(38.78%), malignant tumors(22.22%),respiratory diseases(13.43%), digestive diseases(7.89%), injury, poisoning and external consequences(4.22%), and the top five system diseases accounted for 86.54% of all causes of death. There were differences in the composition ratio of the number of deaths among inpatients with different ages, which among children(0-9 years old group)was relatively high, and after entering the youth age(10-19 years old group)showed a downward trend, and the composition ratio of the number of deaths among the elderly(over 60 years old)was the highest. The death toll of men was higher than that of women. The sequence of death causes was different in different sex and age groups. Conclusion Hospitals should strengthen health education on the main causes of death of chronic non communicable diseases and injury poisoning, improve medical quality, reasonably allocate medical resources and reduce the risk of death.

关 键 词：住院 死因构成 三甲医院 

分 类 号：R197.3[医药卫生—卫生事业管理]