北京市某三级医院全科医学科近3年住院死亡患者特点分析  

Analysis on the Characteristics of Inpatients Died in General Practice Department of a Tertiary Hospital in Beijing in Recent 3 years

作　　者：盖慧慧 吴广明[1] Gai Huihui;Wu Guangming(Beijing Luhe Hospital Affiliated to Capital Medical University,Beijing 101100,China;不详)

机构地区：[1]首都医科大学附属北京潞河医院,北京市101100

出　　处：《中国病案》2025年第2期78-81,共4页Chinese Medical Record

摘　　要：目的 调查北京市某三级医院全科医学科住院患者的死亡原因并对其特征进行分析,为进一步开展疾病防治、降低病死率提供参考。方法 回顾性收集某院全科医学科病房2019年1月1日-2021年12月31日住院死亡病例,对死亡病例的特点进行分析,分析性别、年龄等分布特征,计算死因顺位、死因构成等。结果 全科病房300例死亡病例中,99.4%患者存在多病共存情况,85%患者合并2种及以上慢性病。排在前3位死亡原因的是呼吸系统疾病138例(46%)、恶性肿瘤86例(28.7%)、心血管系统疾病33例(11%);不同性别死亡病例构成差异无统计学意义(χ^(2)=1.481,P>0.05)。恶性肿瘤是40~69岁人群死亡最主要原因,其中肺癌为最主要原因;呼吸系统疾病是70岁以上人群死亡最主要原因,其中肺感染为最主要原因。结论 全科医学科应重点加强对呼吸系统疾病、肿瘤、循环系统疾病等的防治工作,积极开展健康教育,更加合理的配置医疗资源,更好的为老年患者提供医疗服务。Objectives To analyze the cause of death disease spectrum of inpatients in general practice department of a tertiary hospital in Beijing and analyze its characteristics,so as to provide reference for further disease prevention and control and reduction of mortality.Methods The inpatients who died in the general practice department of a tertiary hospital in Beijing from January 1st,2019 to December 31st,2021 were retrospectively collected,and the characteristics of the dead cases were analyzed,the distribution characteristics such as gender and age were analyzed,and the rank and composition of the causes of death were calculated.Results 85%of the 300 deaths were complicated with 2 or more chronic diseases.The top 3 causes of death were respiratory diseases 138 cases(46%),malignant tumors 86 cases(28.7%),cardiovascular diseases 33 cases(11%).Malignant tumor was the most common cause of death aged 40-69,among which lung cancer was the most common cause.Respiratory diseases were the leading cause of death in people over 70,with lung infection was the leading cause.Conclusions General medicine departments should constantly improve the prevention and control measures for chronic diseases and multi disease coexistence,strengthen the prevention and control of chronic diseases,focus on the prevention and control of respiratory system diseases,tumors and circulatory system,actively carry out health education,and allocate medical resources more rationally,so as to gradually improve the quality of life of elderly patients and provide better medical services.

关 键 词：住院患者 全科医学科 死因 

分 类 号：R195[医药卫生—卫生统计学]