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本文通过对我院1990年～1997年新生儿缺血缺氧性脑病(HIE)死亡时点的探讨,提出该病种死亡时点具有集中趋势。 1 资料来源和方法 资料来源于湖北省孝感市中心医院信息科1990年～1997年新生儿室出院病人登记本。对出院第一诊断为新生儿缺血缺氧性脑病(HIE)的死亡病例实行回顾性调查研究,将收集的资料输入计算机,利用EXCEL97分析软件进行数据的整理和分析,主要分析方法为频数分布法、圆形分布法。 2 基本情况 此次共调查新生儿缺血缺氧性脑病死亡病例121例。其中男115例,女6例,男女比例为19.21:1。死亡人数最多的月份是10月(23人),占19％。死亡人数最多的季节是冬季(56人),占46％。病人来源于市区的7人,占5.8％:来源于农村95人,占78.5％;来源于市郊及县镇的19人,占15.7％。从根本死因来看,呼吸衰竭89例,占73.6％;肺出血19例,占15.7％;循环衰竭6例,占5.0％;其它8例,占6.6％。死亡人数在各时点呈现不均匀分布状态,见表1。
This article through our hospital from 1990 to 1997 neonatal hypoxic-ischemic encephalopathy (HIE) point of death, suggesting that the disease at the time of death has a concentration trend. 1 data sources and methods of information from Xiaogan City, Hubei Province Central Hospital Information Section 1990 to 1997 neonatal room discharge patient registration. A retrospective study was conducted on the deaths from the first diagnosis of neonatal hypoxic-ischemic encephalopathy (HIE). The collected data were input into a computer and the data were sorted out and analyzed by EXCEL97 software. The main analysis methods were frequency distribution Law, circular distribution method. 2 The basic situation The total of 121 cases of neonatal hypoxic-ischemic encephalopathy death were investigated. There were 115 males and 6 females, with a ratio of 19.21: 1. The deadliest month was October (23), accounting for 19%. The deadliest season is winter (56), accounting for 46%. A total of 7 patients (5.8%) were from urban areas: 95 were from rural areas, accounting for 78.5%; 19 were from suburbs and counties, accounting for 15.7%. From the fundamental cause of death, 89 cases of respiratory failure, accounting for 73.6%; 19 cases of pulmonary hemorrhage, accounting for 15.7%; 6 cases of circulatory failure, accounting for 5.0%; the other 8 cases, accounting for 6.6%. The number of deaths showed uneven distribution at all time points, as shown in Table 1.