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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。
Objective To analyze the hospitalized deaths of a hospital for 6 years and find out the main causes of death and its distribution characteristics of death patients and provide the basis for hospital management and health department to formulate health care measures. Methods According to the “International Classification of Diseases”, 1963 deaths in a hospital were analyzed by Excel and IBMSPSS19.0 according to their sex composition, age group and cause of death. Results The overall case fatality rate was 0.77%, male (0.51%) was significantly higher than female (0.27%), and deaths were concentrated in patients aged 60 and over. The top 5 causes of death were malignant tumors (39.63%), circulatory diseases (17.83%), injuries and poisoning (15.59%), respiratory diseases (12.74%) and digestive diseases (6.37%). Conclusions Special attention should be paid to men, two groups of 60 and older. Focus on strengthening the prevention and treatment of diseases such as malignant tumors, circulatory and respiratory diseases, and rational allocation of health resources according to the cause of death. At the same time, we should advocate a healthy life attitude and publicize the dangers of traffic accidents, improve the living environment, reduce the case fatality rate and enhance the life expectancy of the population.