摘要
目的分析影响人民生命安全的主要疾病及影响因素,为预防疾病和提高医院医疗质量提供科学依据。方法通过病案管理系统导出广西壮族自治区玉林市第一人民医院2013年1月1日至2021年12月31日的住院患者的信息,采用SPSS 26.0统计软件对住院死亡患者的病案进行回顾性统计分析。结果各年度病死率呈下降趋势,男性病死率高于女性(P<0.05)。死亡年龄平均(56.29±22.97)岁,60~<80岁死亡人数最多;各年龄段死亡患者性别比例:40~<60岁男女死亡比例最高,整体男女死亡比例为2.0∶1.0;随着年龄的增长,病死率不断升高(P<0.05)。前5位死因依次为循环系统疾病、肿瘤、损伤、中毒和外因的某些其他后果及呼吸系统、消化系统疾病;其中循环系统疾病的前3位死因依次为脑出血、心肌梗死、脑梗死,肿瘤的前3位死因依次为肝恶性肿瘤、肺恶性肿瘤、白血病。首要死因:0~<20岁是损伤、中毒和外因的某些其他后果;20~<60岁是肿瘤;≥60岁是循环系统疾病。结论广西壮族自治区玉林市第一人民医院住院患者的病死率逐年下降,病死率具有性别差异和年龄差异,依据死因分析,应加强循环系统疾病、肿瘤、损伤、中毒和外因的某些其他后果及呼吸系统、消化系统疾病的防治工作,提升医院管理,降低住院患者病死率。
Objective To analyze the main diseases and influencing factors affecting people’s life safety,so as to provide scientific basis for disease prevention and improvement of hospital medical quality.Methods The information of hospitalized patients from January 1,2013 to December 31,2021 in the First People’s Hospital of Yulin of Guangxi Zhuang Autonomous Region was exported through the medical record management system,and the medical records of hospitalized dead patients were retrospectively analyzed by SPSS 26.0 statistical software.Results The mortality rate in each year showed a decreasing trend,the mortality rate of male was higher than that of female(P<0.05).Mean age of death was(56.29±22.97)years;the number of deaths in 60-<80 years old had the highest number of deaths.The sex ratio of death patients in each age group:the highest death ratio was between 40 and<60 years old,and the overall death ratio was 2.0∶1.0.The mortality rate increased with the increase of age(P<0.05).The top five causes of death were circulatory system diseases,tumor,injury,poisoning and some other consequences of external causes,respiratory system and digestive system diseases.Among them,the top three causes of death of circulatory system diseases were cerebral hemorrhage,myocardial infarction,and cerebral infarction,and the top three causes of death of tumors were liver malignant tumor,lung malignant tumor,and leukemia.Primary cause of death:injuries,poisoning and certain other consequences of external causes,0-<20 years old;20-60 years old was tumor;60 years or older was a circulatory disease.Conclusion The mortality rate of inpatients in the First People’s Hospital of Yulin of Guangxi Zhuang Autonomous Region decreased year by year,and the mortality rate has gender and age differences.According to the analysis of cause of death,the prevention and treatment of circulatory system diseases,tumor,injury,poisoning and some other consequences of external causes,respiratory system,and digestive system diseases should be strengthened,and the hospital management should be improved to reduce the mortality rate of inpatients.
作者
李海虹
刘明
谢文超
甘枚
覃周贤
陈庆
高娇薇
陈海凤
LI Haihong;LIU Ming;XIE Wenchao;GAN Mei;QIN Zhouxian;CHEN Qing;GAO Jiaowei;CHEN Haifeng(Department of Quality Control,the First People’s Hospital of Yulin,Guangxi Zhuang Autonomous Region,Yulin 537000,China;Department of Cardiovascular Medicine,the First People’s Hospital of Yulin,Guangxi Zhuang Autonomous Region,Yulin 537000,China;Department of Information,the First People’s Hospital of Yulin,Guangxi Zhuang Autonomous Region,Yulin 537000,China;Department of Nephrology,the Second People’s Hospital of Yulin,Guangxi Zhuang Autonomous Region,Yulin 537000,China)
出处
《中国医药导报》
CAS
2024年第11期34-38,共5页
China Medical Herald
基金
广西科技重大专项(桂科AA22096030)。
关键词
死亡病例
死因分析
循环系统疾病
肿瘤
Death cases
Analysis of cause of death
Circulatory system diseases
Tumor
