【摘要】 目的分析2006年中国医疗机构死因构成,并了解医疗机构与全人群死因构成是否存在差异。方法资料来源于《死因登记报告信息系统》,包括2006年1月1日至2006年12月31日报告的所有死于医疗机构的病例,使用根本死因编码进行死因构成及顺位分析。结果按照世界卫生组织常见的50种死因进行分析,排在前10位的死因分别为恶性肿瘤(21.73%)、心脏病(17.14%)、脑血管疾病(14.30%)、伤害(3.67%)、慢性下呼吸道疾病(2.71%)、围生期疾病(2.02%)、流行性感冒和肺炎(1.94%)、其他肿瘤(1.87%)、糖尿病(1.62%)、原发性高血压及高血压肾病(1.60%)。与2000年全国疾病监测系统的结果比较,2006年中国医疗机构死亡病例的死因构成中心脑血管疾病、肿瘤和其他慢性病死亡所占的比例更大,但是慢性阻塞性肺病(COPD)所占的比例较低,仅为2.70%,明显低于2000年全国疾病监测点的20%。2006年医疗机构死亡病例的死因构成和卫生部死因登记系统报告的死亡病例前5位的死因无论城市和农村都包括恶性肿瘤、脑血管病、心脏病、呼吸系统疾病、损伤及中毒,但是死因的顺位均不同。结论目前的中国医疗机构死亡病例的死因主要为恶性肿瘤、心脏病和脑血管疾病死亡,与全人群死亡病例的死因顺位有差别。更多还原

【Abstract】 Objective The study was conducted to describe the characteristics of death patients in hospitals in China,2006,and to find its differences with general population.Methods The data were collected from death cause register reporting system,including all death cases in hospitals reported by internet from January 1 to December 31,2006.Underlying death causes were used to analyze the death cause pattern and its rank.Results According to 50 death cause used by WHO,the top ten death causes were malignant tumors(21.73%),heart disease(17.14%),cerebrovascular disease(14.30%),injury(3.67%),chronic lower respiratory tract disease(2.71%),perinatal disease(2.02%),influenza and pneumonia(1.94%),other tumors(1.87%),diabetes(1.62%),primary hypertension and hypertensive renal disease(1.60%).The proportions of death caused by cerebrovascular disease,cancer and other chronic disease reported from hospitals in 2006 were higher than that of national disease surveillance point(DSP)in 2000,but the proportion of chronic obstructive pulmonary disease reported from hospitals was 2.70%,which was lower than 20%of DSP in 2000.The top five death causes of patients either in hospitals or from the reporting system of Chinese Health Ministry included cancer,cerebrovascular disease,heart disease,respiratory disease,injury and poisoning both in urban and rural areas,but with different ranks.Conclusion The main death causes in hospitals in China were malignant tumors,heart disease and cerebrovascular disease,and there were differences on the death cause among hospital patients and general population.更多还原