【摘要】 目的 :统计分析心血管疾病住院患者病死原因及变化趋势,为医院管理及患者预后的改善提供对策。方法 :以我院心内科2009年1月~2014年12月收治的心血管疾病住院患者为研究对象,回顾性分析其死因构成,观察其变化趋势。结果 :2009年1月~2014年12月,我院心内科共收治心血管疾病住院患者240286例,病死1233例,病死率0.51%。各年度男性患者人数均显著高于女性患者,差异有统计学意义(P<0.05);2009年~2011年,男性患者病死率显著低于女性患者,差异有统计学意义(P<0.05),2012年~2014年,男性与女性患者病死率比较,差异无统计学意义(P>0.05)。<5岁年龄段患者病死率为1.04%,显著高于其他各组,其次为≥65岁年龄段,组间差异有统计学意义(P<0.05)。2009年~2011年我院心内科住院患者病死率为1.16%,死因以感染性心内膜炎、高血压性心脏病、动脉夹层破裂为主;2012年~2014年我院心内科患者病死率为0.06%,死因以急性心肌梗死、高血压性心脏病、心肌病为主。结论 :女性、婴幼儿及老年人群是心血管疾病病死的高危人群,总体而言,心血管疾病病死率有所下降,但冠心病、高血压病仍较为常见,应加强心脑血管疾病防治工作。更多还原

【Abstract】 Objective:To analyze the causes and the trend of death in patients with cardiovascular diseases,and to provide the countermeasures for the improvement of the management and prognosis of patients.Methods:Patients with cardiovascular diseases hospitalized in our hospital department of Cardiology in January 2009~2014 December were the object for the research.The cause of death was analyzed retrospectively,and the change trend of the patients was observed.Results:January December-2014 years in 2009,240286 cases patients with cardiovascular disease in Cardiology hospitalized department of our hospital,1233 cases died,the mortality rate of 0.51%.The number of male patients in each year was significantly higher than female patients,the difference was statistically significant(P<0.05);2009-2011,male mortality rate was significantly lower than that of female patients,the difference is statistically significant(P<0.05),2012 to 2014,male and female mortality rate comparison,the difference was not statistically significant(P>0.05).<5 years of age,the mortality rate was 1.04%,significantly higher than the other groups,followed by more than or equal to 65 years of age,the difference is statistically significant(P<0.05).The mortality of inpatients in Department of Cardiology in 2009~2011 was 1.16%,the cause of death was infective endocarditis,hypertensive heart disease and arterial dissection;The mortality of the Department of Cardiology in 2012 ~ 2014 was 0.06%,the death of death was acute myocardial infarction,hypertensive heart disease,and cardiomyopathy.Conclusions:Women,infants and the elderly population is at high risk of cardiovascular disease mortality and overall and cardiovascular disease mortality rate declined,but coronary heart disease and hypertension are common.We should make clear the case of cardiovascular disease.更多还原