【摘要】 目的分析某大型三甲医院2010~2016年死亡病例情况,了解本地区死亡病例的分布特征和变化趋势,为医院合理配置医疗资源及提高医疗水平提供依据。方法对2010~2016年的出院死亡病例的一般情况、病死率以及死因构成进行回顾性统计分析。结果本院2010~2016年共有8046例死亡病例,病死率为1.31%,7年间病死率差异无统计学意义(P>0.05);男性病死率与女性病死率分别为50.39%、49.61%,差异无统计学意义(P>0.05)。不同年龄组患者的病死率差异有统计学意义(χ~2=36.27,P<0.05),其中70~80岁人群死亡人数最多,占总人数的42.94%。恶性肿瘤、循环系统疾病、呼吸系统疾病、消化系统疾病及损伤中毒为主要死因,而恶性肿瘤死因中比例最高为肺癌及胃癌。结论采取有效措施防治恶性肿瘤、循环系统病及呼吸系统病疾病有助于降低社会人群的病死率;应加强对老年人群的健康关注,控制和降低疾病的病死率。更多还原

【Abstract】 Objective To analyze the distribution of deaths in a large-scale top three hospital from 2010 to 2016, and to understand the distribution characteristics and trends of deaths in this area, providing the basis for rational allocation of medical resources and the improvement of medical care in hospitals. Methods The general conditions of death cases at discharge, the case fatality rate and the cause of death from 2010 to 2016 were retrospectively analyzed. Results A total of 8,046 deaths were reported in this hospital from 2010 to 2016, with mortality rate of 1.31%. There was no significant difference in case fatality rate between the two groups within 7 years(P>0.05). The case fatality rates of males and females were 50.39% and 49.61% respectively, and there was no statistical significance(P>0.05). There was significant difference in the case fatality rate of patients in different age groups(χ~2=36.27, P<0.05), of which the death toll of 70-80 years crowds was most, accounting for 42.94% of the total. Malignancies, circulatory diseases, respiratory diseases, digestive system diseases and injury poisoning were the main cause of death, while the highest proportion of the death causes of malignant tumors were lung cancer and gastric cancer. Conclusions Effective measures to prevent and treat malignant tumors, circulatory diseases and respiratory diseases are helpful to reduce the case fatality rate of the social population. Health concerns for the elderly should be strengthened to control and reduce the case fatality rate.更多还原