新疆维吾尔自治区某县级医院2006—2008年住院患者疾病转归分析

Analysis of diseases outcome of inpatients of a prefectural hospital in Xinjiang from 2006 to 2008

目的对新疆维吾尔自治区某县级医院2006-2008年住院患者疾病转归情况进行分析，明确患者各种疾病的转归情况。方法随机抽取新疆维吾尔自治区某县级医院，并对该医院2006-2008年20533例住院患者疾病转归按年度、性别、民族、疾病系统进行统计学分析。结果住院患者总体治愈率42．10％（8663例）、好转率51．10％（10463例）、未愈率6．00％（1242例）、病死率0．80％（165例）。各年龄组患者中，60岁以上、45—59岁、15—44岁年龄组患者病死率较高；各系统疾病患者中，肿瘤、循环系统疾病、症状体征和临床与实验检查异常所见不可类于它处患者病死率较高；二分类Logistic回归显示性别、年龄、疾病种类、住院年度4个单因素均对疾病转归有影响，而民族因素对疾病转归无影响。结论该县级医院患者常见病、多发病的治愈率＋好转率在90％以上；肿瘤、循环系统疾病、症状体征和临床与实验检查异常所见不可类于它处患者病死率较高；各年龄组患者中，15岁以上各年龄组患者病死率较高。

Objective To identify the diseases outcome of inpatients of prefectural hospital in Xinjiang, through analyzing the diseases outcome of inpatients of a prefectural hospital in Xinjiang from 21306 to 2008. Methods To analyze the diseases outcome of inpatients （20 533 cases） randomly selectedin hospital from 2006 to 2008 the date were aralgzed, according to year, gender, ethnicity, disease systems. Results The overall cured rate, improved rate, healed rate,fatality rate of inpatients was 42. 10% （8663 cases） ,51.10% （10 463 cases） ,6.00% （1242 cases）, 0. 80% （ 165 cases） respectively. The fatality rate of inpatients of above 60 years old,45 - 59 years old, 15 - 44 years old is higher in inpatients of various age groups; The fatality rate of inpafients of tumor, circulatory system diseases, symptoms of menopause with the experimental and clinical body seen to be kind to the suffering of its is higher in inpatients of various systemic diseases, binary multinomial logistic regression shows that the disease outcome is influenced by gender,age,disease systems,hospital annual,four single factors,but not influenced by ethnicity. Conclusion The cured rate adding improved rate is over 90% of common and frequently-occurring diseases in the prefectural hospital of Xinjiang province. The fatality rate is higher in inpatients who suffered from tumor or circulatory system diseases or symptoms of menopause with the experimental and clinical body seen to be kind to the suffering of its and the fatality rate of all age groups over 15 years old is higher.