基于医院病案资料的死亡病例分析（2003～2011年）

Hospital-based mortality in Guangzhou hospitals-China,2003-2011

目的 通过对医院住院病人死亡病例的年龄、性别、死亡疾病等因素的统计分析,掌握各年龄段的死因构成及各系统的疾病死亡的变化趋势.方法 利用医院病案资料中的死亡病例4068例,采用世界卫生组织ICD-10疾病分类原则对所有死亡病例进行分类编码,采用SPSS18.0软件进行数据整理、统计描述和统计分析.结果 2003～2011年医院所有死亡病例4068人,死亡人数男女比例为1.67：1.50～岁组和60～岁组所占的比例呈现逐渐下降的趋势,而40～岁组所占的比例有逐渐升高的趋势.肿瘤和循环系统疾病是主要死因,呼吸系统疾病成为第三大死因,传染病与寄生虫病导致的死亡明显下降.结论 肿瘤、循环和呼吸系统疾病等是需要重点防治的疾病,同时,需要重点关注40～岁组和男性人群的身心健康以减少死亡.

Objective The aim of this study is to provide a comprehensive report on the various cansesof death in our hospital from 2003 to 2011. Methods This was a descriptive,retraspective study of 4068 deaths recorded inhospital. The world health organization （WHO） ICD-10 disease classification principles was used to classify all deaths, and SPSS18.0 software was used to clean data, statistical description and analysis. Results A total number of 4068 deaths were recorded during the study period and the ratio of male to female was 1.67：1. The death proportion was decreased in age 50- and 60-years, and increased in age 40s. Neoplasia,eardiovascular and eirculatorydisoases were the most common causes of death, and respiratory diseases was the third main cause of death. Death from infectious and parasitic diseases reduced from 25 （6.1%） to 10 （2.2%）. Conclusion Our study shows that death from neoplasia, cardiovascular and circulatory,respiratory diseases are the main cause. It＇s important to prevent and treat these diseases. At the same time, we need to focus on the health of age 40s male population to reduce their death.