广元市113例麻风现症病例死亡原因分析

Causes of death of 113 patients with leprosy in Guangyuan City

目的:分析广元市1990年以来麻风现症病例死亡原因。方法:对死亡的麻风现症患者进行描述性分析统计。结果:1990年以来广元市共有113例麻风现症患者死亡(男68例,女45例),其中联合化疗期间死亡31例(27.43%),监测期死亡82例(72.57%)。死亡平均年龄为54.47岁,最小年龄为29岁,最大年龄为78岁,50~70岁死亡人数最多,占总调查人数的69.91%。死亡患者中多菌性89例(78.76%),少菌型24例(21.24%)。前三位死因为恶性肿瘤死亡有28例,器官衰竭22例,自杀17例。结论:恶性肿瘤、器官衰竭和自杀是广元市113例麻风现症患者的主要死因。

Objective:To analyze the causes of death of patients with leprosy in Gugangyuan city since 1990.Methods:Descriptive analysis were made in the group of dead patients with leprosy.Results:One hundred and thirteen(68 males and 45 females)patients with leprosy died since 1990.Of them,31 died during the period of combined chemotherapy and 82(72.57%)died during the monitoring period.The average age of death was 54.47 years old,the age ranged from 29 to 78 years old and the age peak of death was from 50 to 70 with constituent ratio of 69.91%.Of 113 dead patients,89(78.76%)were diagnoses with multibacillary leprosy and 24(21.24%)were were diagnosed with paucibacillary leprosy.The first three causes of death included 28 cases with malignant tumors,22 cases with organ failure and 17 cases with suicide.Conclusion:The average age of death of 113 leprosy patients was lower than the national average age of death.Malignant tumors,organ failure and suicide were the main causes of death of patients with leprosy in Guangyuan City.