192例SARS死亡病例分析

Analysis of 192 cases with Severe Acute Respiratory Syndrome

目的 了解SARS死亡患者的流行病学特征。 方法 根据SARS患者个案病例数据 ,对死亡患者的人间、时间和空间分布进行分析 ,并利用统计学有关知识进行检验 ,结合COX模型单变量分析患者死亡的危险因素。数据处理应用了SPSS10 0软件。 结果 从 2 0 0 2年 12月 2 9日至 2 0 0 3年 5月 1日止 ,共计 192例死亡患者 ,男性患者111例 ,女性患者 81例 ,年龄范围为 5～ 93岁 ,包括 13种职业。SARS死亡患者中 5 5岁以上人员占 47 40 % ,不同性别各年龄SARS患者死亡人数差异无统计学意义 ,发病到住院间隔时间 ,住院到死亡间隔时间是SARS死亡的两个危险因素。 结论 SARS死亡患者中以老年人居多 ,患者发病急、症状重。发病到住院间隔时间、住院到死亡间隔时间越长 。

Objective To explore the epidemiological feature of SARS patients dide of infectious atypical pneumonia in some areas of China. Methods The epidemiological distribution characteristics(population, area and time ) of SARS patients were described according to the data from individual cases and COX model was used to get SARS mortality risk factors and analyzed by APSS10.0 software Results The data of 192 SARS cases aged from 5 years to 93 years including 111 males and 81 females in 13 occupations were collected from December 29,2002 to May 1,2003. The number of patients above the age of 55 occupied 47.40%.The periods from onset to admission and from admission to death are two SARS mortality risk factors. Conclusion The mortality rate in the aged SARS patients is high and the longer the periods from onset to admission and from admission to death are,the less the mortality risk is.