1989～1998年重庆市区与郊区老年住院病人死亡原因分析

Analysis of the death causes of the elderly in-patients in urban and outskirt hospitals between 1989-1998

目的 :通过对重庆市区与郊区综合医院 10年间老年住院病人的主要死因进行分析 ,探讨其临床特点 ,并提出防治措施。方法 :对重庆市区与郊区的综合性医院在 1989年～ 1998年期间收治的老年病人住院死亡资料进行了回顾性调查及统计分析。结果 :老年住院病人死亡原因按疾病系统分类排序为 :呼吸系统疾病最多 ,为 1.5 6 % ,其次为消化系统、神经系统、心血管系统、意外损伤与中毒等。死亡原因按疾病种类排序 ,恶性肿瘤病死率最高 ,占总住院人数的 1.2 2 % ,其中原发性支气管肺癌病死率为 0 .4 0 % ,原发性肝癌 0 .12 %、胃癌 0 .12 %。其次为脑血管病、慢性支气管炎与肺气肿、冠心病、肺心病、糖尿病、肝硬化、原发性高血压等。结论 :定期体格检查 ,以发现某些疾病的危险因素并加以防治 ,改变不良生活方式 ,强化防治措施尤为重要。

Objective:To find the clinical features and to supply the preventive and therapeutic methods.Methods:The death causes of the elderly in-patient in urban and outskirt hospitals between1989-1998 were surveyed and analyzed retrospectively.Results:Of the death causes in the elderly in-patients according to systems,respiratory systemic diseases ranked in the first,which accounted for 1.56%,and then the other death causes ranking in order were gastrointestinal disease,nerve system disease,cardiovascular disease,accidental and toxic damage etc.The death causes according to types ranked in order as follows,the first one was malignant tumor,its mortalityrate was 1.22% in the elderly in-patient group (of all malignant tumors,the mortality of primary lung cancer,liver cancer and gastric cancer was 0.40%,0.12% and 0.12% respectively).After that the death causes ranking in order were cerebral vascular disease,chronic bronchitis and emphysema,coronary heart disease,pulmonary heart disease,diabetes mellitus,hepatic cirrhosis,essential hypertension etc.Conclusion:It is of importance for the aged to take preventive measures as to do routine physical examination to detect and prevent risk factors of some diseases and change the improper living habits.