摘要
目的了解某院住院患者死亡原因及变化、住院患者死亡率以及住院患者死亡率的影响因素,为医院决策提供依据。方法按ICD-10疾病分类编码,采用SPSS17.0统计软件对某院2013年12月-2016年12月245 866例住院患者中的2885例死亡患者进行统计分析。结果不同性别、年龄的住院患者死亡率之间有统计学差异(P<0.01),105例未成年死亡患者主要为新生儿,占比为38.1%;肿瘤、循环系统疾病均排前2位;泌尿生殖系统疾病在死因顺位中有上升趋势,由第6位上升至第5位。结论应重视男性的健康问题;新生儿呼吸窘迫、呼吸衰竭的发生主要与产科诊疗水平及新生儿窒息复苏技术有关,需进一步加强围产保健,建立新生儿窒息复苏培训长效机制;加强恶性肿瘤和心脑血管疾病的防治,加强死因顺位上升疾病的防治。
Objectives To understand the death causes of inpatients and the changes in a hospital for four years,as well as the mortality and the influencing factors of inpatients. Methods According to the ICD-10 disease classification code, SPSS17.0 statistical software was used for statistical analysis. Results The mortality of hospitalized patients with different sex and age was different, and the majority of the minors were newborns. In the past 4 years, tumors and circulatory system diseases all ranked two. Parasitic diseases and urogenital diseases had an upward trend in the cause of death. Conclusions We should pay attention to the health problems of men. Neonatal respiratory distress and respiratory failure were mainly related to the level of obstetric diagnosis and neonatal asphyxia and resuscitation. Therefore, it was necessary to further strengthen perinatal health care and establish a long-term mechanism for the training of neonatal asphyxia and resuscitation. We would strengthen the prevention and treatment of malignant tumors and cardiovascular and cerebrovascular diseases, and strengthen the prevention and control of diseases.
作者
杨帆
王磊
余敏
黄刚
王鑫
张睿
Yang Fan,Wang Lei,Yu Min,Huang Gang,Wang Xin,Zhang Rui(Department of Medical Records and Statistics, Nanchong Central Hospital, Nanchong 637000, Chin)
出处
《中国病案》
2018年第5期60-62,共3页
Chinese Medical Record
