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目的了解住院患者病死率以及死亡病例的年龄、性别及主要死因的分布状况,为疾病预防治疗提供科学依据。方法对重庆医科大学附属第二医院2007年1月-2011年12月3 030例住院死亡患者进行统计分析,根据国际疾病分类第10版(ICD-10)进行疾病分类,所有资料经SPSS 13.0软件进行统计分析。结果该院近5年共有出院患者173 411例,死亡3 030例,病死率1.75%。各年龄段男性患者病死率均高于女性。各年度、不同性别前3位死因均依次为:肿瘤、循环系统疾病、呼吸系统疾病。结论慢性非传染性疾病是住院患者的主要死亡原因。提高医疗技术水平、普及群众的预防保健知识、大力开展健康体检是降低病死率的主要措施。
Objective To understand the mortality of hospitalized patients and the distribution of the age, sex and major causes of death, provide a scientific basis for disease prevention and treatment. Methods The data of 3 030 hospitalized deaths in the Second Affiliated Hospital of Chongqing Medical University from January 2007 to December 2011 were analyzed statistically, and the diseases were classified according to the International Classification of Diseases (ICD-10). All the data were analyzed by SPSS 13.0 software conduct statistical analysis. Results A total of 173 411 discharged patients were found in the hospital in the recent 5 years, with 3 030 deaths and a mortality rate of 1.75%. Mortality rates of male patients in all age groups were higher than those of women. In each year, the three leading causes of death by sex were as follows: tumor, circulatory system disease and respiratory system disease. Conclusion Chronic non-communicable diseases are the leading cause of death in hospitalized patients. To improve the level of medical technology, popularize the people’s knowledge of prevention and health care and vigorously carry out a healthy physical examination are the main measures to reduce the mortality rate.