CAJ | 학술논문

目的了解住院糖尿病(DM)患者病死率、主要死亡原因及其占全院死亡患者构成比的变化情况,为本地区DM的临床流行病学研究提供初步资料.方法利用病案查询系统检索DM患者总出院人数为14670例、全院总死亡人数为9597例,DM患者总死亡人数为842例,并计算DM患者的病死率、死亡原因、死因构成比并与既往或国内外同期报道相比较.结果 1996-2004年间我院DM患者病死率为5.74%.DM患者死亡的前6位原因分别为肿瘤(22.3%)、感染(15%)、心血管事件(14.4%)、脑血管事件(12.3%)、慢性阻塞肺疾病(8%)、糖尿病肾病(6.3%).全院住院患者死亡人群中DM患者所占比例呈明显逐年上升趋势(χ2=71.9070,P<0.01).结论 1996-2004年间我院住院患者死亡人群中DM患者所占比例呈明显逐年上升趋势.近年DM患者死因中恶性肿瘤所占比例显著增加应引起重视.
목적 료해주원당뇨병(DM)환자병사솔、주요사망원인급기점전원사망환자구성비적변화정황,위본지구DM적림상류행병학연구제공초보자료.방법이용병안사순계통검색DM환자총출원인수위14670례、전원총사망인수위9597례,DM환자총사망인수위842례,병계산DM환자적병사솔、사망원인、사인구성비병여기왕혹국내외동기보도상비교.결과 1996-2004년간아원DM환자병사솔위5.74%.DM환자사망적전6위원인분별위종류(22.3%)、감염(15%)、심혈관사건(14.4%)、뇌혈관사건(12.3%)、만성조새폐질병(8%)、당뇨병신병(6.3%).전원주원환자사망인군중DM환자소점비례정명현축년상승추세(χ2=71.9070,P<0.01).결론 1996-2004년간아원주원환자사망인군중DM환자소점비례정명현축년상승추세.근년DM환자사인중악성종류소점비례현저증가응인기중시.
Objective To understand the variation of the motality and death causes for diabetic inpatients in West China Hospital(WCH) during 1996～2004. Methods First,the amount of diabetic inpatients(14670) and died persons (9597)were got each year by computer search system of our hospital from 1996 to 2004,and the case code of died diabetic subjects (842)were obtained.Then,those medical records were investigated and reviewed in details to get useful information.The motality,death causes and its constituent ratio of dead diabetic inpatients were analysed. Data input and analysis were conducted using the tool Epidate3.0,packages SPSS13 and SAS8.0. Results There were totally 14760 inpatients and 842 deaths who were suffered from DM during 1996-2004.The mortality rate was 5.74% and the standardized mortality rate was 5.37%.Tumor was the first cause of deaths (22.3%),followed by infection(15%),fatal cardiovascular events(14.4%),cerebrovascular events(12.3%).Diabetic nephropathy(DN)(6.3%) took the 6th place just after COPD(8%).There were 9269 deaths in the hospital in total(≥15 years old) during 1996-2004 while DM patients contributed 9.08% to them.The proportion of diabetic patients among the total deaths kept increasing every year(χ2=71.9070,P<0.01). Conclusions The mortality proportion of diabetic inpatients among the total deaths in West China Hospital from 1996 to 2004 is increasing every year.It needs to pay more attention to the main death cause of tumor in diabetic patients