CAJ | 학술논문

目的：了解我院5年来住院死亡病例死因构成、性别及年龄分布，为学科建设和降低住院病死率提供数据和参考。方法依据卫统ICD-10国际疾病分类微机汇总库，将5年住院死亡病例，经计算机检索后导入Excel并按比重排序建立数据库，选出死因占前10位疾病作为分析单元，通过SAS统计软件对死亡病例的年龄分布等进行统计处理。结果我院5年来住院死亡呈下降趋势，且住院死亡男性多于女性，为1．23∶1。恶性肿瘤、心血管病及脑血管病导致住院病死率高，且大部分集中在45～59和60岁以上年龄组，占住院死亡的72．9％。结论我们应该关注中老年人身体健康，降低住院率及病死率；呼吁戒烟限酒，提倡健康生活方式；并且加强对重症医学科和某些恶性肿瘤、心脑血管疾病等疑难危重病种的学科建设和研究，推动医学科学的发展。
목적：료해아원5년래주원사망병례사인구성、성별급년령분포，위학과건설화강저주원병사솔제공수거화삼고。방법의거위통ICD-10국제질병분류미궤회총고，장5년주원사망병례，경계산궤검색후도입Excel병안비중배서건립수거고，선출사인점전10위질병작위분석단원，통과SAS통계연건대사망병례적년령분포등진행통계처리。결과아원5년래주원사망정하강추세，차주원사망남성다우녀성，위1．23∶1。악성종류、심혈관병급뇌혈관병도치주원병사솔고，차대부분집중재45～59화60세이상년령조，점주원사망적72．9％。결론아문응해관주중노년인신체건강，강저주원솔급병사솔；호우계연한주，제창건강생활방식；병차가강대중증의학과화모사악성종류、심뇌혈관질병등의난위중병충적학과건설화연구，추동의학과학적발전。
Objective To know about the constitution of death causes, sex ratio and age distribution of in-hospital death cases in our hospital from 2002 to 2010 , and to provide data and references for discipline construction and reducing the fatality rate in the hospital .Methods According to international disease classification microcomputer summary library ICD-10 for health statistics, five-year death cases of inpatients after computer-based retrieval were imported into Excelltable, and database was es-tablished according to the proportion of sorting.We sorted the top 10 diseases of death causes as analysis units.With the use of SAS statistical software, we analyzed the age distribution of death cases.Results Inpatients death rate of the five years showed a downward trend, and the in-hospital dead males were more than females, with the ratio 1.23:1.Malignant tumor, cardiovascu-lar disease and cerebrovascular disease led to high in-hospital death rate, and most concentrated upon the 45 ~59 years old group and above 60 years old group, which accounted for 72.9%of the hospital mortality.Conclusion We should pay attention to the elderly health care, and reduce the hospitalization rate and mortality.We should call on people to give up smoking, to limit alcohol drinking, and to advocate a healthy lifestyle.We should intensify the discipline construction and study of intensive care unit (ICU) and some complicated critical diseases such as malignant tumors, cardiovascular and cerebrovascular diseases, thus to promote the development of medical science.