山西省肿瘤医院2005年至2010年住院患者死因分析

 目的　分析山西省肿瘤医院2005年至2010年住院患者的死因构成。方法　回顾性分析山西省肿瘤医院2005年至2010年住院死亡 1277例患者的临床资料。结果　2005年至2010年住院患者总的死亡率为0.86 %（1277／146 820），且有逐年下降的趋势，2005年至2010年死亡率分别为1.16 %、1.05 %、0.99 %、0.85 %、0.84 %、0.64 %，差异有统计学意义（χ2＝45.763，P＜0.001）；住院患者中男性总死亡率（1.26 %）高于女性（0.53 %），差异有统计学意义（χ2＝215.367，P＜0.001）；肿瘤死因顺位分析结果显示，肺癌占癌症死因比例最高，为36.4 %（456／1253）。前10位肿瘤死因顺位分析结果表明，男性、干部职员和工人、中学文化程度、60岁以上人群在肿瘤死亡患者中占大多数。 结论　山西省肿瘤医院患者死因构成的确定为疾病防治提供了科学依据。

Analysis of in-patients death causes in Shanxi Cancer Hospital from 2005 to 2010

Objective To analyze the constitution of in-patient death causes in Shanxi Cancer Hospital from 2005 to 2010. Method Statistical analysis of 1277 hospitalized cases from 2005 to 2010 in Shanxi Cancer Hospital was retrospectively conducted. Results The overall case fatality rate of hospitalized patients from 2005 to 2010 was 0.86 % （1277/146820）, the rates were 1.16 %, 1.05 %, 0.99 %, 0.85 %, 0.84 %, 0.64 %, respectively, with a declining trend, and the differences among them was statistically significance （x2 = 45.763, P 〈 0.001）. Total mortality rate of male hospitalized patients （1.26%） was higher than that of women （0.53%）, and the difference was statistically significant （x2=215.367, P 〈 0.001）. Analysis of cancer death cause revealed that lung cancer possessed the leading cause of cancer death with the ratio of 36.4%（456/1253）. The analysis of top 10 death causes showed that the majority of the population in cancer death causes were men, cadres of staff and workers, secondary school education level people, and people over the age of 60. Conclusion The consitution of in-patient deaths in Shanxi Cancer Hospital is defined, which could provide a scientific basis for disease prevention and control.