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目的统计分析某院心血管疾病根本死因,为调整资源配置、防治致死因素提供数据参考。方法收集整理某院2009年至2014年1466份《死亡医学证明书》数据信息,统计根本死因,运用SPSS19和Excel等统计软件进行统计分析。结果历年急性心肌梗死均位列第一,近四年慢性缺血性心脏病位列第二。中老年及五岁以下儿童心血管疾病死亡占比最高,分别为69.3%和16.5%。死亡例数与性别因素有关(2x=54.246,P<0.05)。男性前三位根本死因为急性心肌梗死、慢性缺血性心脏病、主动脉动脉瘤和动脉壁夹层形成,构成比分别为25.5%、12.5%和12%。女性前三位根本死因为急性心肌梗死、心间隔先天性畸形、慢性缺血性心脏病,构成比分别为24%、10.1%和8.6%。结论按性别、年龄层有针对性的加强心血管疾病的防治宣传教育,减少致死因素,提高居民预防疾病的能力。
Objective To analyze and analyze the basic cause of death of cardiovascular disease in a hospital and provide data reference for adjusting resource allocation and preventing and controlling lethal factor. Methods A total of 1466 cases of “medical certificate of death” from a hospital from 2009 to 2014 were collected and statistically analyzed. Statistical analysis of the cause of death was carried out by using statistical software such as SPSS19 and Excel. The results of acute myocardial infarction over the calendar year ranked first in nearly four years of chronic ischemic heart disease ranked second. Middle-aged and under-five children accounted for the highest proportion of deaths from cardiovascular diseases, accounting for 69.3% and 16.5% respectively. The number of deaths was related to gender (2x = 54.246, P <0.05). The top three male causes of death were acute myocardial infarction, chronic ischemic heart disease, aortic aneurysm and arterial wall dissection, with constituent ratios of 25.5%, 12.5%, and 12%, respectively. The top three female causes of death were acute myocardial infarction, congenital heart defects, and chronic ischemic heart disease, with constituent ratios of 24%, 10.1%, and 8.6%, respectively. Conclusion According to gender and age group, we should strengthen the publicity and education on prevention and treatment of cardiovascular diseases, reduce the lethal factor and improve residents’ ability to prevent diseases.