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目的分析北京同仁医院报告死亡病例的死因构成,了解死亡病例的死因动态变化。方法对北京同仁医院2007年1月1日至2012年12月31日上报到《死因登记报告信息系统》的所有病例,按第10版国际疾病分类(ICD-10)标准进行根本死因分类,采用SPSS 18.0软件包和Excel进行描述性流行病学统计分析。结果 2007—2012年共报告死亡病例2377例,各年龄段的死亡构成男性病例均高于女性。死亡病例主要集中在50岁以上年龄段人群(占92.6%),70岁年龄组构成呈下降趋势,而80岁年龄组构成呈上升趋势。报告死亡病例顺位前3位为循环系统疾病(838例,35.3%)、恶性肿瘤(752例,31.6%)和呼吸系统疾病(404例,17.0%)。结论心脑血管疾病和恶性肿瘤成为病例死亡的主要死因。整个人群预期寿命增加。加强慢性非传染性疾病宣传教育,早期发现,积极预防和治疗,是疾病防控和诊疗的重点。
Objective To analyze the cause of death caused by Beijing Tongren Hospital and to know the dynamic changes of death causes. Methods All cases reported by Beijing Tongren Hospital from January 1, 2007 to December 31, 2012 in the “Death Registry Information System” were classified according to the 10th edition of the International Classification of Diseases (ICD-10) SPSS 18.0 software package and Excel for descriptive epidemiological analysis. Results A total of 2377 deaths were reported in 2007-2012. The deaths of all age groups were higher than those of females. Deaths were mainly concentrated in people over the age of 50 (92.6%), 70-year-old age group formed a downward trend, while the 80-year-old group is an upward trend. The top three reported deaths were circulatory diseases (838 cases, 35.3%), malignant tumors (752 cases, 31.6%) and respiratory diseases (404 cases, 17.0%). Conclusions Cardiovascular and cerebrovascular diseases and malignancies have become the leading causes of death. Life expectancy increases for the entire population. Strengthening the publicity and education on chronic non-communicable diseases, early detection, active prevention and treatment are the focuses of disease prevention and treatment.