Zhang J, Hong L C, Wang X B, Wei Y Z, Hu G, Wu S H, Cheng J Q
School of Public Health, Southern Medical University, Guangzhou 510515, China.
School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Oct 10;39(10):1309-1313. doi: 10.3760/cma.j.issn.0254-6450.2018.10.004.
Data from the surveillance program was collected, to analyze the situation of hospitalization and cases of death with recorded causes, in Shenzhen, from 1995 to 2014. Situation of hospitalization and causes of deaths were studied in Shenzhen which had been a fast-developing city with growing number of immigrants so as to provide reference for decision-making on related prevention and control strategies. Data on hospitalizations and deaths collected from the surveillance program, were classified by both International Classification of Diseases (ICD)- 9 and ICD-10. A database was constructed with methods on related descriptive and trend analysis. Around 6.3 million inpatients were seen in the past two decades in Shenzhen. The top five diseases for hospitalization were pregnancy childbirth and puerperium complications, respiratory diseases, injury and poisoning, digestive system diseases and circulatory system diseases, that accounting for 68.4% of all the hospitalization burden. The number of inpatients increased annually, with an 11 times increase during the past two decades. Proportions for pregnancy childbirth and puerperium complications, circulatory system diseases and urinary system diseases all showed increasing ((2)=53 806.94, 6 893.95 and 15 383.14, <0.01), while proportions for injuries and poisoning, respiratory diseases, digestive system diseases showed a declining trend ((2)=131 480.09,1 711.84 and 11 367.66, <0.01). Number of cumulative inpatient deaths exceeded 60 000, with the top five causes as malignant tumor, circulatory system diseases, injury and poisoning, respiratory system diseases and digestive system diseases, that accounting for 82.28% of all the inpatient deaths. Deaths due to circulatory system diseases, injury and poisoning increased and then decreased. Malignant tumor and respiratory diseases-induced deaths showed an increasing trend ((2)=1 546.48, 309.55, <0.01), while induced deaths from disease of the other systems showed slight changes. The overall case fatality rate showed an annual decline ((2)=4 378.63, <0.01), from 2.23% in 1995 to 0.74% in 2014, with mortality attribute to tumor, circulatory system disease decreased significantly. Shenzhen had been under an ageing transition, with relatively young population living in the city. Chronic diseases such as tumor gradually had become the major causes for heavy hospitalization burden on the population of Shenzhen.
收集了监测项目的数据，以分析1995年至2014年深圳有记录病因的住院情况和死亡病例。对深圳这个快速发展且移民数量不断增加的城市的住院情况和死亡原因进行了研究，以便为相关防控策略的决策提供参考。从监测项目收集的住院和死亡数据，按照国际疾病分类（ICD）-9和ICD-10进行了分类。采用相关描述性和趋势分析方法构建了一个数据库。在过去二十年中，深圳约有630万住院患者。住院人数最多的五种疾病是妊娠、分娩和产褥期并发症、呼吸系统疾病、损伤和中毒、消化系统疾病以及循环系统疾病，它们占所有住院负担的68.4%。住院人数逐年增加，在过去二十年中增加了11倍。妊娠、分娩和产褥期并发症、循环系统疾病以及泌尿系统疾病的比例均呈上升趋势（χ² = 53806.94、6893.95和15383.14，P < 0.01），而损伤和中毒、呼吸系统疾病、消化系统疾病的比例呈下降趋势（χ² = 131480.09、1711.84和11367.66，P < 0.01）。累计住院死亡人数超过60000人，主要死因前五位是恶性肿瘤、循环系统疾病、损伤和中毒、呼吸系统疾病以及消化系统疾病，它们占所有住院死亡人数的82.28%。循环系统疾病、损伤和中毒导致的死亡人数先增加后减少。恶性肿瘤和呼吸系统疾病导致的死亡人数呈上升趋势（χ² = 1546.48、309.55，P < 0.01），而其他系统疾病导致的死亡人数变化不大。总体病死率呈逐年下降趋势（χ² = 4378.63，P < 0.01），从1995年的2.23%降至2014年的0.74%，肿瘤、循环系统疾病导致的死亡率显著下降。深圳一直在经历老龄化转变，城市人口相对年轻。肿瘤等慢性病逐渐成为深圳人口住院负担沉重的主要原因。
