25 June 2016, Volume 23 Issue 3

    

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Orignal Article
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  Prediction of mortality and years of life lost due to leukemia cancer in residents in Xiamen

  Lin Yilan, Chen Min, Zhang Qionghua, Chi Jiahuang

  journal1. 2016, 23(3): 161-163. https://doi.org/10.3969/j.issn.1006-5253.2016.03.001

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  Objective To explore the trend of mortality and years of life lost due to leukemia cancer in residents in Xiamen, so as to provide the basis data on preventing leukemia cancer in Xiamen. Methods The data of residents in Xiamen dying of leukemia cancer from 2010 to 2014 was collected and cleared up to calculate the evaluation indexes including the mortality rate, the average potential life lost (AYLL), and the average percentage change (APC) of mortality rate. GM(1,1) model was used to predict the future mortality and AYLL. Results From 2010 to 2014, the average mortality rate of leukemia cancer in residents in Xiamen was 3.45 per 100,000 persons and the rate for male was 1.51 times of that for female. The AYLL, which was 24.63 years, had a decline trend from 2010 to 2014. All mortality rates and AYLLs could fit out the GM(1,1) model except the mortality rate in female. The mean absolute percentage errors between observed values and fitted values were 0.54%-6.97%. The mortality rate and AYLL of leukemia cancer in residents in Xiamen would decrease slightly from 2015 to 2017. Conclusion GM(1,1) model could be used to forecast the trend of mortality and years of life lost due to leukemia cancer in residents in Xiamen. Leukemia cancer is still an important cause of premature death among residents in Xiamen City. We should not relax the prevention and control of leukemia.
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  Epidemiology of mumps in Changle county during 2004 to 2014

  Qu Jianjun, Qiu Deshan, Yu Haibo, Wei Jun

  journal1. 2016, 23(3): 167-169. https://doi.org/10.3969/j.issn.1006-5253.2016.03.003

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  Objective To study the epidemiological characteristics of mumps in Changle county during 2004 to 2014, and to provide scientific basis for the prevention and control of epidemic parotitis. Methods The epidemic data of mumps from the information management of reporting infectious diseases during 2004 to 2014, and the epidemiological characteristics of mumps was analyzed with descriptive epidemiological method. Results A total of 622 mumps cases was reported in Changle county, and the average annual incidence rate was 9.17 /100 000. During 2004 to 2014, the highest incidence rates were 20.07/100 000 in 2006, 13.89/100 000 in 2007, 25.83/100 000 in 2012 and 20.83/100 000 in 2013. The incident rate of male was(11.79/100 000 over the female(6.47/100 000)(χ²=52.44,P＜0.01). The incident rate of 3 to 9 years old cases was 66.29/100 000, and the maximum number of cases was Baodu , Wutu and Yingqiu area, accounting for 44.69% , 13.67% and 11.58% . Incidence peak was from April to July and December to January the following year. Among them, those from April to July accounted for 50.16%, and those in January and December accounted for 23.79. Students accounted for 71.86%, childcare children accounted for 13.34%, scattered children accounted for 3.69%, Peasant 6.43%, and other 4.66%. Cases with clinical complications accounted for 5.31%, meningitis, didymitis, pancreatitis, and cerebritis accounted for 2.09%, 1.45%, 1.13%, and 0.80% respectively. Conclusion The incident rate of mumps in Changle county from 2004 to 2014 has a rising trend, and in the future we should strengthen mumps surveillance and prevention and control work in susceptible population and high-occurrence season.
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  Investigation analysis on correlated risk factors of infection of peripherally inserted central catheter

  Shang Qinfen, Chen Jian

  journal1. 2016, 23(3): 170-172. https://doi.org/10.3969/j.issn.1006-5253.2016.03.004

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  Objective To explore etiology and correlated risk factors of infection of peripherally inserted central catheter (PICC), in order to provide basis for early preventing PICC infection. Methods With retrospective case-control study method, 68 cases of definite PICC patients were collected as case group, and 136 cases of PICC without infection as control group. All of these study objects in these two groups were investigated with questionnaire, and these factors of PICC infection were screened by single factor and multiple factors Logistic Regression methods. Results There were 68 cases (1.64%) of PICC infection in 4 146 cases of PICC. Pathogens of PICC infection were mainly in Staphylococcus aureus (32 cases, 34.0%), Staphylococcus epidermidis (27 cases, 28.7%) and Candida albicans (19 cases, 20.2%). Multiple factors analysis result showed that the independent risk factors of PICC infection included in combined underlying disease (OR=1.840), Low immune function (OR=2.450), paracentesis times above 2 times (OR=1.958), paracentesis time above 30 minutes (OR=4.035), double channel catheter (OR=3.031) and nursing procedure experience less 50 times (OR=4.473). Conclusion These measures, such as preventing and treating underlying diseases, raising organism immunity, strengthening standardization management of catheter and increasing practical experience of nursing staff, could effectively prevent the incidence of PICC infection.
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  Analysis about disease constitution of patients in a hospital from 2010 to 2014

  Zhang Wen

  journal1. 2016, 23(3): 176-179. https://doi.org/10.3969/j.issn.1006-5253.2016.03.006

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  Objective To explore the situation of the disease constitution for patients in a hospital from 2010 to 2014, and to provides data support for hospital management. Methods We collected and organized the data of the first page of medical records, with a standard of international classification of diseases (ICD-10), to analysis the situation of the disease constitution and disease order for patients in a hospital l in recent five years. Results The constitution of the top ten system diseases during 2010-2014 was stable, and the inpatients with the top ten system diseases were 86% of total inpatients. The constituent ratio of tumor and circulatory disease ranked the first and the second, accounting for 25% and 16% respectively. Patients with the factors influencing health status and contact with the health care organization were on the rise (χ²=583.39, P<0.05). Patients with respiratory disease were declining (χ²=123.68,P<0.05). Patients with the external reasons of injury or poisoning were declining obviously in recent five years (χ²=363.58, P<0.05). Patients over 15years old accounted for 93.52%. The priority disease of patients whose age was below 15 years old was different from adult patients. The prevalence rates in tumor, circulatory system disease, the factors influencing health status and contact with the health care organization, and digestive system disease were high for patients over 45 years old. Babies, infants and the elderly were susceptible to respiratory disease. In addition to the exceptional disease, the number of male patients was generally higher than that of women (χ²=10000, P<0.05). Conclusion According to the changes of the diseases spectrum, we should put stress on the top ten diseases. At the same time, we should carry out the diagnosis and treatment work on the basis of focus groups about different diseases. Second, we should develop important profession research of the hospital, increase the beds number of them, and allocate health resource according to the requirements of the patients reasonably. Then on this basis we should carry the study of diseases category and DRGs.
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  Correlated risk factors investigation analysis on prognosis death of elderly patients with severe pneumonia

  Pan Jiefeng, Lyu Jianjie, Fang Jianjun, Hu Jianfeng

  journal1. 2016, 23(3): 180-182. https://doi.org/10.3969/j.issn.1006-5253.2016.03.007

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  Objective To explore correlated risk factors of prognosis death of the elderly with severe pneumonia, then to provide basis for diagnosis and treatment of severe pneumonia patients. Methods Data of 129 cases of the elderly with severe pneumonia were retrospectively collected, and according to prognosis condition of severe pneumonia, these cases were divided into survival group (95 cases) and death group (34 cases). Then single factor and multiple factors analysis methods were used to analyze the risk factors of severe pneumonia of the elderly. Results The death rate of severe pneumonia of the elderly was 26.4% (34/129). Multiple factors analysis result showed that the risk factors of severe pneumonia patients of the elderly included numbers of basic diseases (OR=2.259), numbers of injury of organs function (R=3.435), respiratory failure (OR=3.028), scores of APACHE II (OR=6.876), use time of respirator (OR=5.760) and acidosis (OR=2.835). Conclusion The death rate of severe pneumonia of the elderly lies in a high level. These risk factors such as more basic diseases, more injury of organs function, respiratory failure, higher scores of APACHE II, long-term use of respirator and acidosis are independent risk factors of severe pneumonia of the elderly.
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  Risk factors investigation analysis on relapse or metastasis after radical excision of gastric cancer within two years

  Wang Changbiao, Chen Guofu, Jin Dexi

  journal1. 2016, 23(3): 183-185. https://doi.org/10.3969/j.issn.1006-5253.2016.03.008

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  Objective To explore the risk factors of early relapse or metastasis after radical excision of gastric cancer, and to provide basis for preventing and treating gastric cancer patients. Methods One hundred and thirty-nine cases of radical excision of gastric cancer were followed by two years. They were divided into relapse metastasis group (64 cases) and non-relapse metastasis group (75 cases), then single factor and multiple factor analysis methods were used to screen correlated factors of early relapse or metastasis. Results The early relapse rate after radical excision of gastric cancer was 46.0% (64/139). Multiple factors analysis result showed that maximum diameter of tumor (OR=3.764), TNM staging (OR=3.370), serous membrane soakage (OR=8.322), lymphaden metastasis (OR=5.219) and positive number of lymphaden were the risk factors of early relapse after radical excision of gastric cancer, but scavenge scope of lymphaden (OR=0.236) and chemical therapy after operation (OR=0.238) were the protective factors of prognosis. Conclusion The relapse rate after radical excision of gastric cancer is still a little high. These factors such as larger tumor, higher TNM staging, serous membrane soakage, lymphaden metastasis, more positive number of lymphaden, less scavenge scope of lymphaden and without chemical therapy after operation were the independent risk factors of early relapse.
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  Investigation analysis on risk factors of polycystic ovarian ayndrome of fertile women

  Zhong Wenming, Ning Lingli, Liu Xiaojuan

  journal1. 2016, 23(3): 186-191. https://doi.org/10.3969/j.issn.1006-5253.2016.03.009

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  Objective To explore the correlated risk factors of polycystic ovarian syndrome (PCOS) of fertile women, provide basis for early diagnosing and treating PCOS. Methods With case-control study method, we collected 285 cases of PCOS patients as case group and 580 cases of non-PCOS of gynecology patients as control group, adopted questionnaire to collect the correlated risk factors of PCOS, and then with single factor and multiple factors analysis methods screened the risk factors of PCOS. Results Multiple factors analysis result showed that the risk factors of PCOS included menstrual cycle disorder (OR=5.824), bad mood (OR=2.852), family history of diabetes (OR=7.008), family history of infertility (OR=11.953), menses irregularity of mother (OR=2.557) and lack of physical exercise (OR=1.866). Conclusion To aim directly at the high risk factors of female population with menstrual cycle disorder, family history of diabetes, family history of infertility, family history of diabetes, bad mood and lack of physical exercise, we should early screen, diagnose and treat POCS, in order to reduce the incidence rate of PCOS, and improve prognosis of PCOS.
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  Analysis of status quo of the initiative and its influence factors of Yantai public physical examination

  Xia Jikai, Shi Dewen, Yang Qinglin, Wang Peiyuan, Zheng Weibo, Li Jun, Yang Minghao

  journal1. 2016, 23(3): 192-195. https://doi.org/10.3969/j.issn.1006-5253.2016.03.011

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  Objective To investigate the status quo of the initiative of Yantai public physical examination, to give some advices to improve the initiative of the public physical examination, and to provide reference and basis for the implementation of the ″Yantai health service industry development plan (2020-2015)″ and the health care policy-making of relevant departments and leaders. Methods Multi-stage sampling method was used to select samples, investigators were trained uniformly, and face to face questionnaire survey was used according to the unified method and standard. Results 2 227 members were investigated, and 2 043 questionnaires were effective. The effective rate was 95.2%. The result showed that 9.01% of the public had a strong initiative of regular physical examination, 17.87% of the public did not take physical examination initiatively, and the initiative of the rest members were based on income and health status. Along with the growth of age (OR=1.723, P=0.001 2) and income (OR=3.436, P<0.000 1), the public possess more initiative of physical examination. Different occupations (OR=1.634,P=0.009 9) also made differences in the initiative of physical examination. Conclusion The initiative of Yantai public physical examination is relatively low, and it is related to age, occupations, income and so on. It is suggested to strengthen the guidance of public health education and health intervention. To promote the initiative of physical examination of all citizens, health physical examination should be added to the new medical reform.