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目的分析2004—2010年广州市越秀区居民意外伤害致死亡病例的发生规律和特点,为制定意外伤害死亡的预防控制措施提供科学依据。方法收集广州市越秀区第3次死因回顾性调查资料和2006—2010年越秀区全人群死因监测资料,采用DreathReg 2005统计软件对2004—2010年广州市越秀区居民的意外伤害死亡资料进行整理分析。结果 2004—2010年广州市越秀区居民意外伤害死亡1 555例,意外伤害死亡率为23.41/10万。死因排序由高到低依次为:意外跌倒(占25.79%)、自杀(占21.29%)、交通事故(占18.14%)、其他(占16.46%)、意外中毒(占11.25%)、被杀(占3.28%)、溺水(占2.64%)、火灾(占1.16%)。0～14岁年龄组死亡以意外跌倒(占16.28%)和溺水(占16.28%)为主,15～59岁年龄组以自杀(占23.97%)和交通事故(占20.22%)为主,≥60岁年龄组以意外跌倒(占40.23%)和自杀(占18.95%)为主。各类意外伤害的死亡率除了溺水和火灾差异无统计学意义外,男性均高于女性(P<0.01或P<0.05)。结论应针对意外伤害的死因谱、年龄结构、性别特征采取相应的防治措施,提高生存年,降低死亡率。
Objective To analyze the incidence and characteristics of death caused by accidental injuries among residents in Yuexiu District of Guangzhou from 2004 to 2010 and provide a scientific basis for the prevention and control measures of death caused by accidental injuries. Methods The data of retrospective investigation of the third death cause in Yuexiu District of Guangzhou City and the monitoring data of the cause of death of the entire population in Yuexiu District from 2006 to 2010 were collected. DreathReg 2005 statistical software was used to analyze the accidental death data of residents in Yuexiu District of Guangzhou from 2004 to 2010 . Results From 2004 to 2010, 1 555 residents of Yuexiu District of Guangzhou City were injured by accident, and the accidental injury death rate was 23.41 / 100,000. The highest and lowest causes of death were as follows: accidental falls (25.79%), suicide (21.29%), traffic accidents (18.14%), others (16.46%), accidental poisoning (11.25%), Accounting for 3.28%), drowning (2.64%) and fire (1.16%). The deaths in the age group of 0-14 years were mainly caused by accidental falls (16.28%) and drowning (16.28%), while those aged 15-59 were mainly suicides (23.97%) and traffic accidents (20.22%), with ≥ The 60-year-old group dominated by accidental falls (40.23%) and suicides (18.95%). Mortality rates for all types of accidental injuries were significantly higher than those for females (P <0.01 or P <0.05), except for drowning and fire differences that were not statistically significant. Conclusion According to the cause of death accidental spectrum, age structure, gender characteristics should take appropriate prevention and treatment measures to improve the years of survival and reduce mortality.