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目的了解2004-2007年万州全人群死亡状况。方法通过全国统一回顾性调查及全国疾病监测点全人群常规死因报告系统收集死亡个案,并按ICD-10编码;利用本区及全国2000年人口构成分别推算各年龄组人口和计算粗死亡率与标准化死亡率。结果万州区全人群年均死亡率608.55/10万、标化死亡率454.69/10万;男性死亡率700.35/10万,女性死亡率512.08/10万;城市人群死亡率536.71/10万,农村人群死亡率635.27/10万,农村肿瘤死亡率(158.13/10万)明显低于城市的(172.24/10万),农村内分泌代谢病(2.85/10万)明显低于城市的(11.90/10万);男、女性及城乡前5位死因与总的死因顺位一致,依次为循环疾病、肿瘤、呼吸疾病、损伤中毒、消化疾病,传染病死亡在全区及农村均位居第6位;4年中呈上升趋势的主要有肿瘤、内分泌代谢病,呈下降趋势的有呼吸系疾病、传染病及寄生虫病;0岁死亡以新生儿婴儿死亡为主,1～39岁以损伤中毒死亡最高,40～69岁以肿瘤死亡最高,70岁以后以循环系统病死亡最高。结论目前万州区面临肿瘤、内分泌代谢病等慢性病逐年上升,传染病死亡高居的双重压力,相关部门应与予高度关注,采取相应对策开展预防控制工作。
Objective To understand the death toll of Wanzhou population from 2004 to 2007. Methods The death cases were collected by the national unified retrospective survey and the general population-based general population death reporting system at national disease surveillance sites and were coded according to ICD-10. Using the population in this area and the whole country in 2000, the population of each age group and the crude fatality rate Standardized mortality. Results The average death rate of the whole population in Wanzhou District was 608.55 / 100,000, with a standardized mortality rate of 454.69 / 100,000; the death rate of males was 700.35 / 100,000 and the death rate of females was 512.08 / 100,000; the urban population mortality rate was 536.71 / 100,000; rural population The death rate was 635.27 / 100 000, the death rate of cancer in rural areas was 158.13 / 100,000, which was significantly lower than that of urban areas (172.24 / 100000), and that of rural endocrine and metabolic diseases (2.85 / 100000) was significantly lower than that of urban areas (11.90 / 100000) ; The top 5 causes of death among men, women and urban and rural areas were in line with the overall cause of death, followed by circulating diseases, cancer, respiratory diseases, injury and poisoning, digestive diseases and infectious diseases, ranking the 6th among all districts and rural areas; 4 The year-on-year increase was mainly caused by tumor, endocrine and metabolic diseases, with respiratory diseases, infectious diseases and parasitic diseases which showed a decreasing trend. The death of 0-year-old neonatorum was the main cause of death and the highest death rate was 1-39 years old , 40 to 69 years old to the highest tumor death, the highest death after the age of 70 to the circulatory system disease. Conclusion Currently, Wanzhou District is faced with the dual pressures of chronic diseases such as cancer and endocrine and metabolic diseases rising year by year and the highest death toll from infectious diseases. Relevant departments should pay close attention to it and take corresponding measures to carry out prevention and control work.