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目的了解太原市居民死亡谱特征,为社区卫生服务的需求做出估计,为制定区域卫生规划合理分配卫生资源提供依据。方法数据来源于全市10县(区)死亡病例报告,死因分类依据国际疾病分类ICD-10进行疾病分类,死亡病例数从大到小进行顺位分析,死因统计依据根本死因进行。结果 2005-2009年死因数据监测中前10位死因依次为缺血性心脏病、脑出血、脑梗死、肺恶性肿瘤、慢性下呼吸道疾病、胃恶性肿瘤、糖尿病、肝恶性肿瘤、交通事故、肺心病,太原市居民前10位死因占总死亡的58.78%。死因顺位在不同的年龄、性别和地区中有差异。结论太原市人群疾病死因顺位随年龄、性别、地区的差异而呈现出不同的特点,应引起高度重视。应依据不同人群的死因分布特点采取不同的干预措施,以降低各类疾病对人群健康的危害。
Objective To understand the characteristics of the death spectrum of residents in Taiyuan, make an estimation of the demand of community health services, and provide the basis for formulating the rational distribution of health resources in regional health planning. Methods The data were from the death cases of 10 counties (districts) in the city. The cause of death was classified according to the International Classification of Diseases ICD-10. The number of deaths was analyzed from the largest to the smallest. The cause of death was calculated according to the cause of death. Results The top 10 causes of death in 2005-2009 were ischemic heart disease, cerebral hemorrhage, cerebral infarction, pulmonary malignancies, chronic lower respiratory tract diseases, gastric malignancies, diabetes, hepatic malignancies, traffic accidents, lungs Heart disease, Taiyuan residents accounted for 58.78% of the top 10 deaths. The cause of death rank varies according to age, gender and region. Conclusions The rank of cause of death of disease in Taiyuan shows different characteristics with age, gender and regional differences, which deserves great attention. Different interventions should be based on the distribution characteristics of the causes of death in different populations so as to reduce the harm of various diseases to the health of the population.