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目的了解大连市区居民死亡率、死亡原因、减寿情况,为开展进一步健康教育和综合防治提供科学依据。方法采用减寿分析指标对2002—2010年的死因资料进行分析。结果大连市区2002—2010年居民死亡数为123 667例,死亡率为635.33/10万,标化死亡率为399.83/10万。男女死亡率性比值为1.30∶1(χ2=2 108.50,P=0.00)。前5位死因为循环系统疾病、肿瘤、呼吸系统疾病、损伤与中毒和内分泌疾病。潜在寿命损失年数(YPLL)前5位为肿瘤、循环系统疾病、损伤、先天畸形和消化系统疾病。早死指数(AYLL)前5位为围生期疾病、先天畸形、妊娠分娩、损伤中毒和肌肉结缔组织疾病。结论循环系统疾病、肿瘤为大连市主要死因,应加强全民健康教育,降低死亡率及疾病负担。
Objective To understand the death rate, cause of death and life expectancy in Dalian city and provide scientific basis for further health education and comprehensive prevention and treatment. Methods The data of cause of death from 2002 to 2010 were analyzed with the index of longevity. Results The death toll of residents in Dalian was 123 667 from 2002 to 2010, with a mortality rate of 635.33 / lakh and a standardized mortality rate of 399.83 / lakh. The sex ratio of males to females was 1.30: 1 (χ2 = 2 108.50, P = 0.00). The top 5 causes of death are circulatory diseases, tumors, respiratory diseases, injuries and poisoning, and endocrine diseases. The top 5 potential years of YPLL are tumors, circulatory diseases, injuries, congenital malformations and digestive diseases. Pre-death index (AYLL) top 5 for perinatal disease, congenital malformations, pregnancy and childbirth, injury poisoning and muscle connective tissue disease. Conclusion Circulatory system diseases and cancer are the main causes of death in Dalian. Health education for all people should be strengthened to reduce mortality and disease burden.