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目的分析三峡库区兴山县居民死因特征,为制定卫生政策提供依据。方法对2005～2009年疾病死因监测数据,采用Deathreg2005死因统计分析软件和Excel软件进行描述流行病学分析。结果年均死亡率为349.78/10万,标化死亡率为328.31/10万;死亡率随年龄增长而升高,≥65岁组死亡构成比为67.26%;死亡居前5位的疾病依次为循环系统疾病、呼吸系统疾病、恶性肿瘤、损伤中毒和消化系统疾病;YPLL率居前3位的依次为循环系统疾病、损伤中毒和呼吸系统疾病;肿瘤死亡前5位的疾病分别是肝癌、肺癌、食道癌、胃癌、肠癌;期望寿命为84.94岁。结论心、脑血管疾病、恶性肿瘤及意外伤害是居民死亡的主要疾病。
Objective To analyze the characteristics of the cause of death of residents in Xingshan County in the Three Gorges Reservoir Area and provide the basis for formulating health policies. Methods From 2005 to 2009, the cause of death monitoring data were analyzed by using Deathreg 2005 statistical software and Excel software to describe the epidemiological analysis. Results The average annual death rate was 349.78 / 100 000, the standardized mortality rate was 328.31 / 100 000; the mortality rate increased with age, the death rate ratio was 67.26% in the group of ≥65 and the top five deaths were Circulatory system diseases, respiratory diseases, malignant tumors, injury poisoning and digestive system diseases; the top three in terms of YPLL rate were circulatory system diseases, injury poisoning and respiratory diseases; the top 5 diseases of death were liver cancer, lung cancer , Esophageal cancer, stomach cancer, intestinal cancer; life expectancy 84.94 years. Conclusions Cardiovascular, cerebrovascular diseases, malignant tumors and accidental injuries are the major causes of death among residents.