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目的分析锦州市城区居民病伤死亡原因数据资料,掌握城区居民死因状况及特征,为锦州市疾病预防控制工作提供科学依据。方法根据国际疾病分类第10版(ICD-10)死因分类法进行死因分类,计算2010-2013年锦州市城市居民主要死因的死亡率、构成比,并进行减寿率等统计分析,以2000年全国人口普查年龄构成进行死亡率的标化。结果2010-2013年锦州市城区居民总体死亡率为670.40/10万,标化率为466.15/10万,男性死亡率为776.31/10万,女性死亡率为567.90/10万,男性死亡率高于女性,差异有统计学意义(Z=5.71,P<0.05);城区居民死因前5位依次是心脏病(27.00%)、恶性肿瘤(25.75%)、脑血管病(23.21%)、呼吸系统疾病(8.21%)和伤害(3.11%),占总死因比例的87.28%;不同年龄组主要死因疾病不同,0~14岁组以围生期疾病、恶性肿瘤和伤害为主,15~39岁组以伤害、恶性肿瘤和心脏病为主,40~64岁组以恶性肿瘤、脑血管病和心脏病为主,≥65岁组以心脏病、脑血管病和恶性肿瘤为主;减寿率居前5位的死因疾病为恶性肿瘤(12.11‰)、脑血管病(5.95‰)、心脏病(5.71‰)、伤害(3.97‰)和消化系统疾病(1.08‰)。结论锦州市城区居民死亡原因以慢性非传染性疾病和伤害为主;应根据不同年龄的死亡疾病谱特征,有针对性地进行疾病预防和控制。
Objective To analyze the data of the causes of death of sick and wounded in urban areas of Jinzhou and to find out the status and characteristics of the causes of death of urban residents so as to provide a scientific basis for disease prevention and control in Jinzhou. Methods The causes of death were classified according to the International Classification of Diseases 10 (ICD-10), and the mortality and composition ratio of the main causes of death among urban residents in Jinzhou during 2010-2013 were calculated. The statistical analysis was carried out in 2000 The national census ages constitute the standardization of mortality. Results The overall death rate of urban residents in Jinzhou was 670.40 / 100,000 in 2010-2013, the standardization rate was 466.15 / 100000, the male mortality rate was 776.31 / 100000, the female mortality rate was 567.90 / 100000, the male mortality rate was higher than Female, the difference was statistically significant (Z = 5.71, P <0.05). The top five causes of death among urban residents were heart disease (27.00%), malignant tumor (25.75%), cerebrovascular disease (23.21%), respiratory disease (8.21%) and injuries (3.11%), accounting for 87.28% of the total. The main causes of death in different age groups were different. The patients aged 0-14 years were mainly suffering from perinatal diseases, malignant tumors and injuries. Malnutrition, cerebrovascular disease and heart disease were the major causes of injuries, malignant tumors and heart diseases. Heart disease, cerebrovascular disease and malignant tumors were the main cause of the disease in the group of ≥65 years of age; the rate of longevity was the highest The top five causes of death were malignant tumors (12.11 ‰), cerebrovascular disease (5.95 ‰), heart disease (5.71 ‰), injuries (3.97 ‰) and digestive diseases (1.08 ‰). Conclusions The causes of death among urban residents in Jinzhou are mainly chronic non-communicable diseases and injuries. Disease prevention and control should be targeted according to the characteristics of the death disease spectrum of different ages.