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目的了解湖北省神农架林区居民不同年龄组主要死因,为预防控制策略的制定提供依据。方法神农架林区2015年死因资料从中国疾病预防控制信息系统平台的死因登记报告信息系统下载。死亡原因按照ICD-10国际疾病分类对死因进行分类及编码,运用国家2016死因统计分析软件(单机版)统计分析人群的粗死亡率、标化死亡率及死因构成。统计学处理方采用χ2检验。结果 2015年神农架林区居民死亡率为735.66/10万,标化死亡率774.05/10万。儿童组0~14岁死亡专率38.10/10万,占总死亡的0.52%,主要死因是先天畸形和围生期疾病。青年组15~44岁死亡专率为111.47/10万,占总死亡的8.30%,主要死因是损伤中毒。中年组45~60岁死亡专率为560.53/10万,占总死亡的18.86%,主要死因是恶性肿瘤。65岁以上老年组死亡专率为5 105.03/10万,占总死亡的72.32%,主要死因是心脑血管疾病和慢性阻塞性肺疾病。结论先天畸形和围生期疾病是婴幼儿年龄组的主要死亡原因,损伤中毒是青中年组的主要死亡原因,心脑血管疾病和恶性肿瘤等慢性病是中老年人群的主要死亡原因,应针对不同年龄组制定不同的防治策略。
Objective To understand the main causes of death among different age groups in Shennongjia forest area in Hubei Province, and to provide basis for the prevention and control strategies. Methods The causes of death in 2015 in Shennongjia forest area were downloaded from the information system of cause of death registration in China CDC platform. Causes of death The causes of death were classified and coded according to ICD-10 International Classification of Diseases, and the national crude fatality rate, standardized death rate and cause of death of the population were statistically analyzed using the National 2016 Cause of Death Statistical Analysis Software (single version). Statistical analysis using χ2 test. Results In 2015, the death rate of residents in Shennongjia forest area was 735.66 / 100,000 and the standardization death rate was 774.05 / 100,000. The death rate of children aged 0-14 years was 38.10 / 100,000, accounting for 0.52% of the total deaths. The main causes of death were congenital malformations and perinatal diseases. Youth group 15 to 44-year-old mortality rate of 111.47 / 100 000, accounting for 8.30% of the total deaths, the main cause of death is poisoning. The death rate of middle aged patients aged 45-60 years was 560.53 / 100000, accounting for 18.86% of the total deaths. The main cause of death was malignant tumors. The death rate of elderly people over the age of 65 was 5 105.03 / 100,000, accounting for 72.32% of the total deaths. The main causes of death were cardiovascular and cerebrovascular diseases and chronic obstructive pulmonary disease. Conclusions Congenital malformations and perinatal diseases are the main causes of death in infants and young children. Damage and poisoning are the main causes of death in the middle-aged and adolescent groups. Chronic diseases such as cardiovascular and cerebrovascular diseases and malignant tumors are the major causes of death in the middle-aged and elderly population. Different age groups to develop different control strategies.