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目的分析金华市居民主要死亡原因,为政府相关部门制定卫生规划和疾病预防控制策略提供科学依据。方法对2006-2010年金华市居民死亡资料采用粗死亡率、潜在减寿年数(PYLL)、标化减寿年数(SPYLL)等指标进行分析。结果 2006-2010年金华市居民粗死亡率616.25/10万,标化死亡率483.14/10万。死亡原因居前5位的是循环系统疾病、恶性肿瘤、呼吸系统疾病、损伤与中毒和消化系统疾病,占全死因的88.13%。潜在减寿年数(PYLL)为295 707.00人年,标化减寿年数(SPYLL)为281 288.63人年,潜在减寿率(PYLL‰)和标化减寿率(SPYLL‰)分别为39.11‰和37.56‰。减寿原因居前5位的是损伤与中毒、恶性肿瘤、循环系统、先天性疾病和围生期疾病。结论慢性病和损伤中毒是危害居民健康的主要原因,针对性地开展健康教育和健康促进工作,是今后我市防病工作的重点。同时,加强孕期检查和围生期保健,降低婴幼儿死亡率,提高居民期望寿命。
Objective To analyze the main causes of death of residents in Jinhua City and provide scientific basis for government departments to formulate health plans and disease prevention and control strategies. Methods The mortality data of residents in Jinhua City from 2006 to 2010 were analyzed using crude mortality, PYLL, SPYLL and other indicators. Results The crude death rate of residents in Jinhua from 2006 to 2010 was 616.25 / 100,000, and the standardized death rate was 483.14 / 100000. The top five causes of death were circulatory diseases, malignant tumors, respiratory diseases, injuries and poisoning and digestive diseases, accounting for 88.13% of all causes of death. PYLL was 295 707.00 person-years and SPYLL was 281 288.63 person-years. PYLL ‰ and SPYLL ‰ were respectively 39.11 ‰ and 37.56 ‰. The top 5 causes of loss of life are injuries and poisoning, cancer, circulatory system, congenital and perinatal diseases. Conclusion Chronic diseases and poisoning are the main reasons that endanger the health of residents. Targeted health education and health promotion are the focus of prevention and treatment in our city. At the same time, we should strengthen pregnancy screening and perinatal care to reduce the infant mortality rate and enhance the residents’ life expectancy.