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目的分析2010-2014年泰兴市居民死亡水平和主要死亡原因,为疾病防治提供策略。方法利用全死因网络直报系统导出2010-2014年泰兴市居民死亡数据,按国际疾病分类ICD-10分类,采用SPSS 19.0和Excel 2007统计软件计算粗死亡率、标化死亡率、潜在减寿年数(PYLL)、潜在减寿率(PYLL率)、平均减寿年数(AYLL)等。结果 2010-2014年泰兴市共报告死亡病例40 159例,粗死亡率为699.67/10万,标化死亡率为385.84/10万,其中男性死亡22 913例,粗死亡率为799.02/10万,标化死亡率为513.48/10万;女性死亡17 246例,粗死亡率为600.48/10万,标化死亡率为278.61/10万。全人群、男性和女性死亡率55岁后均呈显著上升趋势,差异有统计学意义(P<0.05);男性各年龄组死亡率均高于女性,差异均有统计学意义(P<0.05)。居民前5位死因依次为循环系统疾病(277.85/10万)、恶性肿瘤(256.18/10万)、呼吸系统疾病(75.35/10万)、损伤和中毒(47.18/10万)、消化系统疾病(9.30/10万),累计占全死因构成的96.15%。全人群、男性和女性的PYLL居前2位的均为恶性肿瘤、损伤和中毒,其中男性PYLL前2位合计为93 945.0人年,是女性(37 965.0人年)的2.47倍。结论循环系统疾病、恶性肿瘤、呼吸系统疾病为泰兴市居民主要死因,应加强循环系统疾病的监测、恶性肿瘤的早诊早治和健康教育健康促进工作,加大老年人的慢性病健康管理投入。
Objective To analyze the death toll and the main causes of death in Taixing City from 2010 to 2014 so as to provide strategies for disease prevention and control. Methods The death toll data of residents in Taixing from 2010 to 2014 were derived using the all-cause direct reporting system. According to ICD-10 classification, SPSS 19.0 and Excel 2007 statistical software were used to calculate the crude mortality rate, standardized mortality rate and potential life-years lost PYLL, PYLL, AYLL and so on. Results A total of 40 159 deaths were reported in Taixing between 2010 and 2014, with a crude death rate of 699.67 / 10 000 and a standardized mortality rate of 385.84 / 100 000, of which 22 913 were male and 799.02 / The standardized death rate was 513.48 / 100 000; there were 17 246 female deaths, the crude death rate was 600.48 / 100 000 and the standardization death rate was 278.61 / 100 000. The overall population, male and female mortality rates showed a significant upward trend after 55 years of age, the difference was statistically significant (P <0.05); male mortality in all age groups were higher than the female, the difference was statistically significant (P <0.05) . The top five causes of death were circulatory system diseases (277.85 / 100000), malignant tumors (256.18 / 100000), respiratory diseases (75.35 / 100000), injuries and poisoning (47.18 / 100000), digestive diseases 9.30 / 100,000), accounting for 96.15% of the total death cause. The top two PYLLs in the general population, men and women, were all malignant, injured and poisoned. Among them, the top two PYLLs for men totaled 93 945.0 person-years, 2.47 times the number of women (37 965.0 person-years). Conclusions Circulatory system diseases, malignant tumors and respiratory diseases are the major causes of death in Taixing residents. Monitoring of circulatory system diseases, early diagnosis and early diagnosis of malignant tumors, health education and health promotion should be strengthened, and health care for chronic diseases should be increased.