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目的了解石家庄市监测点居民伤害死亡的流行病学特征及疾病负担情况,为制订切实、有效的干预措施提供科学依据。方法资料来源于2007-2009年监测点收集的《居民死亡医学证明书》,原始资料收集整理,根据ICD-10做疾病分类,输入Death Reg2002、SPSS13.0软件进行统计学分析,计算死亡率、标化死亡率、潜在减寿年数、标化减寿年数、标化减寿率、平均减寿年数等指标。结果 2007-2009年居民伤害年均死亡率40.41/10万,居全死因第3位;男女性死亡率分别是59.05/10万和19.56/10万,差异有统计学意义;不同年龄主要伤害死因不同;交通事故居伤害死因之首,其潜在寿命损失占伤害的59.39%;标化潜在减寿年从高到低依次为交通事故、中毒、触电、自杀、溺死、跌落。平均减寿年数从高到低依次为溺死、触电、跌落、交通事故、中毒、自杀。结论交通事故对石家庄市居民潜在减寿年影响最大,溺死、触电和跌落多发于低年龄组人群;减少伤害死亡的危险因素,控制伤害死亡的发生势在必行,应针对不同年龄的主要死因采取相应的干预措施,男性人群是干预重点。
Objective To understand the epidemiological characteristics and disease burden of residents’ injuries and deaths at the monitoring stations in Shijiazhuang and provide a scientific basis for formulating effective and effective intervention measures. Methods The data were collected from the Resident Medical Certificate of Death, collected from the monitoring points in 2007-2009. The original data were collected and classified according to the ICD-10 classification. The data were imported into Death Reg2002 and SPSS13.0 software for statistical analysis to calculate the mortality rate, Standardized mortality rate, potential years of life lost, standardized life expectancy, the standardization of life expectancy, the average number of years of life lost and other indicators. Results The annual average death rate of residents from 2007 to 2009 was 40.41 / lakh, ranking the third in the cause of death. The male and female mortality rates were 59.05 / lakh and 19.56 / lakh respectively, with statistical significance. The main causes of death at different ages The potential life loss caused by traffic accidents accounted for 59.39% of the total injuries. The potential life-years of standardization were traffic accidents, poisoning, electric shock, suicide, drowning and dropping in descending order. The average life expectancy decreased from high to low drowning, electric shock, drop, traffic accidents, poisoning, suicide. Conclusion Traffic accidents have the greatest impact on the potential life-years of residents in Shijiazhuang City. Drowning, electrocution and falls occur frequently in low-age groups. To reduce the risk factors of injury death and control the occurrence of injuries and deaths, it is imperative to address the main causes of death at different ages Take the appropriate interventions, the male population is the focus of intervention.