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目的探讨江苏省邳州市居民意外死亡的分布特点及发生规律,为制定预防策略提供依据。方法对2003~2005年邳州市死因回顾性调查资料采用潜在寿命损失年(YPLL)、YPLL率等指标应用Excel 2003软件进行统计分析。结果2003~2005年居民平均死亡率为6.60‰,伤害年均死亡率为66.8/10万,居全死因第4位,减寿率为14.48‰,减寿作用影响最大,居第1位。交通事故、自杀、淹死、意外中毒和意外跌落依次构成伤害死因前5位,占伤害死亡总数的88.18%。结论交通事故、自杀和淹溺是该地区伤害最主要的死因,依次构成伤害YPLL前3位,该3类伤害所造成对“早死”的贡献对居民影响更大,加强对这3类伤害的预防和控制工作,对降低该地区的居民死亡率,保护人们身体健康,提高居民生活质量及延长寿命有着重要意义。
Objective To investigate the distribution characteristics and occurrence rules of accidental death among residents in Pizhou City, Jiangsu Province, and provide a basis for the prevention strategy. Methods The data of retrospective survey of death causes in Pizhou from 2003 to 2005 were analyzed by using Excel 2003 software based on YPLL, YPLL rate and other indicators. Results The average death rate of residents was 6.60 ‰ from 2003 to 2005, the average annual mortality rate was 66.8 / 100 000, ranking the fourth in the cause of death. The rate of longevity was 14.48 ‰, and the effect of longevity was the largest. Traffic accidents, suicide, drowning, accidental poisoning and accidental drop in turn constitute the top 5 injuries, accounting for 88.18% of the total number of injuries killed. Conclusion Traffic accidents, suicide and drowning are the leading causes of injuries in the region, which in turn constitute the top three of the injured YPLLs. The contribution of the three types of injuries to the “premature death” has a greater impact on residents, Injury prevention and control work is of great importance to reducing the mortality rate of residents in the area, protecting people’s health, improving the quality of life of residents and prolonging their life span.