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目的:为了解青海高原居民健康状况和主要疾病死亡原因,为高原地区疾病防治策略及措施的制定提供科学依据。方法:采用多阶段分层随机整群抽样法对青海高原河南县2002年—2004年死亡居民进行了死因回顾调查分析。结果:总死亡率635.06/10万,男性死亡率为659.18/10万,女性死亡率610.44/10万。居民死亡率前五位依次为:心脑血管疾病(117.15/10万)、呼吸系统疾病(114.06/10万)、恶性肿瘤(89.40/10万)、损伤和中毒(73.99/10万)、消化系统疾病(58.57/10万)。全县平均期望寿命为66.69岁,男性63.85岁、女性69.40岁。结论:卫生行政部门应根据该地区居民患病特点,制定相应的疾病防治策略。
Objective: To understand the health status of the residents of the Qinghai Plateau and the causes of death from major diseases, and to provide scientific basis for the formulation of disease prevention strategies and measures in highland areas. Methods: A multi-stage stratified randomized cluster sampling method was used to retrospectively analyze the cause of death of residents who died in 2002-2004 in Henan County, Qinghai Plateau. Results: The total mortality was 635.06/100,000, the male mortality was 659.18/lakh, and the female mortality was 610.44/lakh. The top five resident mortality rates were: cardiovascular and cerebrovascular diseases (117.15 per 100,000), respiratory diseases (114.06 per 100,000), malignant tumors (89.40 per 100,000), injuries and poisoning (73.99 per 100,000), and digestion. System diseases (58.57/10 million). The county’s average life expectancy is 66.69 years old, 63.85 years old men and 69.40 years old women. Conclusion: The health administrative department should formulate corresponding disease prevention and control strategies based on the characteristics of residents in the area.