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目的分析2003~2005年新疆昌吉回族自治州(简称昌吉州)居民死亡资料,为制定疾病预防策略提供科学依据。方法对昌吉州2003~2005年常住居民进行全死因调查,按国际疾病ICD-10进行分类,采用死亡率、死因别死亡率、PYLL率等进行分析。结果昌吉州全死因率5.23‰,其中男性6.20‰,女性4.09‰,全死因标化率为6.56‰;全死因PYLL率71.84‰,男性PYLL率是女性的2.16倍;按全死因率排序前五类死因依次为循环系统、恶性肿瘤、损伤与中毒、呼吸系统及消化系统;按PYLL率排序,前5位依次为损伤与中毒、循环系统、恶性肿瘤、呼吸系统和消化系统;2003~2005年昌吉州居民平均期望寿命为72.34岁,其中男性69.23岁,女性76.00岁。结论导致昌吉州居民死亡的主要疾病依次为循环系统疾病、恶性肿瘤、损伤与中毒、呼吸系统疾病和消化系统疾病;慢性非传染性疾病和损伤与中毒已成为危害昌吉居民健康的主要死因。加强健康教育及行为干预,促进良好的生活行为方式形成,才能从根本上降低居民死亡率。
Objective To analyze the death data of residents in Changji Hui Autonomous Prefecture of Changji, Xinjiang from 2003 to 2005, and provide a scientific basis for the development of disease prevention strategies. Methods The causes of all causes of death in Changji Prefecture from 2003 to 2005 were investigated and classified according to ICD-10. The mortality, death-specific mortality and PYLL rate were analyzed. Results The rate of all causes of death in Changji was 5.23 ‰, of which 6.20 ‰ for males and 4.09 ‰ for females, and the rate of all-cause causal factors was 6.56 ‰. The rate of all-cause PYLL was 71.84 ‰, and the rate of PYLL in males was 2.16 times of that in females. The causes of death were as follows: circulatory system, malignant tumor, injury and poisoning, respiratory system and digestive system. According to the PYLL rate, the top five were injury and poisoning, circulatory system, malignant tumor, respiratory system and digestive system. The average life expectancy of residents in Changji is 72.34 years, of which 69.23 are male and 76.00 are female. Conclusions The main diseases leading to the death of residents in Changji are cyclical diseases, malignant tumors, injuries and poisonings, respiratory diseases and digestive diseases. Chronic noncommunicable diseases and injuries and poisonings have become the main causes of death in Changji residents. In order to fundamentally reduce the mortality rate of residents, strengthening health education and behavior intervention and promoting the formation of good living behaviors.