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[目的]分析常州市育龄妇女死亡的原因,为探讨相应的干预措施提供依据。[方法]对常州市2004～2008年常住人口的育龄妇女死亡资料进行回顾性分析。[结果]5年内育龄妇女死亡2279例,各年度育龄妇女死亡率差异有统计学意义(P﹤0.001),恶性肿瘤与意外死亡是育龄妇女死亡的主要原因,占死亡总数的2/3以上。恶性肿瘤死因构成的前5位是胃食道癌、肝癌、肺癌、白血病和乳腺癌。妇科恶性肿瘤中乳腺癌致育龄妇女死亡已远远超过宫颈癌。交通事故和自杀是意外死亡的主要原因。[结论]常州地区近5年育龄妇女的主要死因是恶性肿瘤和意外死亡。因此,降低恶性肿瘤和意外死亡的发生率是降低育龄妇女死亡的关键,应引起各级有关部门的高度重视。
[Objective] To analyze the causes of death of women of childbearing age in Changzhou, and provide the basis for exploring the corresponding interventions. [Methods] A retrospective analysis was conducted on the death data of women of childbearing age who lived in Changzhou from 2004 to 2008. [Results] There were 2279 deaths of women of childbearing age in 5 years. The mortality of women of childbearing age in each year was significantly different (P <0.001). Malignant tumor and accidental death were the main causes of death of women of childbearing age, accounting for more than 2/3 of the total deaths. The top 5 malignant causes of death are gastroesophageal cancer, liver cancer, lung cancer, leukemia and breast cancer. Gynecological cancer in breast-feeding women of childbearing age has far exceeded the death of cervical cancer. Traffic accidents and suicide are the major causes of accidental death. [Conclusion] The main causes of death in women of childbearing age in Changzhou in recent 5 years are malignant tumors and accidental death. Therefore, reducing the incidence of malignant tumors and accidental deaths is the key to reducing the death of women of childbearing age, which should arouse the attention of relevant departments at all levels.