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目的了解江门市居民慢性非传染性疾病(以下简称慢性病)的死亡状况及变化趋势,为制定慢性病防治规划提供依据。方法应用DeathReg2005软件和Excel对2010-2012年江门市户籍居民死亡资料进行统计分析。结果 2010-2012年江门市居民因慢性病死亡71 466人,占全死因86.53%,慢性病死亡率为604.78/10万,3年间慢性病死亡率呈上升趋势。男性慢性病死亡率(664.00/10万)明显高于女性(544.44/10万),差异有统计学意义(χ2=727.71,P<0.01)。慢性病死因顺位前5位依次为心血管疾病、脑血管疾病、恶性肿瘤、慢性呼吸系统疾病、消化系统疾病,占慢性病死因的93.40%。男性脑血管疾病、恶性肿瘤、慢性呼吸系统疾病、消化系统疾病、泌尿系统疾病的死亡率明显高于女性,而女性内分泌及代谢疾病、先天异常的死亡率明显高于男性,差异均有统计学意义(P<0.01)。不同年龄组慢性病死因顺位不相同。结论慢性病已成为江门市居民的主要死因,为降低居民死亡率,须加强慢性病的三级预防工作。
Objective To understand the death status and changing trend of chronic non-communicable diseases (hereinafter referred to as chronic diseases) in Jiangmen city for the purpose of formulating the prevention and control plan for chronic diseases. Methods DeathReg2005 software and Excel were used to analyze the death data of household residents in Jiangmen from 2010 to 2012. Results In 2010-2012, 71 466 people died of chronic diseases in Jiangmen City, accounting for 86.53% of all causes of death, and the death rate of chronic diseases was 604.78 / 100 000. The mortality rate of chronic diseases showed an upward trend in three years. The mortality rate of chronic diseases in males (664.00 / 100000) was significantly higher than that of females (544.44 / 100000), the difference was statistically significant (χ2 = 727.71, P <0.01). The top 5 causes of death from chronic diseases were cardiovascular diseases, cerebrovascular diseases, malignant tumors, chronic respiratory diseases, digestive diseases and 93.40% of the causes of chronic diseases. Men’s cerebrovascular disease, cancer, chronic respiratory diseases, digestive diseases, urinary tract diseases mortality was significantly higher than women, while female endocrine and metabolic diseases, congenital anomalies mortality was significantly higher than men, the difference was statistically significant Significance (P <0.01). The causes of chronic diseases in different age groups are not the same. Conclusion Chronic diseases have become the main cause of death of residents in Jiangmen City. To reduce the mortality rate of residents, tertiary prevention of chronic diseases should be strengthened.