2004-2008年云南省不明原因猝死病区居民的全死因分析  

Analysis on death causes for people in villages where endemic unexplained sudden death in Yunnan occurred

作　　者：徐昌[1] 陆步来[1] 龙江[1] 谢旭[1] 申涛[1] 施国庆[1] 杨林[2] 黄文丽[2] 张健[3] 

机构地区：[1]中国疾病预防控制中心中国现场流行病学培训项目,北京100050 [2]云南省地方病防治所 [3]中国医学科学院阜外心血管病医院

出　　处：《疾病监测》2009年第6期453-455,共3页Disease Surveillance

基　　金：科技部国家重大科技攻关资助项目(No.2003BA712A11-01);卫生行业科研专项项目(No.200802002)

摘　　要：目的掌握2004-2008年云南不明原因猝死病区居民的全死因特征。方法将云南省不明原因猝死全死因监测乡镇的所有自然村分为猝死自然村组和对照自然村组,对比分析两组的死亡率、死因谱和死亡季节特征。结果猝死自然村组粗死亡率为0.90%,标化死亡率为0.69%;对照自然村组粗死亡率为0.62%,标化死亡率为0.48%。云南省猝死自然村组前5位死因顺位分别是呼吸系统疾病、循环系统疾病、损伤和中毒、不明原因猝死和肿瘤;对照自然村组前5位死因顺位分别是循环系统疾病、呼吸系统疾病、损伤和中毒、肿瘤和消化系统疾病。猝死自然村组全年中死亡例数最多的3个月份分别是8、1和7月;对照自然村组全年中死亡例数最多的3个月份分别是2、3和5月。结论2004-2008年云南省猝死自然村组死亡率高于对照自然村,死因谱和死亡季节特征也不同。Objective To find out the features of death causes for the people in villages where endemic unexplained sudden death in Yunnan occurred, and provide clues to explore causes of endemic unexplained sudden death in Yunnan. Methods All the villages in surveillance area of endemic unexplained sudden death in Yunnan were divided into two groups （case group and control group） on the basis of occurrence of unexplained sudden death or not in the past decades. The death rates, death spectrum and seasonal feature of death in two groups were analyzed and compared. Results The crude death rate in case group was 0.90% （age-adjusted death rate： 0.69% ）, the crude death rate in control group was 0.62% （age-adjusted death rate： 0.48% ）. The first five leading death causes in case group were respiratory disease, circulatory disease, injury/poisoning, endemic unexplained sudden death in Yunnan and cancer, and the first five leading death causes in control group were circulatory disease, respiratory disease, injury/poisoning, cancer and digestive disease. More deaths occurred in August, January, and July in case group, and more deaths occurred in February, March and May in control group. Conclusion The death level and death patterns were different significantly between case group and control group.

关 键 词：死因 云南省不明原因猝死 流行病学 

分 类 号：R195[医药卫生—卫生统计学]