新疆新源县2004-2010年居民死因及减寿分析  

Death Cause and the PYLL Analysis of Xinyuan County Residents from 2004 to 2010,Xinjiang

作　　者：刘翔[1] 田鹏昊 康春 秦江梅[1] 黄瑾[3] 左彭湘[4] 毛璐[1] 唐景霞[1] 牛强[1] 张眉[1] 

机构地区：[1]石河子大学医学院预防医学系,新疆维吾尔自治区832002 [2]新疆伊犁哈萨克自治州新源县疾病预防控制中心 [3]石河子大学医学院生物化学教研室 [4]石河子大学医学院护理系

出　　处：《中国慢性病预防与控制》2012年第2期117-120,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金："十一五"国家科技支撑计划(2009BAI82B01)

摘　　要：目的了解新源县居民死因状况及主要死因造成的寿命损失情况,为制定有效的预防干预措施提供科学依据。方法利用新源县2004-2005年死因回顾调查数据及2007-2010年居民死因监测数据,采用ICD-10进行死因分类,使用Deathreg 2005、SPSS13.0统计软件和Excel 2003进行数据整理和统计分析,计算死亡率、期望寿命、潜在寿命损失年(PYLL)及潜在减寿率(PYLL‰)等指标。结果新源县居民平均期望寿命70.7岁,男性66.8岁,女性76.1岁;新源县2004-2010年(不包括2006年)居民粗死亡率为550.8/10万,其中男性为682.9/10万,女性为410.6/10万,男性粗死亡率高于女性,差异有统计学意义(χ2=539.7,P<0.01),6年粗死亡率呈现下降的趋势(χ2趋势=24.9,P<0.01);哈萨克族、汉族、维吾尔族及回族居民死亡率分别为775.2/10万、322.8/10万、609.3/10万、396.0/10万,差异有统计学意义(χ2=1 184.2,P<0.01)。前5位死因为脑血管疾病、恶性肿瘤、心血管疾病、损伤与中毒、呼吸系统疾病;按PYLL排序前5位死因依次为损伤与中毒、恶性肿瘤、心血管疾病、脑血管疾病、呼吸系统疾病。结论新源县不同民族、性别死亡率及死因构成不同,慢性非传染性疾病和伤害是影响居民寿命的重要死因。Objective To study the death cause and PYLL caused by the main death causes among residents in Xinyuan County, Xinjiang. Methods With ICD-10 classification and softwares of Deathreg 2005, SPSS 13.0 and Excel 2003, the retrospective data of death cause during 2004 to 2005 and the minitor data of death cause during 2007 to 2010 of Xinyuan county were collected and analyzed for mortality rate, life expectancy, years of potential life lost （PYLL） and the rate of potential years of life lost（PYLL%v）. Results The average life expectancy of the residents was 70.7 yrs, and 66.8 yrs for the males and 76.1 yrs old for the females. The crude mortality rate was 550.8/100 000 in Xinyuan County from 2004 to 2010 （exclude 2006）, and the male mortality rate（682.9/100 000） was higher than the female（410.6/100 000）（χ2=539.7, P〈0.01 ）. The crude mortality rates during these six years were shown a descend trend （χ2=24.9, P〈0.01 ）; there was significant difference between the mortality rates of Kazak, Han, Uygur and Hui nationality, which were 775.2/100 000, 322.8/100 000, 609.3/100 000, and 396.0/100 000, respectively （χ2=1 184.2, P〈0.01 ）. The top five causes of death were eerebrovaseular diseases, malignant tumors, cardiovascular diseases, injuries and poisoning, respiratory system diseases. The top five death causes by PYLL were injuries and poisoning, malignant tumors, cardiovascular diseases, eerehrovascular diseases, respiratory system diseases. Conclusion Different ethnic groups and different gender have different mortality and causes of death in Xinyuan County. Chronic non-communicable diseases and injury are the main causes affecting the residents life.

关 键 词：民族 死因 期望寿命 潜在减寿年数 

分 类 号：R195[医药卫生—卫生统计学]