2015年新疆15个监测点居民死因状况分析  

Analysis of the death causes of residents in 15 surveillance sites in Xinjiang in 2015

作　　者：者炜[1] 甫尔哈提.吾守尔 刘来新[1] 廖佩花[1] 张云君[1] 张荣[1] 

机构地区：[1]新疆维吾尔自治区疾病预防控制中心,新疆乌鲁木齐830002

出　　处：《现代预防医学》2017年第22期4186-4190,共5页Modern Preventive Medicine

摘　　要：目的掌握新疆15个监测点居民健康状况,确定严重影响居民健康的主要疾病,为政府部门制定卫生保健决策提供科学依据。方法分析新疆15个监测点2015年户籍居民死亡报告资料,以ICD-10进行死因分类;使用Excel和SPSS17.0软件进行数据整理和统计分析。结果 2015年新疆15个监测点总死亡率490.99/10万(标化率539.12/10万),男性579.31/10万(标化率639.97/10万),女性401.45/10万(标化率438.25/10万),男性死亡率明显高于女性(χ2=681.74,P<0.05)。慢性病死亡所占比例最高,达77.67%,女性(80.55%)高于男性(75.70%)(χ2=67.64,P<0.05),感染性、母婴及营养缺乏疾病死亡占11.91%,女性(12.65%)高于男性(11.41%)(χ2=42.13,P<0.05)伤害死亡占8.87%,男性(11.32%)高于女性(5.30%)(χ2=223.18,P<0.05);前5位死因分别为心脏病、恶性肿瘤、脑血管病、呼吸系统疾病和伤害。缺血性心脏病、脑血管病、高血压及高心病、肺源性心脏病是循环系统疾病的主要死因;肺癌、胃癌、肝癌、食管癌、结直肠和肛门癌是恶性肿瘤的主要死因;交通事故、溺水、意外中毒、意外跌落和自杀是意外伤害的主要死因。结论慢性非传染性疾病是危害新疆居民死亡的主要原因;心脑血管病致死仍占最高比例,消化道恶性肿瘤依然比较严重,机动车辆交通事故依然是危害青壮年健康的主要危险因素,今后应加大新疆慢性非传染性疾病及伤害的防治力度。Objective The study aimed to assess the health status of residents in 15 surveillance sites in Xinjiang and determine the major diseases affecting the residents＇ health seriously, and thus to provide scientific reference for developing the health care decisions for government. Methods Death data of residents from 15 surveillance sites reported in 2015 were analyzed, and the death causes were classified according to the ICD-10. Data collection and statistical analysis were conducted with Excel and SPSS 17.0 software. Results The total mortality rate of residents 15 surveillance sites in Xinjiang in 2015 was 490.99/100 000 （standardized mortality of 539.12/100 000）, The mortality rate of male was 579.31/100 000 （standardized mortality of 639.97/100 000）, the mortality rate of female was 401.45/100 000 （438.25/100 000）, the mortality among male was significantly higher than that among female 0~2=681.74, P〈0.05）. The death proportion of chronic disease was highest （77.67%）, the mortality among female （80.55%） was higher than that among male （75.70%） （~2=67.64, /0〈0.05）. Deaths caused by infectivity, maternal and infant, and nutrition deficiency accounted for 11.91% of all deaths, the mortality among female （12.65%）~was higher than that among male （11.41%） 0~2=42.13, P〈0.05）. Injury accounted for 8.87% of all deaths~ the mortality among male （11.32%） was higher than that among female （5.30%） （~2=223.18, P〈0.05）. The top five causes of death were heart disease, malignant tumor, cerebrovascular disease, respiratory system disease, and injury. Ischemic heart disease, cerebrovascular disease, hypertension and hypertensive heart disease, as well as pulmonary heart disease were the-main death causes for circulation system disease. Lung cancer, stomach cancer, liver cancer, esophageal cancer, colorectal cancer, and anal cancer were the main death causes for malignant tumor. Traffic accident, drowning, accidental poisoning, accidental dropping, and suicide were the

关 键 词：死因 死因顺位 监测 慢性病 分析 

分 类 号：R181.2[医药卫生—流行病学]