昆明市居民重大慢性病过早死亡原因分析  

Analysis on the death causes for major noninfectious chronic disease among Kunming residents

作　　者：李志坤[1] 李琦[2] 杨昭[1] 杨唯[1] 李云涛[1] 

机构地区：[1]昆明市疾病预防控制中心,云南昆明650228 [2]昆明市儿童医院,云南昆明650034

出　　处：《现代预防医学》2018年第4期630-633,637,共5页Modern Preventive Medicine

摘　　要：目的了解昆明市居民重大慢性病过早死亡的原因。方法统计2015年昆明市死因监测数据,计算30~69岁户籍居民重大慢性病死亡率、构成比和死亡概率。结果 2015年昆明市居民重大慢性病过早死亡8 302例,过早死亡率为263.95/10万,占重大慢性病死亡的31.26%。前5位死因依次为脑血管病、缺血性心脏病、肺癌、慢性阻塞性肺疾患、肝癌,占重大慢性病过早死亡的64.48%。男性过早死亡率为344.27/10万,女性为182.16/10万,男性高于女性(P<0.05)。男女均呈现死亡率随着年龄增长而升高。城乡居民重大慢性病过早死亡率存在统计学差异,农村(272.14/10万)高于城市(253.54/10万)(P<0.05)。全市居民重大慢性病早死概率为12.89%,其中男性(16.44%)高于女性(9.13%);农村(14.03%)高于城市(11.66%)。结论昆明市30~69岁居民脑血管病、缺血性心脏病、肺癌、慢性阻塞性肺疾患和肝癌等重大慢性病已成为影响居民过早死亡的主要原因,应加强不健康生活方式和行为的综合干预与控制。Objective The aim of this study was to learn about the major death causes for noninfectious chronic disease among Kunming residents. Methods Statistics of the cause of death in Kunming city in 2015 were collected to calculate the mortality rate, composition ratio and death probability of people aged from 30 to 69 years old. Results There were 8302 cases of premature death of major noninfectious chronic diseases in Kunming in 2015. Among these, the premature death rate was 263.95/1000000, accounting for 31.26% of all deaths. Among the major noninfectious chronic diseases in premature deaths, the top 5 causes of death were cerebral vascular diseases, ischemic heart disease, liver cancer, lung cancer, and chronic obstructive pulmonary disease, which accounted for 64.48% of the premature death of major noninfectious chronic diseases, while men premature mortality rate was 344.27/100,000, women was 182.16/100,000, and the male＇s rate was above the female＇s （P〈0.01）. And it increased with increasing age, regardless of gender. There was a significant difference l）etween urban and rural residents of the premature mortality of major noninfectious chronic diseases, among which the rural was higher than the urban （P〈0.01）. The rural rate was 272.14/100,000, and urban rate was 253.54/10,000. The premature mortality of major noninfectious chronic diseases in Kunming was 12.89%. Among these, the male was 16.44% and the female was 9.13%. The males were above the females. The rural was 14.03%, and the urban was 11.66%. The rural was above the urban. Conclusion Cerebrovascular disease, ischemic heart disease, lung cancer, chronic obstructive pulmonary disease and liver cancer had become the major causes of premature death among the residents aged 30 to 69 of census register in Kunming. It is suggested to adopt comprehensive intervention and controlling measures to improve residents＇ unhealthy life style and behavior.

关 键 词：重大慢性病 过早死亡 死亡原因 

分 类 号：R195.4[医药卫生—卫生统计学]