2018年新疆监测点居民死因资料分析  

Analysis on causes of death among residents in Xinjiang,2018

作　　者：者炜[1] 张俊[1] 董言[1] 方萍[1] 甫尔哈提·吾守尔[1] ZHE Wei;ZHANG Jun;DONG Yan;FANG Ping;FUERHATI WU-shou-er(Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region,Urumqi 830002,China)

机构地区：[1]新疆维吾尔自治区疾病预防控制中心慢病所,新疆乌鲁木齐830002

出　　处：《中国健康教育》2021年第6期520-524,共5页Chinese Journal of Health Education

基　　金：新疆维吾尔自治区自然科学基金(2020D01C082)。

摘　　要：目的了解2018年新疆监测点居民死亡水平及分布状况,为政府科学决策提供理论依据。方法分析汇总2018年新疆15个国家级疾病监测点死因数据,按照《国际疾病分类》第10版编码进行死因分类,计算粗死亡率、标化死亡率、死因构成、死因顺位等指标,率的比较用χ^(2)检验。结果 2018年新疆监测点居民总死亡率473.69/10万(标化死亡率为601.02/10万),男性高于女性(χ^(2)=824.53,P<0.05)。慢性病死亡占比最高,为83.34%,其次为传染病、母婴疾病和营养缺乏性疾病(8.57%)和伤害(6.77%);心脏病(29.04%)、脑血管病(16.23%)、恶性肿瘤(16.08%)、呼吸系统疾病(12.15%)和伤害(6.77%)是前5位死因,占全部死亡的80.27%。循环系统疾病的前3位死因是缺血性心脏病(22.26%)、脑血管病(16.23%)、高血压性心脏和/或肾脏病(4.16%);肺癌(3.59%)、胃癌(2.60%)、肝癌(2.03%)、食管癌(1.29%)、结直肠和肛门癌(1.03%)是前5位恶性肿瘤;交通事故(2.26%)、溺水(0.99%)、意外跌落(0.90%)、自杀及后遗症(0.87%)、其他意外伤害(0.80%)是伤害的主要死因。结论以心脑血管疾病、恶性肿瘤等为主的慢性非传染性疾病是导致新疆居民死亡的主要原因;以交通事故为主的伤害依然是危害青壮年健康的主要原因,今后应加大新疆慢性非传染性疾病及伤害的防治力度。Objective To understand the death pattern in residents of Xinjiang,and to provide scientific basis for government decisions on health care.Methods Analysis were conducted on the causes of death data from 15 disease surveillance points of Xinjiang.The causes of death were classified according to ICD-10.Crude death rate,standardized death rate,cause of death composition,cause of death sequence and other indicators were calculated,chi-square test was used to compare the rates.Results The total mortality rate of residents was 473.69/105(standardized rate:601.02/105)in Xinjiang.Mortality of female was significantly higher than that of male(χ2=824.533,P<0.05).The death proportion of chronic disease was highest(83.34%),and the deaths caused by infectious,maternal and infant and nutrient deficiency diseases(8.57%)and injury(6.77%).Heart disease(29.04%),cerebrovascular disease(16.23%),malignant tumor(16.08%),respiratory diseases(12.15%)and injuries(6.77%)were the top 5 causes of death,accounting for80.27%of all deaths.Ischemic heart disease(22.26%),cerebrovascular disease(16.23%),hypertensive heart disease/kidney disease(4.16%)were the leading causes of circulatory system disease.Lung cancer(3.59%),stomach cancer(2.60%),liver cancer(2.03%),esophageal cancer(1.29%)and colorectal and anal cancer(1.03%)were the main causes of malignant tumor.The traffic accident(2.26%),drowning(0.99%),accidentally fell(0.90%),suicide(0.87%)and accidental poisoning(0.80%)were the leading causes of injury.Conclusion Chronic non-communicable diseases,cardiovascular and cerebrovascular diseases and malignant tumors were the main causes of death.Injury caused by traffic accidents was still a major risk factor in young adults.In the future,the prevention and treatment of chronic non-communicable diseases and injuries in our region should be strengthened.

关 键 词：死因 死亡率 慢性病 伤害 分析 

分 类 号：R193[医药卫生—卫生事业管理]