郑州市2002年城区居民死因分析

Analysis of Disease Surveillance Spot City Zone Resident Death Cause

目的 为了解我市城区居民死因构成 ,发现当前危害严重的疾病 ,为制定疾病预防控制策略和措施提供科学依据。方法 死因分类按国际分类标准ICD - 9进行 ,死因归类按国家卫生部 1 7大类 (CCD - 87)归类 ,以死亡率和潜在寿命损失年数作为统计指标。结果 本文对 2 0 0 2年郑州市城区人口死因进行分析 ,城区居民年均死亡率为 30 9.5 4 / 1 0万。前 5位死因依次为循环系病 ,肿瘤、呼吸系病、损伤和中毒、内分泌营养代谢免疫疾病 ,传染病死因排第十位。主要死因的YPLL顺位是 :肿瘤、循环系病、损伤和中毒、消化系病、内分泌营养代射免疫疾病。提出当前疾病预防控制面临着传染病与慢性非传染疾病双重负担 ,针对不同类别的疾病应运用计划免疫、疾病监测、健康教育、社区干预、疾病筛查等不同的手段 ,以控制疾病的发生 ,降低死亡率 。

Objective In order to understand the disease death composing of Zhengzhou resident, to find seriously harmful diseases, to provide scientific basis in setting down policy and measure of disease control and prevention. Methods the death cause sorts according to international standard ICD-9 the death cause ranges according to Ministry of Health P.R.China 17 kind (CCD-87), the statistic index is mortality and years of potential life lost (YPLL). Result this article analyses citizen population death cause in 2002, the mortality of the citizen is 309,54/100000. The front 5 death cause was circulation system, tumour, respirtion, damnification and poisoning and incretion, the position of infectious disease death cause was 10. The sorting of YPLL was tumour, circulation system, damnification and poisoning, digestion system, incretion. At present, disease control and prevention was confronted with double burden in infectious disease and chronic noninfectious disease, different disease should take different means, such as expanded programme immunization, disease surveillance, health education, community intervene, disease screen, in order to control disease, to depress mortality, to increase population expectation life-span.