天长市1996～2003年居民病伤死亡原因分析

Analysis of Death Causes of Residents in Tianchang in 1996~2003

目的对1996～2003年天长市居民死亡原因进行分析，为制定疾病控制规划提供科学依据。方法收集1996～2003年8年间全部报告死亡病例，按照国际疾病分类(ICD-9)进行死因编码，采用卫生部统一的全国死因软件录入微机，生成卫统表3后进行统计分析。结果1996～2003年天长市居民死因顺位前5位是：恶性肿瘤、呼吸系统疾病、脑血管病、损伤中毒、心脏病。消化系统恶性肿瘤死亡数占恶性肿瘤死亡总数的73．52％。8年间本地人群总报告YPLL率为55．19‰，AYPLL为20．16年。分病种分析，YPLL率最高的是损伤中毒，为19．18‰；其次是恶性肿瘤，为14．19‰；第三位是呼吸系统疾病，为4．85‰；平均潜在寿命损失年数顺位与YPLL率一致。结论恶性肿瘤、损伤中毒、呼吸系统疾病、脑血管疾病是当前疾病控制工作的重点。

Objective By analyzing the death reasons of Tianchang residents from 1996 to 2003, we can provide scientific research for the plans of disease control in early the 21st century in this region. Methods Death cases from 1996 to 2003 were collected and coded with ICD-9. Then the data were input into computer and analyzed with MOH software. Results The rank of the death reason of Tianchang residents from 1996 to 2003 was malignant tumor with a death rate of 168.39 per million, respiratory disease with a death rate is 99.21 per million, brain vein disease with a death rate of 84.84 per million, trauma and poisoning with a death rate of 51.83 per million, cardiac disease with a death rate of 42.79 per million. Malignant tumor of digestive system accounted for 73.52%. The average YPLL rate of the residents during the period was 55.19 and the average AYPLL was 20.16 years. According to the types of diseases, the highest rate of YPLL was trauma and poisoning with the rate of 19.18 , the second went to malignant tumor with the rate 0f 14.19 and the third was digestive system disease with the rate of 4.85 . The rate of AYPLL was the same as that of YPLL. Conclusions Malignant tumor, trauma and poisoning, digestive system disease, brain vein disease should be the key point of disease control in our current work.