河南省开封县居民16年间意外死亡分析

ANALYSIS OF ACCIDENTAL DEATH IN KAIFENG COUNTY,HENAN PROVINCE FROM 1988 TO 2003.

目的：了解河南省开封县居民意外死亡的分布特征，为制订切实、有效的干预措施提供科学依据。方法：应用描述流行病学方法对该县疾病监测点1988-2003年居民死亡监测资料进行分析。结果：16年间意外死亡7430人，年均死亡率68．49／10万，占全部死亡的12．31％。前5位死因依次是：自杀、交通事故、意外中毒、溺水、窒息，共占全部意外死亡的77．86％。主要死因的年龄分布为：0～岁组是窒息、溺水、交通事故，15～组和60岁以上组是自杀、交通事故和意外中毒，40一组是交通事故、自杀和意外中毒。在意外死亡中，男性意外死亡率明显高于女性，分别是84．58／10万和51．77／10万，差异有统计学意义（P〈0．05）。结论：该县居民意外死亡率处于较高水平，变化趋势不明显，减少意外死亡的危险因素，控制意外死亡的发生势在必行。男性人群是今后干预措施实施的重点人群。

Objective： To know the distribution characteristic of accidental death in Kaifeng county, Henan province in recen years, to provide scientific evidence for establishing effective intervention measures. Methods： Data of disease surveillance and population from 1988 to 2003 in Kaifeng, Henan province were analyzed by descriptive epidemiological method and statistical method. Results： There were 7430 persons who died from accident events from 1988 to 2003 occupied 12.31% of total death. The annua average mortali：y was 68.49 per 100,000 persons. The top five reasons for accidental death were suicide, traffic accident, accidental poisoning, drown and asphyxiation which accounted for 77.86% of all accidental death. In 0- years old group the main cause were asphyxiation, drown and accident. In 15- years old group and 60- years old groupthe main causes were suicide, accident accidental poisoning; In 40- years old group the main causes were traffic accident, suicide, accidental poisoning. The mortality c alcidental death of male and female were 84.58 per 100,000 persons, 51.77 per 100,000 persons, respectively and the mortality o male was obviously higher than that of female （P〈0.05）. Conclusion： The mortality of accidental death is pretty higher. The ac cidental death threatened people＇s life seriously and caused serious effects on society and families. So it is very important to reduce the risk of it. Children, youth, adult and old men should be pay more attentions to.