1998-2004年桂林市疾病监测点居民全死因调查分析

Study of overall causes of death among residents at Guilin's disease surveillance points from 1998 to 2004

目的了解桂林市疾病监测点人群死亡原因及特点,为制定疾病控制策略提供依据。方法建立疾病监测系统,用描述流行病学方法对1998-2004年监测资料进行分析,用Excel软件统计。结果1998-2004年桂林市监测点人群年均死亡率为528.89/10万,标化死亡率593.93/10万,男女死亡比为1.3∶1。平均寿命74.13岁,其中男性71.55岁,女性77.06岁。死因中感染、慢性病、伤害三大类疾病比例为1∶14.45∶1.08。人群前5位死因依次为心血管疾病(225.23/10万)、肿瘤(149.95/10万)、意外伤害(34.51/10万)、慢性呼吸系统疾病(28.23/10万)和消化系统疾病(19.45/10万)。结论慢性病和意外伤害是危害监测人群健康的主要原因,应有针对性地开展健康教育和健康促进工作,减少疾病和意外的发生,同时感染性、传染性疾病控制仍然是卫生防病重要工作之一。

Objective The investigation was conducted to understand the causes of deathes and their characteristics at Guilin＇s disease surveillance points as strategic evidence for disease control. Methods A disease surveillance system was established to analyze the monitored data from 1998 to 2004 by descriptive epidemiology, and statistics was done by Excel, Results The average death rate of people at guilin＇s disease surveillance points was 528,89/lakh and standardized rate 593.93/lakh, and the proportion of men to women was 1.3：1. Their average life was 74.13 years while men had 71.55 and women 77.06, In all death causes, infections, chronic diseases and injuries made up the proportion of 1：14,45：1.08. The top five death causes were cardiovascular disease （225,23/lakh）, tumor （149,95/lakh）, accident （34,51/lakh）, chronic respiratory disease （28.23/lakh） and disease digestive system （19,45/lakh）, Conclusion Chronic diseases and accidences are the main causes that threaten people＇s health. Health education and advance work should be made to reduce incidence and accidence. Meanwhile, control of infectious and transm/ssible diseases is still an important part in public health.