2009年新疆监测县居民死因监测分析

Surveillance and analysis of whole death causes among residents in surveillance counties in Xinjiang,2009

目的掌握新疆监测县居民健康状况,确定严重影响居民健康的主要疾病,为政府部门制定卫生保健决策提供科学依据。方法分析新疆监测县2009年户籍居民死亡报告资料,以ICD-10进行死因分类;使用DeathReg2005和EpiInfo2002软件进行数据整理和统计分析。结果 2009年新疆监测县总死亡率485.33/10万,男性高于女性。慢性病死亡所占比例最高,达73.77%,伤害死亡占8.99%;按照死因构成比排序,前5位死因分别为心脏病、脑血管病、慢性下呼吸道疾病、恶性肿瘤和伤害。脑血管病、急性心肌梗死、其他冠心病、肺心病及高血压性心脏病是循环系统疾病主要死因;胃癌、食管癌、肺癌、肝癌是恶性肿瘤的主要死因;交通事故、溺水、自杀、意外中毒、意外跌落是意外伤害的主要死因。结论慢性非传染性疾病在总死亡中的比例最高,是危害新疆监测县居民健康的主要死因;心脑血管病发病和死亡高于往年,消化道恶性肿瘤依然比较严重,机动车辆交通事故是危害新疆监测县青壮年健康的主要危险因素,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 know healthy situation of residents in Xinjiang surveillance counties, to determine major diseases of influencing the population＇s health severely, and to provide scientific basis for government making health care decision. Methods The reported data of death among the residents in Xinjiang surveillance counties in 2009 were analyzed with classification of per ICD-10. Software of Death Beg 2005 and Epi Info 2002 were taken to analyze the collected data statistically. Results Total mortality was 485.33/100 000 in Xinjiang surveillance counties in 2009. The mortality was higher in the male than in the female. The death of non-infectious chronic diseases （NCDs） accounted for the highest of 73.77%, the death of injuries occupied 8.99%. The five leading causes of death were cardiovascular disease, cerebrovascular disease, chronic respiratory disease, malignant neoplasms and injury. Cerebrovascular diseases, acute myocardial infarction, other coronary disease, corpu]monale and hypertensive heart disease were the leading death causes for circulatory system diseases. Gastric cancer, esophageal cancer, lung cancer and liver cancer were the leading death causes for malignant tumors. Traffic accident, drowning, suicide, accidental- ly poisoning and fall were the main death causes for injury. Conclusions The proportion of NCD is the highest in total death, and it is the main death cause that endangers the health of residents in Xinjiang surveillance counties. The morbidity and mortality of cardio-cerebrovascular diseases are higher than those in former years. Gastrointestinal malignant tumors are still severe, and motor vehicle traffic accident is the main risk factor for young adults＇ healthy in Xinjiang surveillance counties. So it is necessary to strengthen prevention and control of NCDs and injury in Xinjiang in the future.