泰安市大汶河流域2002～2004年育龄妇女主要死因及寿命损失分析

Analysis on the main causes of maternal death and life lost of the women of childbearing age in Dawen River basin in Taian city from 2002 to 2004

目的:通过对泰安市大汶河流域育龄妇女居民死亡状况的分析,了解育龄妇女的主要死因及其导致的寿命损失年数。方法:应用死亡专率和潜在减寿年数(PYLL)对大汶河主干流域育龄妇女2002～2004年人口死因进行分析。结果:研究区育龄妇女死亡率为1.09‰,对照区为0.89‰,其标化死亡率两区比较,差异有统计学意义(Z=2.83,P<0.01)。肿瘤、损伤与中毒、循环系统疾病、呼吸系统疾病、泌尿系统疾病、传染病是育龄妇女的主要死因。PYLL及PYLL率前6位死因与死亡构成前6位死因一致,但顺位不同。除呼吸系统疾病、传染病和寄生虫病外,其余主要死因研究区与对照区潜在寿命损失年数标化率(SPYLL率)差异有统计学意义(P<0.01)。结论:肿瘤、损伤与中毒、循环系统疾病、呼吸系统疾病、泌尿系统疾病、传染病是导致育龄妇女"早死"的主要死因。

Objective：To understand the main causes of maternal death and the years of life lost of the women of childbearing age by analyzing the status of maternal death in Dawen River basin in Taian city. Methods：Specific death rate and potential years of life lost（PYLL） were used to analyze the causes of death among the women of childbearing age in the main basin of Dawen River from 2002 to 2004. Results：The maternal mortalities were 1.09‰ in study area and 0.89‰ in control area,there was significant difference in standardized mortality rate between study area and control area（Z=2.83,P0.01）.Tumor,injury and poisoning,circulatory diseases,respiratory system diseases,urinary system diseases,and infectious diseases were the main causes of maternal death.The top six causes of maternal death of PYLL and PYLL rate were in accord with those of proportion of causes of maternal death,but the sequence was different.Except respiratory system diseases,infectious diseases,and parasitic diseases,there was significant difference in standardized PYLL rates of the other main causes of maternal death between study area and control area（P0.01）. Conclusion：Tumor,injury and poisoning,circulatory diseases,respiratory system diseases,urinary system diseases,and infectious diseases are the main causes of early death of the women of childbearing age.