张家港市2011年居民死亡资料分析

Analysis on death data of residents in Zhangjiagang City in 2011

目的分析张家港市2011年居民死亡资料,为相关部门制定卫生工作决策和评价疾病预防控制工作的防治效果提供基础信息和科学依据。方法利用DeathReg 2005《死亡医学登记系统》进行分析,计算居民的粗死亡率、分性别死亡率、婴儿死亡率、新生儿死亡率、平均期望寿命、死因构成和死因顺位等统计指标。利用SPSS 13.0软件计算不同性别间死亡率差异有无统计学意。结果 2011年张家港市居民粗死亡率为693.78/10万,标化死亡率为311.69/10万,男性死亡水平高于女性;婴儿死亡率为3.68‰,新生儿死亡率为2.39‰;平均期望寿命为81.34岁;前10位死因依次为恶性肿瘤、脑血管病、损伤和中毒、呼吸系统疾病、心脏病、内分泌营养代谢疾病、其他疾病、精神障碍疾病、消化系统疾病、神经系统疾病,共占全部死因的95.85%,其中男性前3位死因是恶性肿瘤、脑血管病和呼吸系统疾病,女性前3位死因是脑血管病、恶性肿瘤和损伤和中毒。结论恶性肿瘤、脑血管病和损伤和中毒已经成为影响居民健康的重要公共卫生问题,应将以上因素的预防控制措施作为今后工作的重点,从而提高居民的生活质量。

[ Objective ] To analyze the death data of residents in Zhangjiagang City in 2011, provide both basic information and scientific basis for the relevant departments to formulate health policy and evaluate the effect of disease control and prevention. [ Methods] The death statistical indexes were analyzed by the Death medical registration system （ DeathReg 2005 }, which included the crude mortality, sex mortality, infant mortality, neonatal mortality, average life expectancy, constitution and rank order of cau- ses of death. The difference in mortality between male and female were analyzed with SPSS software. [ Results] In 2011, the crude mortality and standardized mortality of residents was respectively 693.78/lakh and 311.69/lakh in Zhangjiagang. The male mortali- ty was significantly higher than that of female. The infant mortality and neonatal mortality was respectively 3.68%0 and 2.39%e, and the average life expectancy was 81.34 year-old. The top ten causes of death were malignant tumor, cerebrovascular disease, injury and poisoning, respiratory disease, heart disease, endocrine nutritional and metabolic disease, other diseases, mental disorder, di- gestive system disease and nervous system disease~ which accounted for 95.85% of total causes of death. The top three causes of death in males were malignant tumor, cerebrovascular disease and respiratory disease, however, those in females were cerebrovas- cular disease, malignant tumor, injury and poisoning. [ Conehmion ] Malignant tumor, cerebrovascular disease, as well as injury and poisoning have become important public health problems. These factors should be regarded as priorities of disease control activi- ties in future, thus improving the residents＇life quality.