2003～2012年北京市西城区(北区)老年人口死因分析

Analysis of the causes of death of the elderly in Xicheng district of Beijing during 2003-2012

目的利用北京市西城区（北区）居民死因登记报告,分析2003~2012年北京市西城区（北区）老年人口死亡情况,为今后卫生防病策略的制定提供依据。方法利用全市各级医疗机构填报和10个街道派出所收集的户籍居民死亡医学证明书,及北京市疾病预防控制中心信息中心提供的2003~2012年百岁表及出生人数作为基础资料,按照国际统一分类方法 ICD-10进行疾病分类编码,计算各种疾病死亡指标。结果 2003~2012年西城区（北区）老年人口比例为18.88%,老年死亡人口占总死亡人群的85.54%。循环系统疾病居死因首位,其次为肿瘤和呼吸系统疾病。2003~2012年,老年人群胃癌、结肠直肠和肛门癌、肺癌、心脏病、肺炎死亡率呈上升趋势（P〈0.05）,因食管癌、肝癌、脑血管病、慢性下呼吸道疾病死亡率无变化趋势（P〉0.05）。结论加强老年人口疾病防治工作,控制北京市西城区（北区）老年人口死亡率,提高老年人口生活质量,是一个亟待解决的问题。

Objective To analyze the causes of death of the elderly in Xicheng District（ the northern region） in Beijing and to provide strategies for disease prevention and control in the future. Methods The mortality related data of the elderly from 2003 to 2012 were collected from the medical institutions and 10 community police substations in Beijing,and the data of new born babies and 100-years old people were collected from Information Centre of Beijing CDC. All the diseases were coded according to ICD-10. Results In Xicheng district（ the northern region）,old people accounted for18. 88% of the population,and the elderly population accounted for 85. 54% of the total dead population. The top three causes of the death were circulation system diseases,cancers,and respiratory diseases. From 2003 to 2012,the mortality rates induced by gastric cancer,colorectal and anal cancer,lung cancer,heart disease,pneumonia increased in the elderly（ P〈0.05）. Conclusions It is urgent to take effective measures to improve disease prevention work and enhance the living quality of the elderly people in Xicheng District（ the northern region） in Beijing.