三峡库区二期蓄水后某县居民死因监测分析

Analysis of two period in Three Gorges Reservoir area after the impoundment of county residents death surveillance

目的分析三峡库区某县居民的全死因顺位及主要死因的死亡现状、死因构成及其年龄、性别特征,为各级政府制定疾病预防控制和卫生保健决策提供科学依据。方法 Excel 2003汇总数据,根据国际疾病分类第10版(ICD-10)死因分类法进行死因分类,采用SPSS17.0软件进行数据统计分析,并计算潜在减寿年数。结果 2003年7月至2013年12月共收集有效三峡库区忠县常住人口死亡病例62 702例,男性粗死亡率和标准化死亡率明显高于女性;死因顺位前5位依次为:循环系统疾病、呼吸系统疾病、恶性肿瘤、损伤中毒和消化系统疾病;三大类疾病死因中慢性病死亡人数占死亡总数的87.76%,成为最主要死因;潜在寿命损失率居前5位的依次为:损伤中毒、肿瘤、循环系统疾病、呼吸系统疾病和围生期疾病。结论三峡库区蓄水后忠县的主要死亡原因以循环系统疾病、恶性肿瘤、呼吸系统疾病为代表的慢性非传染性疾病为主,并且年龄逐步年轻化趋势;开展意外伤害研究,防止早死成为疾病预防控制重点之一。

Objective To analysis residents＇ death causes in the Three Gorges Reservoir Area, and analysis the distribution of causes of death and age,gender characteristics,therefore provide basis for governments at all levels to develop disease prevention. Methods Data for classification of death cause was analyzed by Excel 2003,according to the ICD-10 classification,the years of potential life lost（YPLL） was calculated by SPSS17.0. Results Totally 62 702 death date of resident population in Three Gorges Reservoir Area from July,2003 to December, 2013 were collected. The crude death rate for males and standardized mortality rate was significantly higher than that in female;Cause of death of the top five were., circulatory system disease,respiratory system disease,malignant tumor,injury and poisoning and digestive system diseases; Chronic disease was the main cause of death which accounting for 87.76% ;years of potential life lost rate of top five were：injury and poisoning, tumor, circulatory system disease, respiratory system diseases and perinatal diseases. Conclusion The main cause of death in Three Gorges Reservoir area is a county in the circulatory system diseases,malignant tumor, respiratory system disease, and show a younger trend. Therefore, prevent premature death has become one of the focal points of disease prevention and control.