沈阳市2010—2015年呼吸系统疾病死亡趋势分析

Analysis of death trend of respiratory diseases in Shenyang from 2010 to 2015

目的通过分析2010-2015年沈阳市呼吸系统疾病的死亡现况及发展趋势,为沈阳市呼吸系统疾病的防治提供一定的理论依据。方法收集由沈阳市疾病预防控制中心提供的该市居民病伤死亡原因年报表资料,采用Joinpoint模型的应用年度变化百分比(annual percent change,APC)对2010-2015年沈阳市呼吸系统疾病死亡情况进行趋势分析。结果沈阳市2010年和2015年呼吸系统疾病总死亡数分别为2 686例和3 209例,呼吸系统疾病总死亡率由74.13/10万变化到85.65/10万,差异有统计学意义(APC=4.0%,95%CI:0.8%~7.4%,P<0.05)。2010-2015年呼吸系统疾病总死亡粗率为80.09/10万,标化死亡率为32.06/10万,死亡顺位为第3位。呼吸系统疾病死亡率随时间变化各年龄段有差别,男性75岁年龄组标化死亡率最高,为6.70/10万;女性≥85年龄组标化死亡率最高,为8.25/10万。≥85岁组男性死亡率为2 688.27/10万,女性死亡率为1 904.93/10万,男性死亡率高于女性,差异有统计学意义(χ2=369.38,P<0.01)。2010-2015年0~14岁组和15~64岁组随时间变化死亡率呈上升趋势,>65岁组死亡率则呈下降趋势,差异均有统计学意义(P<0.05)。结论沈阳市呼吸系统疾病死亡率有年龄和性别变化趋势,因此为了降低呼吸系统疾病的死亡率,应尽早进行呼吸系统疾病的预防和筛查工作。

Object To provide the theoretical basis for the prevention and treatment of respiratory diseases by analyzing the status and development trend of respiratory disease death in Shenyang from 2010 to 2015.Methods The data of the annual report of the residents,death was collected from the Shenyang Municipal Center for Disease Control and Prevention.The Joinker model of annual percent change(APC) was used to analyze the impact of respiratory disease mortality in Shenyang from 2010 to 2015.Results In 2010 and 2015,the total death rate of respiratory diseases in Shenyang was 2 686 and 3 209,respectively.The total death rate of respiratory diseases changed from 74.13/100 000 to 85.65/100 000,with statistically significant differences(APC =4.0%,95%CI: 0.8%~7.4%,P<0.05).The total crude mortality rate of respiratory disease was 80.09/100 000,the standard mortality rate was 32.06/100 000,the death of the first place in 2010 and 2015 Shenyang,the third in line for death.From 2010 to 2015,the mortality rate of respiratory diseases varied with time in different age groups,and the standardized mortality rate was the highest in males aged 75 years old above,which was 6.70/100 000.After standardization,the standardized mortality rate of women over 85 years old was the highest,accounting for 8.25/100 000.The mortality rate of males was 2 688.27/100 000,and that of females was 1 904.93/100 000.The mortality rate of males was higher than that of females,with statistically significant differences χ2=369.38,P<0.01)in the group over 85 years old.From 2010 to 2015,the death rate of the 0-14 year-old group and the 15-64 year-old group showed an upward trend over time,while the death rate of the group over 65 years old showed a downward trend,with statistically significant differences(P<0.05).Conclusion The mortality rate of respiratory diseases in Shenyang has the trend of age and sex change,so the prevention and screening of respiratory diseases should be carried out as soon as possible in order to reduce the mortality rate of respiratory diseases.