2014-2018年四川省居民死因监测数据分析

Surveillance for death causes in residents in Sichuan,2014–2018

目的对四川省常住居民的死亡水平及死因顺位进行分析,为进一步预防和控制疾病提供依据。方法数据来源于"中国疾病预防控制信息系统——人口死亡信息登记管理系统"中2014—2018年四川省31个国家级死因监测点常住居民死亡数据。采用国际疾病分类第10版(ICD-10)编码。采用SAS 9.4软件计算分年龄死亡率、标化死亡率。结果2014—2018年四川省居民死亡率分别为677.93/10万、694.56/10万、702.67/10万、705.29/10万和703.41/10万,标化死亡率分别为555.26/10万、562.55/10万、529.57/10万、531.39/10万和502.10/10万,标化死亡率有下降趋势;四川省居民分系统前3位死因分别是心脑血管疾病、恶性肿瘤和呼吸系统疾病。心脑血管病排名前3位的为脑血管病、缺血性心脏病、高血压性心脏病和/或肾脏病,脑血管病标化死亡率有下降趋势,缺血性心脏病死亡率有上升趋势;恶性肿瘤排名前3位的为肺癌、肝癌和食道癌,均有下降趋势,仅胰腺癌死亡率有上升趋势;呼吸系统疾病死亡以慢性阻塞性肺疾病和下呼吸道感染为主,慢性阻塞性肺疾病标化死亡率有下降趋势。结论四川省缺血性心脏病死亡上升明显,慢性阻塞性肺疾病死亡虽下降但高于全国平均且居全国前列,恶性肿瘤死亡率呈下降但高于全国平均,胰腺癌死亡率有上升趋势,应重点关注。

Objective To understand the death level and death cause rank in residents in Sichuan province from 2014 to2018 and provide evidence for the further prevention and control of diseases.Methods The death data in 31 national causeof-death surveillance areas in Sichuan from 2014 to 2018 were obtained from"China Disease Prevention and Control Information System-Death Reporting Information System".International Classification of Diseases 10 th Edition(ICD-10)was used for death data coding.Age specific and standardized mortality rates were calculated with software SAS9.4.Results From2014 to 2018,the mortality rates in residents in Sichuan were 677.93/100000,694.56/100000,702.67/100000,705.29/100000 and 703.41/100000,respectively,and the standardized mortality rates were 555.26/100000,562.55/100000,529.57/100000,531.39/100000,and 502.10/100000,showing a downward trend.The top 3 death causes were cardiovascular diseases,malignant tumors and respiratory diseases.The top 3 death causes of cardiovascular diseases were cerebrovascular disease,ischemic heart disease,hypertension heart disease and/or kidney disease.The standardized mortality rate of cerebrovascular disease showed a downward trend,and the mortality rate of ischemic heart disease showed an upward trend.The top 3 death causes of malignant tumors were lung cancer,liver cancer and esophageal cancer,their mortality rates showed downward trends,but the mortality rate of pancreatic cancer showed an upward trend.The main death causes of respiratory diseases were chronic obstructive pulmonary disease(COPD)and lower respiratory tract infections,but the standardized mortality rate of COPD showed a downward trend.Conclusion In Sichuan,the mortality rate of ischemic heart disease increased significantly.The mortality rate of COPD declined,but it was higher than the national average and ranked ahead.The mortality rate of malignant tumors decreased,but it was higher than the national average.The mortality rate of pancreatic cancer showed an upward trend,to which close attention should be paid.