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目的了解延平区居民主要疾病死亡及分布特征,为采取干预措施和制定健康促进决策提供依据。方法收集各级医疗机构死亡病例、殡仪馆死亡火化人员名单、公安部门户籍注销等辖区居民死亡人员名单,经核对查重、核实死亡信息和死亡原因推断,进行全人群死因分析。结果 2013年延平区全人群死亡率549.93/10万(标化死亡率338.44/10万),居前5位死因死亡率合计482.18/10万,占全部死因87.7%,前5位死因死亡率(构成比)分别为:恶性肿瘤132.73/10万(24.1%)、脑血管病123.75/10万(22.5%)、心脏病107.72/10万(19.6%)、呼吸系统疾病66.68/10万(12.1%)、损伤和中毒51.30/10万(9.3%)。结论恶性肿瘤、心脑血管和呼吸系统疾病等慢性病、损伤和中毒等意外伤害,已成为危害健康的主要死因,应加强慢性病和意外伤害的综合防控措施。
Objective To understand the death and distribution of major diseases in residents in Yanping District and provide the basis for taking interventions and formulating health promotion policies. Methods The death toll of medical institutions at all levels, death cremation of funeral parlors, and cancellation of household registration of residents in public security departments were collected. The causes of death were analyzed and verified, and the cause of death was analyzed. Results In 2013, the mortality rate of the whole population in Yanping District was 549.93 / 100,000 (the standardized death rate was 338.44 / 100000). The top 5 causes of death were 482.18 / 100,000, accounting for 87.7% of all causes of death and the top 5 deaths ( The proportion of malignant tumors was 132.73 / 100000 (24.1%), cerebrovascular disease was 123.75 / 100000 (22.5%), heart disease was 107.72 / 100000 (19.6%) and respiratory system disease was 66.68 / 100000 (12.1% ), Injuries and poisoning 51.30 / 100,000 (9.3%). Conclusions Chronic diseases such as malignant tumors, cardiovascular and respiratory diseases, injuries and poisoning have become the main causes of health hazards. Comprehensive prevention and control measures should be strengthened for chronic diseases and accidental injuries.