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目的分析广东省台山市居民死亡水平、主要死亡原因及死亡负担变化趋势。方法按照国际疾病分类法(ICD-10)编码对台山市居民2008—2010年死亡资料进行分类整理,计算死亡率、死因构成、潜在寿命损失等。用DeathReg 2005软件系统进行统计分析。结果台山市2008—2010年共监测人口合计2 955 821人,其中男性1 506 896人,女性1 448 925人,3年间累计报告死亡23 472例,平均报告死亡率、标化死亡率分别为794.09/10万、690.25/10万,婴儿死亡率平均为565.48/10万。主要死因顺位为循环系统疾病、肿瘤、呼吸系统疾病、损伤和中毒、消化系统疾病,前5位死因死亡数占总死亡数的91.74%。潜在寿命损失前5位分别为肿瘤、循环系统疾病、损伤和中毒、传染病和寄生虫病、起源于围生期疾病,平均减寿率分别为14.60%、8.99%、5.15%、2.55%、1.76%。结论慢性病和伤害为台山市居民的主要死因,应加强肿瘤和伤害的预防控制工作。
Objective To analyze the death level, the main causes of death and the changing trend of death burden of residents in Taishan City, Guangdong Province. Methods According to the code of International Classification of Diseases (ICD-10), the death data of residents in Taishan from 2008 to 2010 were classified, and the mortality, the cause of death and the potential loss of life expectancy were calculated. Statistical analysis with the DeathReg 2005 software system. Results A total of 2 955 821 residents were monitored in Taishan from 2008 to 2010, including 1 506 896 males and 1 448 925 females. A total of 23 472 deaths were reported in the past three years. The average reported and standardized death rates were 794.09 / 100,000, 690.25 / 100,000, with an average infant mortality rate of 565.48 / 100,000. The major cause of death was circulatory system diseases, cancer, respiratory diseases, injuries and poisoning, and digestive diseases. The top five causes of deaths accounted for 91.74% of the total deaths. The top five potential loss of life were tumor, circulatory system disease, injury and poisoning, infectious disease and parasitic disease, originated in perinatal disease, the average rate of longevity were 14.60%, 8.99%, 5.15%, 2.55% 1.76%. Conclusion Chronic diseases and injuries are the main causes of death among residents in Taishan City. Prevention and control of tumors and injuries should be strengthened.