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目的了解掌握杭州市萧山区居民死亡水平和死亡谱,为疾病预防和控制提供科学依据。方法收集2004年1月1日~2005年12月31日人口死亡资料,采用回顾性调查方法,全部进行入户调查,死因分类采用ICD-10编码。采用SPSS 11.0软件统计分析。率的标化采用2000年浙江省人口普查资料直接法标化。结果2004-2005年共死亡14 351人,其中男性8 073人,女性6 278人,男性:女性=1.29∶1,年平均死亡率6.15‰,标化死亡率4.32‰。居前五位的死因依次是:恶性肿瘤、脑血管疾病、呼吸系统疾病、损伤中毒和外部原因疾病以及心脏病,死亡率分别为1.68‰、1.14‰、1.14‰、0.75‰、0.67‰。前五位死亡总数占全死因的89.92%。结论该地区居民死亡谱中恶性肿瘤升至首位,脑血管疾病死亡占第二位。因此,如何加强肿瘤及慢性病的预防控制已成为近期及下阶段的主要卫生工作任务。
Objective To understand the death level and death spectrum of residents in Xiaoshan District of Hangzhou City and provide a scientific basis for disease prevention and control. Methods The data of death from January 1, 2004 to December 31, 2005 were collected and all the data were analyzed retrospectively. The cause of death was classified by ICD-10. Using SPSS 11.0 software statistical analysis. The rate of standardization in 2000 Zhejiang Province census data directly standardized. Results A total of 14 351 deaths were recorded in 2004-2005, including 8 073 males and 6 278 females. The average age of males was 1.29:1. The annual average mortality rate was 6.15 ‰ and the standardized mortality rate was 4.32 ‰. Among the top five causes of death, malignant tumors, cerebrovascular diseases, respiratory diseases, injuries and external causes, as well as heart disease and mortality were 1.68 ‰, 1.14 ‰, 1.14 ‰, 0.75 ‰ and 0.67 ‰, respectively. The top five deaths accounted for 89.92% of total deaths. Conclusions The malignant tumors in the death spectrum of residents in this area rose to the first place, and the death of cerebrovascular diseases accounted for the second place. Therefore, how to strengthen the prevention and control of cancer and chronic diseases has become a major health task in the near and the next phases.