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目的了解2011―2015年常熟市居民伤害死亡情况,为开展伤害预防控制提供科学依据。方法采用死因分析专用统计软件DeathReg 2005和SPSS 17.0、Excel 2010软件对2011―2015年常熟市居民死因监测数据进行整理和统计,采用描述流行病学方法进行分析。结果2011―2015年常熟市居民伤害死亡3 295例,伤害死亡率为61.74/10万,标化死亡率为37.80/10万,伤害死亡占全死因死亡总数的7.75%,居死因顺位第5位。居民伤害死亡前5位死因依次为交通事故、意外跌落、溺水、自杀和火灾,分别占35.22%、27.64%、18.72%、7.01%、1.37%,合计占伤害死亡总数的89.96%。0~14岁组伤害死亡率为11.07/10万,以溺水为主要伤害死因(占55.93%);15~44岁组伤害死亡率为18.03/10万,以交通事故为主要伤害死因(占46.05%);45~59岁组和60~74岁组伤害死亡率分别为41.00/10万和91.22/10万,均以交通事故为主要伤害死因(分别占49.39%和49.50%);≥75岁组伤害死亡率为368.75/10万,以意外跌落为主要伤害死因(占44.81%)。随着年龄的增长,伤害死亡率呈上升趋势(P<0.01)。结论伤害已经成为常熟市居民主要死亡原因之一,应根据不同类型伤害特点及年龄特点采取有针对性的防控措施。
Objective To understand the death and injury among residents in Changshu from 2011 to 2015 and provide a scientific basis for prevention and control of injuries. Methods DeathReg 2005 and SPSS 17.0, Excel 2010 software were used to analyze and analyze the data of death causes of residents in Changshu from 2011 to 2015, and the descriptive epidemiological method was used to analyze the data. Results From 2011 to 2015, 3 295 residents were killed and injured in Changshu City, the injury mortality rate was 61.74 / 100000, the standardized death rate was 37.80 / 100000, the injury deaths accounted for 7.75% of the total number of all death causes and the 5th Bit. The top five deaths among residents were 35.22%, 27.64%, 18.72%, 7.01% and 1.37% respectively, accounting for 89.96% of the total number of deaths, followed by traffic accidents, accidental falls, drowning, suicide and fire. The death injury rate was 11.07 / 100 000 in the age group of 0 ~ 14 years old, with the drowning as the main cause of death (55.93%). The injury death rate was 18.03 / 100 000 in the age group of 15 ~ 44 years old, accounting for 46.05 %). The death fatality rates of 45 to 59-year-old group and 60 to 74-year-old group were 41.00 / 100000 and 91.22 / 100000, both of which were caused by traffic accidents (49.39% and 49.50%, respectively) The group injury death rate was 368.75 / 100,000, with accidental drop as the main cause of death (44.81%). Injury mortality increased with age (P <0.01). Conclusions Injury has become one of the main causes of death among residents in Changshu City. Targeted prevention and control measures should be taken according to different types of injuries and age characteristics.