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目的了解丰县居民死因状况及分布特征。方法按照国际疾病分类(ICD-10)进行死因编码,按照卫生部(CCD-87)17大类进行死因归类整理分析。结果 2013年丰县报告死亡人数6 985人,死亡率为590.80/10万(标化死亡率为344.06/10万),男性为635.19/10万(标化率为390.70/10万),女性为542.24/10万(标化率为294.10/10万),差异有统计学意义(χ2=43.38,P<0.05)。前5位主要死因为心脏疾病、脑血管病、恶性肿瘤、损伤和中毒外部原因、呼吸系统疾病,死亡率依次为186.34/10万、149.04/10万、116.39/10万、48.21/10万、25.71/10万,累计占总死亡数的88.98%。结论慢性非传染性疾病是丰县居民的主要死因,应加强健康教育和健康促进,大力倡导健康生活方式,加大高危人群筛查和干预力度。
Objective To understand the causes of death and the distribution characteristics of residents in Fengxian County. Methods According to the International Classification of Diseases (ICD-10), the causes of death were coded and the cause of death was classified and analyzed according to the 17 categories of the Ministry of Public Health (CCD-87). Results In Fengxian county in 2013, a total of 6 985 fatalities were reported, with a mortality rate of 590.80 / 100,000 (a standardized death rate of 344.06 / 100,000), 635.19 / 100,000 males (standardized rate 390.70 / 100,000) and females 542.24 / 100000 (standardization rate of 294.10 / 100000), the difference was statistically significant (χ2 = 43.38, P <0.05). The top five major causes of death were heart disease, cerebrovascular disease, malignancy, external causes of injury and poisoning, respiratory diseases, and mortality in turn were 186.34 / lakh, 149.04 / lakh, 116.39 / lakh, 48.21 / lakh, 25.71 / 100000, the cumulative total number of deaths of 88.98%. Conclusion Chronic non-communicable diseases are the main cause of death in Fengxian County. Health education and health promotion should be strengthened. Healthy lifestyle should be advocated vigorously and the screening and intervention should be strengthened.