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目的研究北京市东城区居民近5年主要死因构成、主要疾病死亡率变化趋势及疾病谱的变化,评价人口健康水平,为制定今后社区慢性病综合防治策略和措施提供依据。方法按照《国际疾病分类第10版(ICD-10)》编码进行死因归类,采用DeathReg 2005统计软件对2005-2009年北京市东城区全人群死因监测资料进行分析。结果近5年东城区居民死亡构成前3位依次是恶性肿瘤、心脏病、脑血管病;恶性肿瘤中以肺癌的死亡率最高,死亡率为43.10/10万,其次是肝癌16.54/10万;减寿率最高的是恶性肿瘤为8.01‰。2005-2009年心脏病、脑血管病死亡率与1995-1999年比较呈下降趋势,而恶性肿瘤死亡率则呈上升趋势。结论北京市东城区居民以恶性肿瘤及心脑血管病等慢性病为主要死因,其中肺癌的死亡率和减寿率均居首位。
Objective To study the composition of major causes of death, the trend of mortality of major diseases and the change of disease spectrum in residents of Dongcheng District in Beijing in the recent 5 years, and to evaluate the population health level in order to provide the basis for formulating strategies and measures for comprehensive prevention and control of community chronic diseases in the future. Methods The causes of death were classified according to the ICD-10 code, and the DeathReg 2005 statistical software was used to analyze the data of all-cause mortality monitoring in Dongcheng District, Beijing from 2005 to 2009. Results The first three deaths of residents in Dongcheng District in the recent 5 years were malignant tumors, heart diseases and cerebrovascular diseases. The highest death rate was 43.10 / 100,000 in lung cancer, followed by 16.54 / 100000 in liver cancer. The highest rate of longevity is malignant tumor was 8.01 ‰. In 2005-2009, the mortality rate of heart disease and cerebrovascular disease showed a decreasing trend compared with that of 1995-1999, while the death rate of malignant tumor was on the rise. Conclusion Residents in Dongcheng District, Beijing, are the leading cause of death due to chronic diseases such as malignant tumors and cardio-cerebrovascular diseases. Among them, the mortality and the rate of longevity of lung cancer rank the first place.