2012年四川省居民主要死因去死因期望寿命和减寿分析

目的分析各类死因对四川省居民期望寿命的影响,为政府就提高期望寿命、促进居民健康制定措施提供依据。方法采用DeathReg2005软件收集、整理2012年四川省居民死因监测数据,采用Excell软件、SPSS软件编制蒋氏简略寿命表、去死因寿命表,计算粗死亡率、标化死亡率、平均期望寿命、去死因期望寿命、潜在减寿年数、减寿率等。结果 2012年四川省居民粗死亡率621.78/10万,标化死亡率621.49/10万,平均期望寿命校正值75.22岁;去死因期望寿命分析显示循环系统疾病、呼吸系统疾病、肿瘤、损伤和中毒、消化系统疾病所致期望寿命损失年居前5位,去掉该死因,分别可增加4.51年、3.42年、3.34年、1.13年、0.39年。去单病种死因期望寿命分析,增值前5位为恶性肿瘤、脑血管病、慢性下呼吸道疾病、心脏病、机动车辆交通事故。潜在寿命分析,减寿率顺位为肿瘤、损伤和中毒、循环系统疾病、呼吸系统疾病、消化系统疾病,其导致每千人寿命缩短的人年数分别为18.67人年、12.21人年、10.35人年、5.44人年、2.55人年。不同性别和城市与农村间各类分析顺位略有差异。结论四川省居民期望寿命的提高需要加强对肿瘤、心脑血管疾病、呼吸道疾病及意外伤害等慢性非传染性疾病的预防和控制。

Cause Eliminated Life Expectancy and Potential,Years of Life Lost of Residents in Sichuan in 2012

Abstract Objective To analyze the impact of all kinds of causes of death lo life expectancy for residents of Si- chuan and to provide references for formulating measures to increase life expectancy and promote the health of residents. Methods DeathReg2005 was applied to collect and collate the surveillance data of deaths of residents in Sichuan in 2012. Excel and SPSS were employed to establish the Chiang abridged life table and cause elimi- nated life table, based on which indicators of crude death rate, standardized mortality rate, average life ex- pectancy, cause eliminated life expectancy, the potential years of life lost, the rate of PYLL were all calculat- ed. Results The crude mortality rate was 621.78/10^5, the standardized mortality rate was 521.49/10^5 and the adjusted average life expectancy was 75.22 years old. Circulatory system disease, respiratory system dis- ease, tumor, injury and poisoning, digestive system disease were the top 5 causes for expected years of life lost. If the above causes of death removed the life expectancy could increase by 4.51 years, 3.42 years, 3.34 years, 1.13 years and 0. 39 years respectively. Analysis of life expectancy with the single disease removedshowed that the top 5 value added were malignant tumor, cerebrovascular disease, chronic lower respiratory disea- ses, heart disease and motor vehicle traffic accidents. Analysis of potential life showed that rates of potential year of life lost （PYLL） sequence were tumor, injuryand poisoning, diseases of the circulatory system, respiratory system disease and digestive system disease,leading to shorten the person - years of expected life of 18.67 person - years, 12.21 person - years, 10. 35 person - years, 5.44 person - years and 2. 55 person - years, respectively. There was a little sequence differ-ence between different gender, rural and urban. Conclusion In order to improve the life expectancy for resi- dents in Sichuan, it is recommended to strengthen the prevention and control on cancer, cardiovascular and cerebrov