长沙市城区2007-2010年居民死因监测结果分析

目的了解2007-2010年长沙市城区居民死亡水平与死因构成,分析影响居民健康的主要疾病。方法采用国际疾病分类ICD-10进行编码,录入全国疾病监测系统软件DeathReg2005,采用SPSS13.0软件进行统计分析。结果四年累计监测人口数为1 580 453人,居民因各种因素共死亡8 555人,平均死亡率为541.30/10万,平均标化死亡率为431.36/10万;其中男性平均死亡率为622.70/10万,女性平均死亡率为458.08/10万,两者差异有统计学意义（χ2=196.73,P=0.000）。占总死亡率94.47%的前七位死因依次是心脑血管疾病、恶性肿瘤、呼吸系统疾病、损伤中毒、内分泌营养代谢疾病、传染病、消化系统疾病。结论心脑血管疾病、恶性肿瘤、呼吸系统疾病是长沙市城区居民的主要死因,应采取综合措施进行干预,降低慢性非传染性疾病的死亡。

Analysis on Surveillance Results of Death Causes Among Urban Residents in Changsha City from 2007 to 2010

Objective To investigate the death cause constitution among the urban residents in Changsha City during the period of 2007-2010,and to analyze the main diseases affecting the residents’ health. Methods The data were classified according to ICD-10 and analyzed with DeathReg2005 and SPSS13.0 software. Results Totally 1,580,453 residents were monitored from 2007 to 2010.The total death cases of the residents were 8,555.The average mortality rate was 541.30/100,000.The average standardized mortality rate was 431.36/100,000.The male mortality rate was 622.70/100,000 and the female mortality rate was 458.08/100,000,the difference was statistically significant(χ2=196.73,P=0.000).Cardiovascular and cerebrovascular disease,cancer,respiratory disease,poisoning and injury,endocrine nutritional and metabolic diseases,infectious disease,and digestive disease were the top seven death causes that accounted for 94.47% of total mortality rate. Conclusions Cardiovascular and cerebrovascular disease,cancer and respiratory disease are the main death causes among the urban residents in Changsha City.It is necessary to adopt comprehensive countermeasures so as to reduce the death cases caused by noninfectious chronic diseases.