2008年-2012年某自治区监测点死因顺位分析

目的分析某自治区2008～2012年的死因顺位及死因构成,了解死因构成及其分布规律,找出严重影响该地区人民健康的主要疾病,为提高居民健康提供预防策略;分析2008～2012年某地区死亡率的动态变化,为医院加强诊疗工作,科学管理,合理医疗资源配置提供参考依据。方法收集某自治区死因监测系统2008年～20l2年某市天山区、和田县、莎车县、新源县、新和县5个监测点的数据。按照国际疾病分类（ICD-10）进行死因编码,采用Excel2003、SPSS17.0软件进行统计分析。结果 2008年～2012年死因顺位前12的疾病是循环系统疾病、呼吸系统疾病、损伤和中毒外部原因、肿瘤、传染病和寄生虫病、起源于围生期的某些情况、其他疾病、内分泌营养和代谢的其他疾病、消化系统疾病、先天畸形和变性及染色体异常、神经系统疾病、泌尿生殖系统疾病。慢性非传染性疾病成为危害人们健康的主要问题。不同性别的死因构成略有不同。汉族与维吾尔族各疾病在2008年～20l2年间死亡率变化不同。结论在医疗资源有限的情况下,依据某自治区在2008年～20l2年间人群疾病死因顺位在前10的疾病、性别和民族间的差异应采取不同的干预措施,以降低各类疾病对人群的危害。

Analysis on the Death Cause Order of the Monitoring Points in a Autonomous Region from 2008 to 2012

Objective To analyze the death cause order and the death cause constitution in a Uygur Autonomous Region from 2008 to 2012,so as to understand the death cause constitution and its distribution rules,find out the main disease that have a strong effect on the health of people in this region and provide prevention strategy for the improvement of the health of the residents.To analyze the dynamic changes of the mortality in the Uygur Autonomous Region from 2008 to 2012,and provide reference for the reinforce of treatment work,scientific management and rational medical resource allocation.Method To collect the data of five monitoring points in the monitoring system in the Uygur Autonomous Region from 2008 to 2012,including Tianshan District,Hotan County,Yarkant County,Kuenes County and Toksu County.These collected data were classified according to the ICD-9,then conducted statistically analysis with Excel 2003 and SPSS17.0.Results From 2008 to 2012,the top 12 diseases of the death cause order were respectively circulation system disease,respiratory disease,external reasons such as injury and toxicosis,tumors,epidemic disease,parasitic disease,some certain circumstances originate from perinatal period,other disease,endocrine nutrition and metabolic other disease,digestive system disease,congenital malformation and degeneration,chromosome abnormality,nervous system disease,and disease of the genitourinary system.And chronic noncommunicable diseases became the major issues that influence the people＇s health.There was a little difference between different genders about the constitution of death.The mortality of all those diseases between Han nationality and Uyghur changed differently from 2008 to 2012.Conclusion Under the circumstance of limited medical resources,we should take various intervention measures to the top ten diseases according to the death cause order in the Uygur Autonomous Region from 2008 to 2012,and different genders and nationalities should be given different intervention measures,thus to reduce the h