2005--2008年云南省居民死因监测分析

目的了解云南省疾病监测点居民死因分布特点，为综合防治提供依据。方法通过死亡率、构成比、潜在减寿年数（PYLL）、减寿率（PYLL率）等指标分析居民死亡和减寿的主要原因。结果2006--2008年云南省疾病监测点报告死亡人数39014例，死亡率564．40／10万（标化死亡率为578．62／10万），男性高于女性；前5位死因顺位依次为呼吸系统疾病、损伤和中毒、脑血管病、恶性肿瘤、心脏病，占全死因的71．07％；呼吸系统疾病、损伤和中毒、恶性肿瘤是造成云南省疾病监测点居民寿命损失的主要疾病；自杀、意外跌落、机动车辆交通事故、其他意外事故和有害效应是损伤和中毒的主要死因。是造成监测点居民“早死”及青壮年死亡的主要死因。结论慢性非传染性疾病是构成监测点居民死亡的主要原因，损伤和中毒是构成监测点青壮年“早死”的主要原因。

Monitoring and Analysis of Causes of Death among Residents in Yunnan Province during 2006-2008

Objective] To understand the distribution of death causes in Yunnan and provide scientific evidence for comprehensive prevention measures. Methods ] The major causes of death and life loss were found out with such indicators as mortality, constituent ratio of causes of death, Potential Years of Life Lost（ PYLL） , rate of Potential Years of Life Lost （ rate of PYLL）. Results] Totally 39,014 death cases were reported during 2006-2008 and the mortality was 564.40/100 000, male cases were more than female cases. The first five chief causes of death in order were respiratory diseases, injuries and toxicosis, cardiovascular diseases, malignant tumor and heart disease, by which cases of death caused accounted for 71.07% of total. Respiratory diseases, injuries and/oxicosis and malignant tumor were the leading causes of loss of life. Suicide, accidental fall, traffic accident of motor vehicle, other accidents and harmful effects were the major constitution of injuries and toxicosis, which resulted in premature death of residents and death of the younger. Conclusion] Chronic diseases are the chief causes of death, and injuries and toxicosis lead to the premature death of young adults in monitoring point.