2003～2005年新疆昌吉回族自治州居民死因及潜在寿命损失分析

目的分析2003-2005年新疆昌吉回族自治州（简称昌吉州）居民死亡资料,为制定疾病预防策略提供科学依据。方法对昌吉州2003-2005年常住居民进行全死因调查,按国际疾病ICD-10进行分类,采用死亡率、死因别死亡率、PYLL率等进行分析。结果昌吉州全死因率5.23‰,其中男性6.20‰,女性4.09‰,全死因标化率为6.56‰;全死因PYLL率71.84‰,男性PYLL率是女性的2.16倍;按全死因率排序前五类死因依次为循环系统、恶性肿瘤、损伤与中毒、呼吸系统及消化系统;按PYLL率排序,前5位依次为损伤与中毒、循环系统、恶性肿瘤、呼吸系统和消化系统;2003-2005年昌吉州居民平均期望寿命为72.34岁,其中男性69.23岁,女性76.00岁。结论导致昌吉州居民死亡的主要疾病依次为循环系统疾病、恶性肿瘤、损伤与中毒、呼吸系统疾病和消化系统疾病;慢性非传染性疾病和损伤与中毒已成为危害昌吉居民健康的主要死因。加强健康教育及行为干预,促进良好的生活行为方式形成,才能从根本上降低居民死亡率。

Analysis of Death Causes and Potential Life Lost of Inhabitants in Changji of Xinjiang from 2003 to 2005

Objective To analyze death data of residents in Changji Hui Autonomous Prefecture of Xinjiang from 2003 to 2005, to provide scientific basis for formulating disease control strategy. Methods Cause of death of residents in Changji from 2003 to 2005 was investigated and classified by the ICD-10, and mortality rate, disease-specific mortality rate and potential years of life lost （PYLL） were analyzed. Results The annual average mortality rate of the residents was 5.23‰,including male of 6.20‰ and female of 4.09‰. The standardized mortality rate was 6.56‰ and PYLL rate was 71.84‰, and it was 2.16 times in male than in female. According to the cause of death, there were five causes of death in the front, that is, circular system diseases, malignant tumor, injuries and poisoning, respiratory system diseases and digestive system disease. By the PYLL rate, those were injuries and poisoning, circular system diseases, malignant tumor, respiratory system diseases and digestive system diseases. The average life expectancy of the residents was 72.34 years old, including 69.23 years old of the male and 76.00 years old of the female. Conclusions The main diseases causing death of residents in Changji Prefecture are circular system diseases, malignant tumor, injuries and poisoning, respiratory system diseases and digestive system disease. Chronic non-communicable disease, injuries and poisoning have been the main cause to damage health of residents in Changji. So reinforcing the health education and behavior intervention, promoting the formation of good life and behavior can essentially reduce the death rate of the resident.