惠州市2007—2011年居民伤害死因分析

目的分析2007—2011年惠州市居民伤害死亡发生规律和特点，为制定伤害的预防控制措施提供科学依据。方法资料来源于《死因登记报告信息系统》报告的死于医疗机构的病例，使用根本死因编码进行死因构成及顺位分析。结果2007—2011年惠州市居民伤害死亡1414例，占总死亡12．42％，居死因顺位第3位。伤害死亡主要发生在青壮年（占74．05％），是5—44岁人群的主要死亡原因（占总死亡27．84％～32．03％）。居民伤害死因顺位前5位是：机动车辆交通事故、机动车以外运输事故、意外跌落、自杀、意外中毒，合计占79．92％，其中机动车辆交通事故占39．04％。结论2007—2011年惠州市死于医疗机构病例分析提示，伤害是惠州市居民的主要死亡原因之一，是危害青壮年人群健康和生命的最主要的危险因素。政府应根据伤害死亡谱和目标人群制订有效的控制策略。

An analysis on causes of death associated with accidental injury in residents from 2007-2011 in Huizhou

Objective To analyze the characteristics of death associated with accidental injury in residents, and to provide scientific support for the effective control and intervention of injuries. Methods The data were collected from the death cause register system including all death cases in hospitals reported by internet from 2007 to 2011 in Huizhou. The underlying death codes were used to analyze the proportion of death causes and its ranking. Results 1,414 injury-caused deaths cases accounted for 12.42% of the total deaths during 2007-2011 in Huizhou and most deaths occurred in the young and middle-aged group. Injury was the 3-ranked of leading death causes as well as the main death cause in people aged 5 - 44. Automobile traffic accident, transport not accidents caused by motor vehicles, falling, suicide, and poisoning were the top 5 death causes of accidental injury. Conclusions Accidental injury is one of the main death causes in Huizhou and is the most important risk factor for endangering the health and life in young and middle-aged people. The government should establish an effective control strategy based on the injury death spectrum and the target popuiation.