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目的了解洛阳市居民的主要死因及潜在寿命损失情况,为制定疾病防控措施提供依据。方法按国际疾病分类法(ICD-10)对疾病进行分类编码,运用Access2003、Excel 2003对2013年洛阳市居民死因监测资料进行描述性分析、SPSS 16.0进行χ2检验。结果 2013年洛阳市居民粗死亡率为615.28/10万,男性粗死亡率为709.58/10万,女性粗死亡率为516.45/10万,男性死亡率高于女性(χ2=509.67,P<0.05);总人群前五位死因依次为心脏病、脑血管病、恶性肿瘤、伤害、呼吸系统病,占总人群全死因的89.87%。从潜在寿命损失来看,总人群前五位依次为伤害、恶性肿瘤、心脏病、脑血管病、起源于围生期的某些情况;城市前五位依次为恶性肿瘤、伤害、心脏病、脑血管病、呼吸系统疾病;农村前五位顺位与总人群一致。结论慢性病是影响居民健康的主要疾病,伤害是造成居民“早死”的主要原因,应采取综合防控措施,控制慢性病和伤害的发生,提高居民的健康水平。
Objective To understand the main causes of death and potential loss of life of residents in Luoyang and provide the basis for the formulation of disease prevention and control measures. Methods According to the International Classification of Diseases (ICD-10), the disease was classified and coded. The data of death causes of residents in Luoyang City in 2013 were analyzed by Access2003 and Excel 2003, and SPSS 16.0 was used for Chi-square test. Results In 2013, the crude death rate of residents was 615.28 / lakh in Luoyang. The crude death rate was 709.58 / lakh in males and 516.45 / lakh in females. The male mortality rate was higher than that of females (χ2 = 509.67, P <0.05) The top five causes of death were heart disease, cerebrovascular disease, malignant tumor, injury and respiratory system, accounting for 89.87% of the total population. In terms of the potential loss of life expectancy, the top five people in the total population were in some cases injuries, malignancies, heart diseases and cerebrovascular diseases, which originated in the perinatal period. The top five cities followed by malignant tumors, injuries, heart diseases, Cerebrovascular disease and respiratory diseases; the first five rural places are in line with the general population. Conclusion Chronic diseases are the main diseases affecting residents ’health. Injury is the main cause of “premature death” of residents. Comprehensive prevention and control measures should be taken to control the occurrence of chronic diseases and injuries and improve the residents’ health.