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目的了解新源县哈萨克族和汉族育龄妇女死亡原因,为有针对性地开展妇幼保健工作提供参考依据。方法利用2008~2012年居民死因监测数据,采用ICD-10进行死因分类,对492例15~49岁育龄妇女死亡资料做回顾性分析。结果 2008~2012年哈萨克族和汉族育龄妇女死亡率分别为151.99/10万和81.06/10万,哈、汉两族育龄妇女死亡率均随年龄升高而增加。哈萨克族死因前3位为心脑血管疾病、恶性肿瘤、损伤和中毒,死亡率分别为53.72/10万、26.64/10万和23.59/10万。汉族前3位死因为损伤和中毒、心脑血管疾病和恶性肿瘤,死亡率分别为31.42/10万、20.57/10万和14.86/10万。心脑血管疾病中哈、汉两族育龄妇女死亡率最高的均为脑血管疾病,死亡率分别为25.77/10万和14.64/10万。损伤和中毒中哈、汉两族育龄妇女死亡率最高的均为交通事故,死亡率分别为11.79/10万和17.45/10万。恶性肿瘤中哈、汉两族育龄妇女死亡率最高的分别为肺癌和肝癌,死亡率分别为3.93/10万和3.94/10万。结论新源县2008~2012年哈萨克族育龄妇女死亡率高于汉族,高于全国的平均水平,重点关注35岁以上育龄妇女。
Objective To understand the causes of death of women of childbearing age in Kazak and Han nationality in Xinyuan County, and provide reference for carrying out the work of maternal and child health care. Methods Using the data of death causes of residents from 2008 to 2012, the cause of death was classified by ICD-10, and the death data of 492 women of childbearing age from 15 to 49 were retrospectively analyzed. Results The mortality rates of Kazakh women and Han women of childbearing age from 2008 to 2012 were 151.99 / lakh and 81.06 / lakh respectively. The death rates of Kazakh and Han women of childbearing age all increased with the increase of age. The top three causes of death among Kazakhs were cardiovascular and cerebrovascular diseases, malignant tumors, injuries and poisonings with the death rates of 53.72 / 100,000, 26.64 / 100,000 and 23.59 / 100,000 respectively. The top three deaths of Han nationality were injuries and poisonings, cardiovascular and cerebrovascular diseases and malignant tumors with mortality rates of 31.42 / 100000, 20.57 / 100000 and 14.86 / 100000 respectively. Cardiovascular and cerebrovascular diseases in Kazakhstan, Han two women of childbearing age are the highest mortality of cerebrovascular disease, the mortality rates were 25.77 / 100,000 and 14.64 / 100,000. In the injury and poisoning cases, the highest mortality rates of the women of childbearing age in both Kazakhstan and Han Chinese were traffic accidents with the death rates of 11.79 / lakh and 17.45 / lakh respectively. The highest mortality rates of women of childbearing age in both Chinese and Kazakh were malignant tumors, lung cancer and liver cancer respectively, with the death rates of 3.93 / lakh and 3.94 / lakh respectively. Conclusion The mortality rate of Kazakh women of childbearing age from 2008 to 2012 in Xinyuan County is higher than that of the Han nationality, higher than the national average, and the focus is on women of childbearing age above 35 years old.