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目的：研究重庆市城市居民20世纪90年代疾病所致早死的生命损失。方法：用死亡损失生命年YLLs为测量单位，计算不同性别、不同社区的死因别标化YLLs率，及分析1991～2000年死因别标化YLLs率的变化趋势。结果：非传染性疾病标化YLLs率为42.58‰，占全死因的82.76%，其中，恶性肿瘤标化YLLs率为12.80‰，占30.06%，脑血管疾病标化YLLs率 6.62‰，占15.55%，呼吸系统疾病标化YLLs率5.77‰，占13.55%，心脏病标化YLLs率4.38‰，占10.29%；意外死亡标化YLLs率为7.59‰，占全死因的14.75%；传染病、妇科及围产期疾病标化YLLs率为1.28‰，仅占2.49%。在社区之间，死因别标化YLLs率存在明显差异。结核病和精神病标化YLLs率曾出现上升趋势。结论：非传染性疾病已成为该城市居民的主要疾病负担，结核病防治不能放松，精神卫生工作急待开展。
Objective: To study the life loss of premature death caused by urban residents in Chongqing in the 1990s. Methods: Using YLLs as the unit of measure for death-losing life years, calculate the rate of death-specific non-standard YLLs in different genders and communities, and analyze the trends of the rate of death-specific YLLs in 1991-2000. Results: The standardized YLLs rate of non-communicable diseases was 42.58 ‰, accounting for 82.76% of the total cause of death. Among them, the standardized YLLs rate of malignancy was 12.80 ‰, accounting for 30.06%. The standardized YLLs rate of cerebrovascular disease was 6.62 ‰, accounting for 15.55%. The rate of standardized YLLs in respiratory diseases was 5.77 ‰, accounting for 13.55%. The rate of standardized YLLs in heart disease was 4.38 ‰, accounting for 10.29%; the rate of accidental death standardized YLLs was 7.59 ‰, accounting for 14.75% of all causes of death; infectious disease, gynecology and The rate of standardized YLLs in perinatal diseases was 1.28 per thousand, accounting for only 2.49 per cent. There is a clear difference in the rate of death-specific YLLs among communities. There has been an upward trend in the rates of standardized YLLs for tuberculosis and psychosis. Conclusion: Non-communicable diseases have become the main burden of disease for urban residents. Prevention and treatment of tuberculosis cannot be relaxed, and mental health work needs to be carried out urgently.