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目的 了解最近几年河南省人群伤害死亡水平、构成比及其潜在经济损失相关情况。方法 采用死亡率、WYPLL率和潜在经济损失值等有关指标对1995～1999年河南省人群伤害死亡情况进行了研究。结果 伤害报告死亡率为50.35/10万,构成比为9.82％,顺位居第4位;WYPLL率为12.66‰,WYPLL构成比为33.95％,WYPLL顺位居第1位。在18大类死因“早死”导致的潜在经济损失中,每年均以伤害最多高达46.57～71.99亿元。14种类型伤害结果比较,无论是死亡率和WYPLL率,还是潜在经济损失值每年均以自杀、机动车辆交通事故、淹死和意外中毒依次居前4位。结论 伤害不仅已经成为目前严重危害河南省居民身体健康和生命安全的最重要卫生问题之一,而且也是导致河南省社会劳动力WYPLL和潜在经济损失最多的主要死亡原因。由此提示在21世纪初期疾病控制工作中,应该优先加强对伤害防治工作的投入和管理力度,尤其需要注重自杀、机动车辆交通事故、淹死和意外中毒的预防和控制工作。
Objective To understand the level of injury and death, the composition ratio and the potential economic loss in Henan Province in recent years. Methods Mortality, WYPLL rate and potential economic loss and other related indicators were used to study the injury and death of the population from 1995 to 1999 in Henan Province. Results The fatality rate was 50.35 / 100 000, accounting for 9.82%. The WYPLL rate was 12.66 ‰, the WYPLL ratio was 33.95%, and WYPLL ranked first. Among the potential economic losses caused by the “premature death” in the 18 major categories of causes of death, a maximum of 46.57-71.99 billion yuan is harmed each year. 14 types of injury results were compared, regardless of mortality and WYPLL rate, or potential economic loss each year with suicide, motor vehicle traffic accidents, drowsiness and accidental poisoning in turn out the top four. Conclusion Injury has not only become one of the most important health problems that seriously endanger the health and life safety of Henan residents, but also the major cause of death caused by WYPLL and the potential economic loss of social labor force in Henan Province. This suggests that priority should be given to strengthening the input and management of injury prevention and control in disease control in the early 21st century. In particular, attention should be paid to the prevention and control of suicide, motor vehicle accidents, drowning and accidental poisoning.