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[目的]了解东城区近10年主要死亡疾病死亡分布情况和趋势,为政府部门和疾病预防控制工作提供科学依据。[方法]用描述流行病学方法对东城区1997～2006年收集的死因资料进行分析。[结果]1997～2006年恶性肿瘤平均粗死亡率为127.53/10万,男性死亡率显著高于女性(P﹤0.05);心血管病粗死亡率为140.82/10万,男女死亡率差异无统计学意义(P﹥0.05);脑血管病死亡率为113.28/10万,男性死亡率显著超过女性(P﹤0.05)。1997～2006年恶性肿瘤、心血管和脑血管病死亡率经过标化比较,恶性肿瘤死亡率保持平稳;心血管和脑血管疾病死亡率呈下降趋势,3种疾病从60岁年龄组开始死亡率明显上升。[结论]随着疾病预防控制、社区卫生服务工作的不断加强,公共卫生工作的重点逐渐转向对慢性非传染性疾病的管理,使得东城区3种主要死因疾病的死亡率得到一定程度的控制,但对其防治工作还需要采取综合措施,特别是对60岁以后的老年人是重点防范死亡的人群。
[Objective] To understand the distribution and trends of deaths of major deaths in Dongcheng District in the past 10 years, and provide scientific evidence for government departments and disease prevention and control work. [Methods] Descriptive epidemiological methods were used to analyze the data of the causes of death collected in Dongcheng District from 1997 to 2006. [Results] From 1997 to 2006, the average crude death rate of malignant tumors was 127.53/100000, male mortality was significantly higher than that of females (P<0.05); the crude mortality rate of cardiovascular disease was 140.82/100,000, and there was no statistical difference in mortality between males and females. Significance (P>0.05); The mortality rate of cerebrovascular disease was 113.28/lakh, and the male mortality rate was significantly higher than that of female (P<0.05). From 1997 to 2006, the mortality rates of malignant tumors, cardiovascular diseases, and cerebrovascular diseases were standardized. Malignant tumor mortality rates remained stable; cardiovascular and cerebrovascular disease mortality rates showed a downward trend, and 3 diseases started to die from the 60-year-old age group. Obviously increased. [Conclusion] With the continuous improvement of disease prevention and control and community health services, the focus of public health work has gradually shifted to the management of chronic non-communicable diseases, making the mortality rates of the three main cause of death diseases in Dongcheng District to a certain extent controlled. However, comprehensive measures need to be taken to prevent and treat it, especially for elderly people after the age of 60, who are the key to preventing death.