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目的通过分析甘肃省城市、农村地区1990-1992年的死因回顾抽样调查资料,了解甘肃居民死亡水平和死因结构,评价各类死因的危害程度。方法1990-1992年甘肃省死因回顾调查资料进行死亡状况、死亡原因及潜在寿命损失年(PYLL)分析。结果甘肃省调查地区总死亡率为626.96/10万,男性712.56/10万,女性536.12/10万。标化率全人口为684.03/10万,男性为776.70/10万,女性为585.40/10万。城市标化死亡率(869.80/10万)高于农村(613.49/10万)。前三位死因为呼吸系统疾病、肿瘤、循环系统疾病,占全死因的65.50%。PYLL前三位为损伤和中毒、肿瘤、循环系统疾病,占全死因YPLL的64.47%。结论对甘肃居民健康造成损害的主要疾病是肿瘤、呼吸系统、循环系统等慢性疾病和伤害。因此,应大力开展慢性病的预防和保健工作,针对不同地区制定具体的防治规划,减少疾病的发生和死亡。同时,通过各种有效办法,减少意外伤害的发生。
Objective To understand the death level and the cause of death of Gansu residents by analyzing the sample survey data of the causes of death in urban and rural areas in Gansu Province from 1990 to 1992 and to evaluate the damage degree of various causes of death. Methods Data from the review of the causes of death in Gansu Province from 1990 to 1992 were used to analyze the death status, causes of death, and potential life lost years (PYLL). Results The total death rate in the surveyed area in Gansu Province was 626.96/100,000, with 712.56/100,000 men and 536.12/100,000 women. The standardized rate of the population is 684.03/100,000, 776.70 per 100,000 for men and 585.40 per 100,000 for women. Urban standardized mortality (869.80 per 100,000) is higher than rural (613.49 per 100,000). The top three died of respiratory disease, cancer, and circulatory diseases, accounting for 65.50% of all deaths. The top three PYLL patients were lesions and poisoning, tumors, and circulatory diseases, accounting for 64.47% of the total cause of death. Conclusion The main diseases that damage the health of Gansu residents are chronic diseases and injuries such as cancer, respiratory system, and circulatory system. Therefore, we should vigorously carry out the prevention and health care of chronic diseases, and develop specific prevention and control plans for different regions to reduce the occurrence and death of diseases. At the same time, through various effective measures, the occurrence of accidental injuries is reduced.