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目的掌握2004-2008年云南不明原因猝死病区居民的全死因特征。方法将云南省不明原因猝死全死因监测乡镇的所有自然村分为猝死自然村组和对照自然村组,对比分析两组的死亡率、死因谱和死亡季节特征。结果猝死自然村组粗死亡率为0.90%,标化死亡率为0.69%;对照自然村组粗死亡率为0.62%,标化死亡率为0.48%。云南省猝死自然村组前5位死因顺位分别是呼吸系统疾病、循环系统疾病、损伤和中毒、不明原因猝死和肿瘤;对照自然村组前5位死因顺位分别是循环系统疾病、呼吸系统疾病、损伤和中毒、肿瘤和消化系统疾病。猝死自然村组全年中死亡例数最多的3个月份分别是8、1和7月;对照自然村组全年中死亡例数最多的3个月份分别是2、3和5月。结论2004-2008年云南省猝死自然村组死亡率高于对照自然村,死因谱和死亡季节特征也不同。
Objective To grasp the characteristics of all cause of death among residents in sudden death of unknown causes in Yunnan from 2004 to 2008. Methods Divided all natural villages in villages and towns monitored by sudden death from unidentified cause of sudden death in Yunnan Province into three groups: natural death group and control natural village group. The mortality, the cause of death and the characteristics of death season were compared between the two groups. Results The sudden death in natural villages was 0.90%, and the normalized mortality was 0.69%. The crude mortality in control natural villages was 0.62%, and the standardized mortality was 0.48%. The top 5 causes of death among the sudden death villages in Yunnan Province were respiratory diseases, circulatory diseases, injuries and poisonings, sudden death of unknown causes and tumors, respectively. The top five causes of death among the natural villages in the control group were circulatory system diseases, respiratory system diseases, Injury and poisoning, cancer and digestive diseases. The three months with the highest number of deaths in the natural villages of sudden death were 8, 1 and 7 months respectively; the three months with the highest number of deaths in the natural villages were 2,3 and 5 months respectively. Conclusion The mortality rate of sudden death from natural villages in Yunnan Province from 2004 to 2008 is higher than that of the control natural villages. The death cause spectrum and death season characteristics are also different.