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目的分析浙江省温州市居民死亡水平、主要死亡原因及死亡负担变化趋势。方法按照ICD-10编码对温州市居民2003-2007年死亡资料进行分类整理,计算出生率、死亡率、死因构成、潜在寿命损失年(YPLL)。用Death Reg_2002软件系统进行统计分析。结果温州市2003-2007年出生率、婴儿死亡率、死亡率、标化死亡率各为896.69/10万、510.06/10万、538.66/10万、424.27/10万。主要死因顺位为恶性肿瘤、脑血管疾病、呼吸系统疾病、心脏病、伤害和中毒,前5位死因死亡数占总死亡数的78.41%。潜在寿命损失前8位分别为恶性肿瘤、伤害和中毒、脑血管疾病、心脏病、先天畸形、源于围生期疾病、呼吸系统疾病、传染病,平均减寿率分别为1.26%、0.94%、0.23%、0.21%、0.17%、0.13%、0.08%、0.08%。结论慢性病和伤害为温州市居民的主要死因,应加强肿瘤和伤害的预防控制工作。
Objective To analyze the death level of residents in Wenzhou City, Zhejiang Province, the main causes of death and the changing trend of death burden. Methods According to the ICD-10 code, the death data of Wenzhou residents from 2003 to 2007 were classified and the birth rate, mortality, cause of death and potential year of loss of life (YPLL) were calculated. Death Reg_2002 software system for statistical analysis. Results The birth rate, infant mortality rate and standardization death rate in Wenzhou City from 2003 to 2007 were 896.69 / 100000, 510.06 / 100000, 538.66 / 100000 and 424.27 / 100000 respectively. The leading cause of death was malignant tumor, cerebrovascular disease, respiratory system disease, heart disease, injury and poisoning. The top five causes of deaths accounted for 78.41% of the total deaths. The potential loss of life of the first eight were malignant tumor, injury and poisoning, cerebrovascular disease, heart disease, congenital malformations, perinatal diseases, respiratory diseases, infectious diseases, the average life expectancy were 1.26%, 0.94% , 0.23%, 0.21%, 0.17%, 0.13%, 0.08%, 0.08%. Conclusion Chronic diseases and injuries are the main causes of death among Wenzhou residents. Prevention and control of tumors and injuries should be strengthened.