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目的分析2003-2013年北京市西城区居民死因登记报告中糖尿病患者的死亡情况,为今后卫生防病策略的制定提供依据。方法利用北京市西城区各级医疗机构填报和该区街道、派出所收集的户籍居民死亡医学证明书,按照国际统一分类(ICD-10)进行疾病分类编码,对3 932例糖尿病相关疾病病例进行分析,计算死亡率和构成比。结果 2013年北京市西城区居民糖尿病粗死亡率为16.77/10万;2003-2013年,女性糖尿病死亡率有下降趋势。45岁以上人群,随年龄上升,糖尿病死亡率增加,45~64岁人群,男性死亡率高于女性,但65岁及以上人群,女性死亡率高于男性,差异均有统计学意义(P<0.01)。2003-2013年,在根本死因为糖尿病及伴随糖尿病的死者中,77.85%的糖尿病病例同时患另一种或多种慢性病,且总死亡率呈上升趋势。结论需加强糖尿病防治工作,控制糖尿病及伴随疾病的发生,提高居民生活质量。
Objective To analyze the death of diabetic patients from 2003 to 2013 in the report of cause of death of residents in Xicheng District, Beijing, and provide the basis for the formulation of future preventive strategies. Methods Medical certificates of death of domicile of registered permanent residents collected from streets and police stations in the Xicheng District of Beijing were filted, and the ICD-10 was used to classify the diseases according to the classification of diseases, and 3 932 cases of diabetes-related diseases were analyzed , Calculate the mortality and composition ratio. Results The crude mortality rate of diabetes in Xicheng District in Beijing in 2013 was 16.77 / 100000. From 2003 to 2013, the death rate of diabetes in women decreased. Mortality rate of 45 years old and above, diabetes mellitus increased, 45-64 years old, male mortality was higher than that of female, but the female mortality rate was higher than that of male 65 years old and above, the difference was statistically significant (P < 0.01). In 2003-2013, 77.85% of the diabetic patients suffered from one or more other chronic diseases at the same time, and the total mortality rate was on the rise among those who died of underlying diabetes and diabetes. Conclusion It is necessary to strengthen the prevention and treatment of diabetes to control the occurrence of diabetes and concomitant diseases and improve the quality of life of residents.