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目的了解2007-2010年长沙市城区居民死亡水平与死因构成,分析影响居民健康的主要疾病。方法采用国际疾病分类ICD-10进行编码,录入全国疾病监测系统软件DeathReg2005,采用SPSS13.0软件进行统计分析。结果四年累计监测人口数为1 580 453人,居民因各种因素共死亡8 555人,平均死亡率为541.30/10万,平均标化死亡率为431.36/10万;其中男性平均死亡率为622.70/10万,女性平均死亡率为458.08/10万,两者差异有统计学意义(χ2=196.73,P=0.000)。占总死亡率94.47%的前七位死因依次是心脑血管疾病、恶性肿瘤、呼吸系统疾病、损伤中毒、内分泌营养代谢疾病、传染病、消化系统疾病。结论心脑血管疾病、恶性肿瘤、呼吸系统疾病是长沙市城区居民的主要死因,应采取综合措施进行干预,降低慢性非传染性疾病的死亡。
Objective To understand the composition and cause of death of urban residents in Changsha City from 2007 to 2010 and analyze the main diseases affecting their health. Methods The ICD-10 was used to encode the disease. The disease was recorded in DeathReg2005, a national disease monitoring system, and analyzed by SPSS13.0 software. Results The total number of monitored population in 4 years was 1 580 453, with a total of 8 555 deaths due to various factors, with an average mortality rate of 541.30 / 100 000 and an average standardized mortality rate of 431.36 / 100 000. Among them, the average male mortality rate was 622.70 / 100,000, the average death rate of women was 458.08 / 100,000, the difference was statistically significant (χ2 = 196.73, P = 0.000). The top seven cause of death with a total mortality rate of 94.47% were cardiovascular and cerebrovascular diseases, malignant tumors, respiratory diseases, poisoning injuries, endocrine and nutritional diseases, infectious diseases and digestive diseases. Conclusions Cardiovascular and cerebrovascular diseases, malignant tumors and respiratory diseases are the main causes of death among urban residents in Changsha City. Comprehensive measures should be taken to intervene to reduce the death of chronic non-communicable diseases.