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目的了解兰州市65岁及以上老年人的主要死因及顺位,为加强老年人卫生保健计划提供科学依据。方法通过中国疾病预防控制信息系统的人口死亡信息登记管理系统,选取2014年兰州市65岁及以上老年人死因监测数据进行分析。结果 2014年兰州市65岁及以上老年人死亡率2 057.14/10万,标化死亡率2 376.69/10万;男性死亡率明显高于女性(χ~2=216.136,P<0.05),死亡率随年龄增大而升高(χ~2=6 876.424,P<0.05);前5位死因疾病依次是循环系统疾病、肿瘤、呼吸系统疾病、内分泌系统疾病、营养和代谢疾病、消化系统疾病,占总死亡的90.73%;不同性别、年龄及季节主要死因疾病均为循环系统疾病、肿瘤和呼吸系统疾病,但循环系统疾病死亡比例男性低于女性,与年龄呈正相关(r=0.032,P<0.05),冬春季较高;肿瘤死亡比例男性高于女性,与年龄呈负相关(r=-0.157,P<0.05);呼吸系统疾病死亡比例与年龄呈正相关((r=0.109,P<0.05)。结论循环系统疾病、肿瘤和呼吸系统疾病是威胁兰州市65岁及以上老年人的主要死因疾病,但死亡比例存在性别、年龄和季节差异,应针对性别、年龄和季节变化加强老年人卫生保健工作。
Objective To understand the main causes of death and its position in elderly people aged 65 years and over in Lanzhou City and to provide a scientific basis for strengthening the health care plan for the elderly. Methods Through the system of registration and management of death information of population in China’s disease prevention and control information system, the data of the cause of death monitoring among the elderly aged 65 years and over in 2014 in Lanzhou City were selected for analysis. Results The mortality rate of 2 057.14 / 100,000 elderly people aged 65 years old and above in Lanzhou in 2014 was 2 376.69 / 100,000, the mortality rate of males was significantly higher than that of females (χ ~ 2 = 216.136, P <0.05) (Χ ~ 2 = 6 876.424, P <0.05). The first five causes of death were circulatory diseases, tumors, respiratory diseases, endocrine diseases, nutrition and metabolic diseases, digestive diseases, Accounting for 90.73% of the total deaths. The main causes of death due to gender, age and season were all circulatory diseases, cancer and respiratory diseases. However, the proportion of deaths from circulatory diseases was lower than that of women and positively correlated with age (r = 0.032, P < (R = -0.157, P <0.05). The proportion of deaths from respiratory diseases was positively correlated with age (r = 0.109, P <0.05) ) .CONCLUSIONS Circulatory system diseases, cancer and respiratory diseases are the major causes of death and illness that threaten the elderly aged 65 years and older in Lanzhou. However, there are gender, age and seasonal differences in the proportion of deaths. Geriatric health should be strengthened according to gender, age and seasonal changes Health work.