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目的了解近几年浙江省余姚市育龄妇女死亡情况及主要死因,以了解死因疾病谱是否变化,提出预防措施。方法收集2001-2007年基层妇幼人员上报的育龄妇女死亡调查年报表。死因分类按ICD-10分类。人口数据来自市计生局统计科。统计学方法用χ2检验。结果2001-2007年育龄妇女死亡率为9.04/万;死因前5位为恶性肿瘤(占49.14%)、伤害因素(占27.29%)、心血管疾病(占11.54%)、泌尿系统疾病(占3.01%)、消化系统疾病(占1.87%);因恶性肿瘤死亡病例中消化、生殖、呼吸、血液、中枢神经各系统恶性肿瘤占93.39%,前5位恶性肿瘤为肝癌、胃癌、肺癌、乳腺癌、子宫癌;伤害因素主要为车祸、自杀,占87.20%。结论育龄妇女死亡率无明显下降;因恶性肿瘤、心血管疾病、泌尿系统疾病死亡较前有所上升;伤害死亡以车祸及自杀为主,是35岁前年龄段的首位死因。
Objective To understand the death and the main causes of death among women of childbearing age in Yuyao, Zhejiang Province in recent years in order to understand whether the cause of death spectrum changes and propose preventive measures. Methods To collect the annual investigation report on the death of women of childbearing age reported by grass-roots women and children in 2001-2007. Cause of death by ICD-10 classification. Population data from Statistics Bureau of Family Planning Bureau. Statistical methods using χ2 test. Results The mortality rate of the women of childbearing age from 2001 to 2007 was 9.04 / million. The top 5 causes of death were malignant tumors (49.14%), injury factors (27.29%), cardiovascular diseases (11.54%), urinary system diseases (3.01% %) And digestive diseases (accounting for 1.87%). Malignant tumors of digestive system, reproductive tract, respiratory tract, blood and central nervous system account for 93.39% of all deaths. The top five malignant tumors are liver cancer, gastric cancer, lung cancer, breast cancer , Uterine cancer; injury factors mainly car accident, suicide, accounting for 87.20%. Conclusions The death rate of women of childbearing age has no obvious decline; the death rate of malignant tumor, cardiovascular disease and urinary system disease has risen compared with the previous years; injury and death are mainly caused by auto accident and suicide, which is the first cause of death in the age group of 35 years old.