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[目的]分析江西省南昌市县及县级以上医疗机构2009年网络直报死亡病例的死因,为制定疾病防治策略、完善和调整相应的卫生保健措施提供科学依据。[方法]采用国际疾病分类ICD-10对死因资料进行编码,应用SPSS15.0软件进行相关统计指标分析。[结果]2009年南昌市共网络报告死亡病例3934例,其中男性2616例,女性1318例,男女性别比例为1.98︰1;60岁以上年龄组是死亡的主要人群,占总死因构成的64.62%;慢性非传染性疾病是该市医疗机构报告死亡病例的主要病种,占全部死因的77.61%,其中的肿瘤和心脑血管病分别以1205和1114例占全死因构成的30.63%和28.32%,伤害是次要原因;肿瘤的首位死因是肺癌,其次是肝癌和结直肠癌,各年龄段的死亡例数男性均多于女性,心脑血管病的首位死因是脑血管疾病,其次是缺血性心脏病和高血压病,自15～19岁年龄段始,肿瘤和心脑血管病的死亡数均依次递增,至70～79岁年龄段达高峰;交通事故为伤害的主要死因,其次是意外跌落和溺水,30～59岁年龄段为主要的因伤害致死人群。[结论]慢性非传染性疾病是南昌市医疗机构报告死亡病例的最主要病种,其次是伤害,因此加强慢性病防制,减少死亡和伤残是今后工作的重点。
[Objective] To analyze the death causes of direct reports of medical malpractice in 2009 in Nanchang city and county level hospitals in Jiangxi province and provide scientific basis for formulating disease prevention and control strategies, perfecting and adjusting corresponding health care measures. [Methods] The ICD-10 was used to encode the cause of death data. SPSS15.0 software was used to analyze the relevant statistical indicators. [Results] A total of 3934 cases of deaths were reported in Nanchang in 2009, including 2616 males and 1318 females, with a male-female ratio of 1.98︰1. The age group of over 60 was the major death cause, accounting for 64.62% of the total deaths. ; Chronic non-communicable diseases are the major disease reported by medical institutions in the city, accounting for 77.61% of all the causes of death. Among them, tumor and cardiovascular and cerebrovascular diseases accounted for 30.63% and 28.32% of 1205 and 1114 cases respectively, , The cause of injury is the secondary cause; the leading cause of death of lung cancer is lung cancer, followed by liver cancer and colorectal cancer, the number of deaths in all age groups were more than men, cardiovascular and cerebrovascular disease the first cause of death is cerebrovascular disease, followed by lack Hemorrhagic heart disease and hypertension, from the age of 15 to 19 age group, the number of deaths from tumors and cardiovascular and cerebrovascular diseases were in turn increased to reach the peak age of 70 to 79 years; traffic accidents as the main cause of injury, followed by Accidental drop and drowning, 30 to 59 age group as the main cause of death due to injury. [Conclusion] Chronic non-communicable diseases is the most important disease reported by medical institutions in Nanchang, followed by injuries. Therefore, strengthening chronic disease prevention and reducing death and disability will be the focus of future work.