CAJ | 학술논문

目的了解慈溪市2004至2013年5～19岁儿童青少年死亡情况，为制定防治对策和有效干预措施提供依据。方法用死亡率、死因构成、潜在减寿年数（PYLL）、潜在减寿率（PYLL‰）、标化减寿年数（SPYLL）、标化减寿率（SPYLL‰）等健康测量指标对慈溪市10年间的死亡报表进行分析。结果慈溪市儿童青少年死亡率为25.56/10万，标化死亡率为25.26/10万，男性死亡率（33.20/10万）高于女性（17.91/10万）（χ2=38.90，P<0.05），损伤中毒（13.77/10万）和肿瘤（5.78/10万）是危害儿童青少年的最主要的死因，占全死因死亡的76.46%。儿童青少年全死因的PYLL为24624人年，SPYLL为37417.02人年，PYLL‰是2.59‰，SPYLL‰为3.91‰。结论损伤和中毒、肿瘤已经成为慈溪市儿童青少年健康的重要威胁，政府相关部门应采取有力措施促进儿童青少年身心健康。
목적료해자계시2004지2013년5～19세인동청소년사망정황，위제정방치대책화유효간예조시제공의거。방법용사망솔、사인구성、잠재감수년수（PYLL）、잠재감수솔（PYLL‰）、표화감수년수（SPYLL）、표화감수솔（SPYLL‰）등건강측량지표대자계시10년간적사망보표진행분석。결과자계시인동청소년사망솔위25.56/10만，표화사망솔위25.26/10만，남성사망솔（33.20/10만）고우녀성（17.91/10만）（χ2=38.90，P<0.05），손상중독（13.77/10만）화종류（5.78/10만）시위해인동청소년적최주요적사인，점전사인사망적76.46%。인동청소년전사인적PYLL위24624인년，SPYLL위37417.02인년，PYLL‰시2.59‰，SPYLL‰위3.91‰。결론손상화중독、종류이경성위자계시인동청소년건강적중요위협，정부상관부문응채취유력조시촉진인동청소년신심건강。
Objective To understand the causes of death in children and adolescents at 5-19 years of age from 2004 to 2013 in Cixi City. Method According to data of diseases surveillance in Cixi City during the 10 years, the health indexes of mortality, potential years of life lost (PYLL), potential years of life lost rate (PYLL‰), standardized potential years of life lost (SPYLL), standardized potential years of life lost rate (SPYLL‰) were applied to analyze the causes of death and evaluate the burdens of mortality. Result The total mortality of the children and adolescents was 25.56/105, and standardized mortality was 25.26/105. Boys had higher mortality (33.20/105) than girls (17.91/105), and there was statistical significance in the prevalence between male and female. Death of injury&poisoning (13.77/105) and tumors (5.78/105) respectively ranked at the first two leading causes, accounting for 76.46%of total deaths. PYLL was 24 624 years, standardized PYLL was 37 417.02 years, and the rate of PYLL was 2.59‰. Conclusion Injury, poisoning and tumors were the major risk factors among children and adolescents aged 5-19 years in Cixi City. Therefore, effective measures should be taken to strengthen the preventive force and promote the development of comprehensive mental and physical pediatric care.