CAJ | 학술논문

目的：分析三峡库区某县居民的全死因顺位及主要死因的死亡现状、死因构成及其年龄、性别特征，为各级政府制定疾病预防控制和卫生保健决策提供科学依据。方法Excel 2003汇总数据，根据国际疾病分类第10版(ICD-10)死因分类法进行死因分类，采用 SPSS17.0软件进行数据统计分析，并计算潜在减寿年数。结果2003年7月至2013年12月共收集有效三峡库区忠县常住人口死亡病例62702例，男性粗死亡率和标准化死亡率明显高于女性；死因顺位前5位依次为：循环系统疾病、呼吸系统疾病、恶性肿瘤、损伤中毒和消化系统疾病；三大类疾病死因中慢性病死亡人数占死亡总数的87.76%，成为最主要死因；潜在寿命损失率居前5位的依次为：损伤中毒、肿瘤、循环系统疾病、呼吸系统疾病和围生期疾病。结论三峡库区蓄水后忠县的主要死亡原因以循环系统疾病、恶性肿瘤、呼吸系统疾病为代表的慢性非传染性疾病为主，并且年龄逐步年轻化趋势；开展意外伤害研究，防止早死成为疾病预防控制重点之一。
목적：분석삼협고구모현거민적전사인순위급주요사인적사망현상、사인구성급기년령、성별특정，위각급정부제정질병예방공제화위생보건결책제공과학의거。방법Excel 2003회총수거，근거국제질병분류제10판(ICD-10)사인분류법진행사인분류，채용 SPSS17.0연건진행수거통계분석，병계산잠재감수년수。결과2003년7월지2013년12월공수집유효삼협고구충현상주인구사망병례62702례，남성조사망솔화표준화사망솔명현고우녀성；사인순위전5위의차위：순배계통질병、호흡계통질병、악성종류、손상중독화소화계통질병；삼대류질병사인중만성병사망인수점사망총수적87.76%，성위최주요사인；잠재수명손실솔거전5위적의차위：손상중독、종류、순배계통질병、호흡계통질병화위생기질병。결론삼협고구축수후충현적주요사망원인이순배계통질병、악성종류、호흡계통질병위대표적만성비전염성질병위주，병차년령축보년경화추세；개전의외상해연구，방지조사성위질병예방공제중점지일。
Objective To analysis residents'death causes in the Three Gorges Reservoir Area,and analysis the distribution of causes of death and age,gender characteristics,therefore provide basis for governments at all levels to develop disease prevention. Methods Data for classification of death cause was analyzed by Excel 2003,according to the ICD-10 classification,the years of po-tential life lost(YPLL)was calculated by SPSS1 7.0.Results Totally 62 702 death date of resident population in Three Gorges Reservoir Area from July,2003 to December,2013 were collected.The crude death rate for males and standardized mortality rate was significantly higher than that in female;Cause of death of the top five were:circulatory system disease,respiratory system dis-ease,malignant tumor,injury and poisoning and digestive system diseases;Chronic disease was the main cause of death which ac-counting for 87.76%;years of potential life lost rate of top five were:injury and poisoning,tumor,circulatory system disease,respir-atory system diseases and perinatal diseases.Conclusion The main cause of death in Three Gorges Reservoir area is a county in the circulatory system diseases,malignant tumor,respiratory system disease,and show a younger trend.Therefore,prevent premature death has become one of the focal points of disease prevention and control.