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中文摘要: 摘 要 目的 分析2014—2019年四川省通江县死因监测数据，了解居民主要慢性病死亡及早死概率等数据，为地区卫生健康工作提供依据。方法 利用2014—2019年通江县死因监测数据，按照国际疾病分类标准(ICD-10)对数据进行分类，采用死亡率、早死概率等指标进行分析。结果 2014—2019年通江县居民慢性病死亡占总死亡的比例为89.99%，其中30~69岁死亡的占慢性病死亡总数的32.69%，总人群、男性和女性慢性病粗死亡率呈上升趋势，年度变化百分比分别为5.04%、4.98%和5.12%，男性慢性病粗死亡率高于女性(x2=123.02，P＜0.01)；主要慢性病死亡占总死亡的82.86%，其中恶性肿瘤粗死亡率呈下降趋势(APC=-3.65%，P＜0.05)，心脑血管疾病、慢性呼吸系统疾病和糖尿病的粗死亡率呈上升趋势(APC=6.39%、9.90%和33.73%，P＜0.05)；主要慢性病早死概率在13.32%~20.51%之间波动，心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病和糖尿病的早死概率分别为7.69%、5.71%、2.28%和0.33%，随着时间变化趋势差异无统计学意义(P＞0.05)。结论 主要慢性病已成为通江县居民慢性病死亡的主要原因，应采取健全慢性病防控体系、加强慢性病筛查与早诊早治及践行健康生活方式等综合干预措施，降低主要慢性病的影响。
Abstract:Abstract OBJECTIVE To master the mortality rate and probability of premature mortality of major non-communicable diseases(NCDs) in Tongjiang County of Sichuan and provide scientific basis for making health policy. METHODS According to the monitoring data of death in Tongjiang County in 2014~2019, use ICD-10 to classify data, indicators such as mortality rate and probability of premature mortality were used to analysis. RESULTS From 2014 to 2019, the proportion of NCDs deaths in Tongjiang County was 89.99%, 30-69 years old accounted for 32.69% of the total deaths. The crude mortality rate of NCDs in the general population, male and female showed an upward trend, the annual change percentage(APC) were 5.04%, 4.98% and 5.12% . The crude mortality rate of male´s was higher than that of female´s (x2=123.02, P＜0.01). The major NCDs accounted for 82.86% of the total deaths. The crude mortality rate of malignant tumors decreased(APC=-3.65%, P0.05), cardiovascular and cerebrovascular diseases, chronic respiratory diseases and diabetes increased(APC=6.39%, 9.90%, 33.73%, P＜0.05). The probability of premature mortality caused by major NCDs fluctuated between 13.32% and 20.51%. Cardiovascular and cerebrovascular diseases, malignant tumors, chronic respiratory diseases and diabetes were 7.69%, 5.71%, 2.28% and 0.33%, and the trends over time have no statistical significance(P＞0.05). CONCLUSION The major NCDs have become the main cause of death in Tongjiang County. we should take comprehensive interventions such as improving the prevention and control system, strengthening the screening and treatment, and implementing healthy lifestyles to reduce the impact of major NCDs.
keywords: Key words major non-communicable diseases(NCDs) mortality rate premature mortality annual percent change(APC)
文章编号：3202012014 中图分类号：R181.3+7 文献标志码：
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