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目的动态地监测人群死亡模式的变化,指导主要疾病的防治,减少死亡,提高生命质量。方法运用全死因和PYLL分析方法对郑州市2005年死亡回顾调查的资料进行了分析。结果引起当地居民寿命损失的主要疾病为损伤和中毒、恶性肿瘤、脑血管病和心脏病。其中损伤和中毒占死亡率构成为11.59%,占总PYLL的33.71%;恶性肿瘤、脑血管病和心脏病这几种主要慢性病的死亡率累计构成为67.77%,PYLL累计构成为54.73%。结论郑州市监测人群的死亡以慢性非传染性疾病为主,这类疾病已成为主要的公共卫生问题,加强其防制,减少死亡和残疾是今后工作的重点。
Objectives To dynamically monitor changes in the pattern of death among people, to guide the prevention and treatment of major diseases, to reduce death and to improve the quality of life. Methods Using the analysis of all causes of death and PYLL analysis, the data of the 2005 survey of death in Zhengzhou City were analyzed. Results The main diseases that caused the loss of life of local residents were injuries and poisonings, malignant tumors, cerebrovascular diseases and heart diseases. Among them, the mortality and poisoning accounted for 11.59%, accounting for 33.71% of the total PYLL. The cumulative death rate of malignant tumor, cerebrovascular disease and heart disease were 67.77% and 54.73% respectively. Conclusions The death of the monitored population in Zhengzhou is dominated by chronic non-communicable diseases. Such diseases have become the major public health problems. Strengthening prevention, reducing death and disability are the focuses of future work.