上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 短篇论著 • 上一篇    

宁波地区慢性阻塞性肺疾病死亡率变化趋势分析

史碧君1，张 涛2，崔 军2，王 永2，李 辉2   

  1. 1.宁波大学医学院流行病与卫生统计教研室， 宁波 315211； 2.宁波市疾病预防控制中心 慢性非传染性疾病预防控制所， 宁波 315010
  • 出版日期:2014-08-28 发布日期:2014-09-02
  • 通讯作者: 张 涛, 电子信箱: zhangt@nbcdc.org.cn。
  • 作者简介:史碧君（1988—）， 女， 硕士生; 电子信箱: shibj.happy@163.com。

Analysis of variation trend of mortality rate of chronic obstructive pulmonary disease in Ningbo

SHI Bi-jun1, ZHANG Tao2, CUI Jun2, WANG Yong2, LI Hui2   

  1. 1.Department of Epidemiology and Health Statistics, Medicine College, Ningbo University, Ningbo 315211, China; 2.Department of Chronic Noncommunicable Disease Prevention and Control, Ningbo Center for Disease Control and Prevention, Ningbo 315010, China
  • Online:2014-08-28 Published:2014-09-02

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摘要：

目的 分析宁波地区2002—2012年居民慢性阻塞性肺疾病（COPD）死亡状况和变化趋势，为制订COPD的防控策略提供依据。方法 收集宁波地区2002—2012年COPD的死因监测资料，采用卫生部指定的死因登记报告软件和PASW 18.0软件进行统计分析。结果 2002—2012年宁波市居民COPD标化死亡率从2002年的82.35/10万下降至2012年的52.21/10万，年均下降4.5%，呈下降趋势（趋势χ2=1 191.401，P<0.01），男性标化死亡率为63.80/10万，女性为59.73/10万，男性高于女性（χ2=22.952，P<0.01），农村标化死亡率为86.99/10万，城市为34.44/10万，农村高于城市（χ2=1 079.716，P<0.01），标化死亡率随着年龄的增长而增长（趋势χ2=115 672.084，P<0.01）。结论 COPD已成为严重的公共卫生问题，其死亡与多种因素有关，应采取综合性的预防控制措施。

关键词: 慢性阻塞性肺疾病, 死因监测, 死亡率, 变化趋势

Abstract:

Objective To analyze the mortality and variation trend of chronic obstructive pulmonary disease (COPD) in Ningbo from 2002 to 2012 and to provide evidences for prevention and control strategy of COPD. Methods The data of death surveillance for COPD in Ningbo from 2002 to 2012 was collected and analyzed by the death registry report software authorized by Ministry of Health of China and PASW 18.0 software. Results Standardized mortality rate of COPD of Ningbo residents declined from 82.35/100 thousand of 2002 to 52.21/100 thousand of 2012. The average decline rate was 4.5% per year. The trend of mortality rate of COPD was declining (χ2=1 191.401, P<0.01). The standardized mortality rate of males was 63.80/100 thousand, which was significantly higher than 59.73/100 thousand of females (χ2=22.952, P<0.01). The standardized mortality rate of rural areas was 86.99/100 thousand, which was significantly higher than 34.44/100 thousand of urban areas (χ2=1 079.716, P<0.01). The standardized mortality rate increased with the age (χ2=115 672.084, P<0.01). Conclusion COPD has become a serious public health problem. The death of COPD patients is relevant to various factors and comprehensive prevention and control measures need to be implemented.

Key words: chronic obstructive pulmonary disease, death surveillance, mortality rate, variation trend