2021年流行病学实习讲解.pdf

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1、流行病学实习讲解1/30 流行病学常用指标一实习目的：1掌握流行病学研究中常用的测量疾病和死亡频率指标的计算方法。2掌握这些指标的用途和意义。3理解率标化的目的，熟悉率标化的具体方法。4理解“人时”单位的含义，了解其适用条件，熟悉其具体计算方法。二学时：3 学时三实习内容：11992 年我国某市肺癌流行病学调查资料。2某小学麻疹流行资料分析。319521953 年某市推行白喉预防接种资料分析。4两城市1990 年死亡率比较。【课题一】某市有 10 万人口，其中男性45,000 人，女性 55,000 人，1992年死亡总数为1,000 人（男 600，女 400）。当年，肺癌发病50 例（男

2、40，女 10），其中 45 例死亡（男36，女 9）。作业要求：计算下列各指标。1 1992 年该市粗死亡率2 1992 年该市肺癌死亡率3 1992 年该市性别死亡率4 1992 年该市肺癌病死率精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 1 页，共 30 页流行病学实习讲解2/30 5 1992 年该市肺癌死亡构成比6 1992 年该市肺癌性别死亡率比（男/女）【课题二】某小学共有学生300 名，某年15 月份发生了麻疹流行，共发生病例 20 名。经调查发现，300 名学生中有190 名以往接种过麻疹疫苗，另有10 名曾患过麻疹，其中 2 例发生在前一年的12 月份

3、。本次麻疹流行资料见图1。12 月1 月2 月3 月4 月5 月6 月发病病程图 1 学生麻疹发病时间分布示意图作业要求：完成下表计算。表 1 计算结果记录精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 2 页，共 30 页文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z

4、7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9

5、 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3

6、文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P

7、3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4

8、C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1

9、K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3流行病学实习讲解3/3

10、0 1 月2 月3 月4 月5 月15 月罹患率（%）期间患病率（%）【课题三】某市人口30 多万，全市共分10 个区，19521953 两年内该市推行白喉预防接种。接种对象是14 岁以下托儿所、幼儿园和小学校儿童。第七区为该市白喉预防重点区。该区19521954 年期间人口基本没有变动，共有14岁以下接种对象5000 人。接种从1952 年 1 月开始进行，连续不断地延至1953年 9 月，共接种3000 人。在此接种期间及此后9 个月至 1954 年 6 月为止，曾对接种者及接种对象未接种者中发生的白喉病例进行登记，结果如下：表 2 某市第七区1952.11954.6 白喉预防接种情况及白

11、喉发病情况日期接种人数接种者中发病人数未接种者中发病人数*1952 13 月250 0 10 46 月400 2 5 79 月600 0 8 1012 月700 1 12 1953 13 月550 0 4 46 月350 2 3 79 月150 1 6 1012 月0 2 1954 13 月3 4 46 月0 3 精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 3 页，共 30 页文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7

12、HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 Z

13、O10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档

14、编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z

15、7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9

16、 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3

17、文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P

18、3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3流行病学实习讲解4/30 合计3000 9 57*若接种前发病，不再考虑接种依据该资料，某大夫计算接种者和未接种者白喉年发病率结果如下：0002.15.230009接种者年发病率0004.115.2200057未接种者年发病率作业要求：回答下列问题：1该大夫的计算结果是否正确？为什么？2完成下表并重新计算发病率。表 3 接种者、未接种者观察“人时”计算日期季初人数a 季内加入人数b 季内发病人数c 季内退出人数d 观察“人季”=a+b/2-(c+d)/2 接

19、种者1952 13 月0 250 0/125 46 月250 400 2/79 月600 0/1012 月700 1/1953 13 月550 0/46 月350 2/79 月150 1/1012 月0 0/精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 4 页，共 30 页文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 Z

20、O10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档

21、编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z

22、7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9

23、 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3

24、文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P

25、3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4

26、C9 ZO10U5L1L1K3流行病学实习讲解5/30 1954 13 月0 3/46 月0 0/合计/9/未接种者1952 13 月5000/10 250 4870 46 月4740/5 400 79 月/8 600 1012 月/12 700 1953 13 月/4 550 46 月/3 350 79 月/6 150 1012 月/2 0 1954 13 月/4 0 46 月/3 0 合计/57/接种者年发病率=未接种者年发病率=【课题四】甲、乙两城市1990 年死亡资料如表4。表 4 1990 年甲、乙两市20 岁以上各年龄组死亡率及粗死亡率年龄组人口数死亡数死亡率（）甲乙甲乙甲乙20-

27、2,000 5,000 10 30 5.0 6.0 40-3,000 3,000 24 30 8.0 10.0 60 5,000 2,.0 50.0 合计10,000 10,.4 16.0 作业要求：1用直接法和间接法计算甲、乙两城市1990 年标化死亡率。精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 5 页，共 30 页文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:

28、CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 H

29、D2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO

30、10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编

31、码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7

32、 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9

33、ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文

34、档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3流行病学实习讲解6/30 直接法：用两地各年龄组人口之和作为标准人口。表 5按标准人口计算期望死亡数年龄组标准人口死亡率（）期望死亡数甲乙甲乙20-5.0 6.0 40-8.0 10.0 60 40.0 50.0 合计23.4 16.0 甲地标化死亡率=乙地标化死亡率=间接法：用两地所在大地区的死亡率作为标准死亡率。表 6 按标准死亡率计算期望死亡数年龄组标准死亡率人口数期望死亡数甲乙甲乙20-5.7 2,000 5,000 40-9.0 3,000 3,000 60 42.9 5,000 2,000 合计19.7

35、 10,000 10,000 甲地 SMR=乙地 SMR=甲地标化死亡率=乙地标化死亡率=精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 6 页，共 30 页文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV

36、7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2

37、G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10

38、U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:

39、CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 H

40、D2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO

41、10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3流行病学实习讲解7/30 2回答下列问题：比较两种标化方法所得结果，解释上述标化率的意义

42、。实际率和标化率各在什么情况下应用？精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 7 页，共 30 页文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U

43、5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:C

44、V7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD

45、2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO1

46、0U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码

47、:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7

48、HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3文档编码:CV7R4P7P3Z7 HD2G7L1S4C9 ZO10U5L1L1K3流行病学实习讲解8/30 疾病的分布一实习目的：1学习疾病按时间、地区和人群分布的描述方法。2掌握统计图表的基本制作要点。3体会疾病分布描述在

49、流行病学研究中的地位和作用。二学时：3 学时三实习内容：11962 年我国某县流行性出血热疫情调查2一项对日本胃癌的移民流行病学调查研究31880-1930 年美国麻省男性结核病死亡率资料的出生队列分析【课题一】某县位于我国华东地区某省北部，该县地势平坦，属于平原地区。全县北部地势略高，南部地势较低，有Y 河从县境东西贯穿而过，南有H河与邻县为界。全年降雨量多集中在秋季，秋季降雨量大小往往影响H 河水位的升落，如H 河水位上涨，湖泊倒贯，湖水四溢，农田受淹，严重影响秋收秋种。该县主要为旱地作物，夏收以冬小麦为主，秋收为豆类等。农民由于缺乏建筑材料，住房比较简陋，秋收时农民多在场地上搭建“人”字

50、形工棚，进行野外露宿。该县流行性出血热自1958 年即有发生，1961 年，疫情陡升，遂引起卫生单位的重视。自该年起，某学院流行病学教研室协同当地卫生防疫站逐年进行该县流行性出血热流行病学监测。本材料的人口资料来自该县公安局，基本属实。现将该县流行性出血热调查所得的部分资料提供如下，以便计算分析。(一)疾病按时间分布表 1 某县 19611962 年流行性出血热发病时间按月分布月份8 9 1 7 合计病例数54 22 3 1423 构成比%作业要求：根据表 1 所提供的资料计算月构成比并绘制该县19611962 年精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 8 页，共 3