广西2004～2005年居民心脑血管疾病死亡率和减寿分析  

Analysis on PYLL and mortality of cardio-cerebrovascular diseases in Guangxi, 2004-2005

作　　者：秦艳霞[1] 黄天壬[2] 邓伟[2] 余家华[2] 张春燕[2] 

机构地区：[1]广西医科大学研究生学院,广西南宁530021 [2]广西医科大学附属肿瘤医院

出　　处：《现代预防医学》2013年第1期146-150,共5页Modern Preventive Medicine

基　　金：广西卫生厅资助项目(桂卫疾控[2006]84号)

摘　　要：目的了解广西2004-2005年居民心脑血管疾病死亡特征、分布和对居民健康的危害程度，为心脑血管疾病的防治提供科学依据。方法采用广西第3次死因回顾调查资料，以死亡率、构成比、潜在减寿年数（PYLL）及去死因寿命表等统计指标分析广西居民心脑血管疾病死亡水平、三间分布特征和去死因寿命表分析心脑血管疾病对居民生命的影响。结果2004—2005年广西居民脑血管疾病死亡率为105．40／10万（标化率88．62／10万），占全死因的18．45％，男性和女性分别为121．79／10万（标化率105．97／10万）和87.34／10万（标化率69．98／10万），男性高于女性（x2=232．58，P〈0．001）。心血管疾病死亡率77．14／10万（标化率63．89／10万），占全死因的13．5％，男性和女性分别为76．86／10万（标化率66．02／10万）和77．46／10万（标化率61．47／10万），男性和女性死亡率差异无统计学意义（x2=0．10，P=0．75）。心脑血管疾病的死亡率随年龄的增长而升高，因脑血管疾病和心血管疾病死亡而减少的平均寿命分别为4．23岁和3-48岁。结论心脑血管疾病为广西居民死亡的主要死因，死亡率随年龄增长呈上升趋势，心脑血管疾病对人群的寿命损失较大。OBJECTIVE To describe the mortality characteristics, distribution and extent of health hazards to residents with cardio-cerebrovascular diseases in Guangxi province from 2004 to 2005. METHODS The data covered 9 counties in Guangxi Province, China, which based on 2004-2005 the third national mortality retrospective sampling survey. Mortality rate and pro- portion on cardio-cerebrovascular diseases were analysed, and potential years of life lost （PYLL） were also calculated.Cause e- liminated life table was worked out to describe extent of health hazards to residents caused by cardio-cerebrovascular diseases. RESULTS The crude death rates of cerebrovascular diseases were 105.40 per I00 000 （male 121.79 per 100 000, female 87.34 per 100 000）, cerebrovascular diseases accounted for 18.45% of total death, the crude death rates in male were higher compared with female （~2 = 232.58, P 〈 0.001）. The crude death rates of cardiovascular diseases were 77.14 per 100 000 （mal0e 76.86 per 100 000, female 77.46 per 100 000）, and cardiovascular diseases accounted for 13.5% of total death, there was no difference between male and female （x2= 0.10, P = 0.75）.P otential years of life lost and age-specific mortality rate for cardio-cerebrovascular diseases increased with age.The loss of average length caused by cerebrovascular diseases was 4.23 years （3.42 years in men, 5.04 years in women） .As for cardiovascular diseases, it was 3.48 years （2.38 years in men, 4.78 years in women）. CONCLUSION Cardio-cerebrovascular diseases is the primary cause of death for Guangxi residents.As the age in- creasing, the mortality of cardio-cerebrovascular diseases shows a fast growth trend.The loss of average length caused by cardio- cerebrovascular diseases is severe to the residents in Guangxi.

关 键 词：脑血管疾病 心血管疾病 死亡率 潜在减寿年数 去死因寿命表 

分 类 号：R195[医药卫生—卫生统计学]