奉化市脑卒中疾病负担分析  

An analysis on the burden of stroke in Fenghua City

作　　者：林冠雄[1] 冯伟[1] 曹云生[1] 汪晓敏[1] 

机构地区：[1]奉化市疾病预防控制中心,浙江奉化315500

出　　处：《预防医学》2016年第8期792-795,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的应用伤残调整寿命年(DALYs)分析奉化市脑卒中的疾病负担。方法收集2013年奉化市脑卒中发病率、患病率与死亡率,采用世界卫生组织提供的DISMODⅡ软件计算脑卒中的DALYs。结果 2013年奉化市共报告脑卒中发病数1 895例,报告发病率为392.03/10万(标化发病率为201.14/10万),其中男性报告发病率436.33/10万(标化发病率为210.55/10万)高于女性报告发病率346.48/10万(标化发病率为189.25/10万)(P<0.05)。脑卒中死亡751例,死亡率为155.28/10万(标化死亡率为66.53/10万),患病率为1 899.53/10万,60岁及以上老年人占总患病人数的85.53%。脑卒中总DALYs为7 566.03人年,DALYs强度为15.64人年/千人;早死引起的寿命损失年(YLL)为5 807.14人年;由伤残引起的寿命损失年(YLD)为1 758.87人年;60岁及以上人群脑卒中DALYs占总DALYs的84.75%。结论奉化市脑卒中疾病负担较高,社区应重点做好60岁及以上的男性人群的脑卒中防控工作,降低脑卒中引起的疾病负担。Objective The purpose of this study was to analyze the burden of stroke in Fenghua City by disability-adjusted life-years （DALYs）.Methods We used data of stroke incidence,prevalence and mortality in Fenghua City in 2013 and selected DISMODII to calculate DALYs.Results There were 1 895 cases of stroke reported in 2013,and the reported incidence rate was 392.03/100 000（standard incidence rate was 201.14/100 000）.The reported incidence rate among male 436.33/100 000 （standard incidence rate was 210.55/100 000 ）,higher than that of female 346.48/100 000 （standard incidence rate was 189.25/100 000）（P〈0.05）.There were 751 cases of stroke death,and the mortality rate was 155.28/100 000（standard mortality rate was 66.53/100 000）.The prevalence rate of stroke was 1 899.53/100 000, and people aged over 60 were accounted 85.53%.The overall disease burden of stroke was 7 566.03 DALYs,with the intensity of 15.64 DALYs per 1 000 population.Men had a higher DALYs and DALYs intensity than in women.The burden of residents aged over 60 was 84.75%.Years of life lost （YLL ） was the main fraction in DALYs,and its percentage was 76.75%.Conclusion The overall disease burden of stroke in Fenghua City was high,suggesting that the community should pay more attention to the men aged over 60 in order to reduce the burden of stroke.

关 键 词：脑卒中 疾病负担 伤残调整寿命年 

分 类 号：R743.3[医药卫生—神经病学与精神病学]