上海市徐汇区1995—2012年脑卒中所致寿命损失分析  

Study on disability adjusted life year contributed to stroke from 1995 to 2012 in Xuhui District of Shanghai

作　　者：钱孝琳[1] 付朝伟[2] 王飞[1] 李申生[1] 顾海雁[1] 

机构地区：[1]上海市徐汇区疾病预防控制中心,上海200237 [2]上海复旦大学公共卫生学院,上海200232

出　　处：《上海预防医学》2016年第12期867-870,共4页Shanghai Journal of Preventive Medicine

摘　　要：目的分析上海市徐汇区1995—2012年不同亚型脑卒中所致的减寿年数(YLL)和伤残调整寿命年(DALY),为脑卒中防控工作提供依据。方法采用徐汇区死因监测系统中1995—2012年户籍死亡资料,用直接法计算YLL,用间接法计算残损年数(YLD)及DALY。结果缺血性和出血性脑卒中每千人损失YLL呈逐年下降趋势,男性大于女性。包含脑卒中后遗症的脑卒中患者每千人口损失7.53个DALY,不包含脑卒中后遗症为5.51个DALY,男性均大于女性,男性脑血管后遗症死亡造成的DALY略有上升。结论徐汇区脑卒中疾病负担较全球平均水平为低,患者直接死于脑卒中的风险在降低,但是患病后的死亡风险应该加以重视,积极采取防治措施遏制其上升趋势。Objective To analyze the years of life lost （YLL） and disability adjusted life year （ DALY） contributed to stroke in Xuhui District of Shanghai. Methods The death data of household registration during 1995 to 2012 were collected by Xuhui District death surveillance system. Years of life lost was estimated by formula, years of lived with disability and disability adjusted life year was estimated by indirect way. Results From 1995 to 2012, the average YLLs per thousand people of ischemic and hemorrhagic stroke were declined year by year and the lost in male was higher. The average DALYs per thousand people in stroke patients with sequela were higher （7. 53） than those without sequela（5.51）. DALYs contributed to stroke sequel rose slightly in the male. Conclusion Compared with the global average, disability adjusted life year of stroke is lower in Xuhui District. The risk of patient dying directly from stroke is reducing, but more attention should be paid to the mortality risk of stroke and measures should be taken to control the growing trend.

关 键 词：脑卒中 减寿年数 伤残调整寿命年 疾病负担 

分 类 号：R743.3[医药卫生—神经病学与精神病学]