辽宁省农村地区2013年脑卒中早死所致的疾病负担分析  

Analysis of the disease burden of stroke-related deaths among rural areas of Liaoning Province in 2013

作　　者：李娟[1,2] 黄东辉[1,2] 王冲[1,2] 刘晓冰 孙秋红 时景璞[1,2] 

机构地区：[1]中国医科大学附属第一医院临床流行病与循证医学教研室,辽宁沈阳110001 [2]循证医学教育部网上合作研究中心,中国医科大学分中心,辽宁沈阳110001 [3]彰武县疾病预防控制中心慢病科,辽宁彰武123200 [4]凤城市疾病预防控制中心慢病科,辽宁凤城118100

出　　处：《中华疾病控制杂志》2017年第3期255-260,共6页Chinese Journal of Disease Control & Prevention

摘　　要：目的了解辽宁省农村地区2013年脑卒中早死所致的疾病负担情况,为脑卒中的防治提供科学依据。方法收集辽宁省彰武和凤城两地2013年全死因死亡数据和人口学数据,计算早死所致健康寿命年损失(years of life lost,YLLs)、每千人YLL(YLL率)、标化YLL率、平均每人的健康寿命年损失(average years of life lost,AYLLs)、标化AYLLs、YLL率随年龄的变化情况。结果脑卒中YLL率随年龄呈上升趋势。男性脑卒中年龄标化的YLL率和AYLLs分别为17.1‰和11.1年/人,大于女性(12.0‰和10.0年/人)。在74岁之前各年龄段脑卒中YLL率男性大于女性,到75~84岁女性超过男性。出血性脑卒中YLL率和标化YLL率分别为7.7‰和5.9‰,小于缺血性脑卒中(8.6‰和6.6‰),AYLLs和标化AYLLs大于缺血性脑卒中。59岁之前脑卒中YLL率出血性大于缺血性,60岁之后缺血性大于出血性。结论辽宁省农村地区脑卒中早死所致的疾病负担沉重,且与性别,亚型,年龄均有所联系。农村地区急需开展脑卒中相关健康教育,并采取有针对性的防治措施减轻脑卒中早死所致的疾病负担。Objective To understand the disease burden of stroke-related deaths among rural areas of Liaoning Province and to provide evidence for stroke prevention and treatment. Methods The all-cause mortality data and the demographic data of Zhangwu and Fengeheng areas in Liaoning province in 2013 were collected. Years of life lost （YLL） , YLL rate, Age Standardized YLL rate, average years of life lost （AYLL） , Age Standardized AYLLs and the change of YLL rate with age were calculated. Results Stroke YLL rate showed an increased trend with age. For people in all ages the Age Standardized YLL rate and Age Standardized AYLLs of stroke were higher for men （17.1 per 1 000; 11.1 years/person） than those for women （12.0 per 1 000; 10.0 years / person）. YLL rate was larger for men than for women in all age groups before the age of 74, which was reversed in the age group of 75-84. YLL rate and Age Standardized YLL rate of hemorrhagic stroke were 7.7 per 1 000 and 5; 9 per 1 000 respectively, which were less than those of isehemic stroke （ 8.6 per 1 000 and 6. 6 per 1 000）. In contrast, AYLLs and Age Standardized AYLLs of hemorrhagic stroke were higher than those of isehemic stroke. For people less than 59 the YLL rate of hemorrhagic stroke was higher than that of ischemie stroke. For people more than 60, the YLL rate of ischemie stroke was higher than that of hemorrhagic stroke. Conclusions The findings suggest that the disease burden of stroke-related deaths, which correlates to sex, subtype and age, is heavy in the rural areas in Liaoning province. It is necessary to carry out health education about stroke and take out effective prevention to reduce the burden of stroke-related death in rural areas.

关 键 词：卒中 患病代价 流行病学方法 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R181[医药卫生—临床医学]