2014-2017年金华市居民脑血管病死亡情况分析  

Analysis of cerebrovascular disease mortality among residents in Jinhua in 2014-2017

作　　者：王小红[1] 王诚 陈左霞[1] 徐则林[1] WANG Xiao-hong;WANG Cheng;CHEN Zuo-xia;XU Ze-lin(Jinhua Center for Disease Control and Prevention,Jinhua,Zhejiang 321002,China)

机构地区：[1]金华市疾病预防控制中心,浙江金华321002

出　　处：《中国预防医学杂志》2019年第3期208-211,共4页Chinese Preventive Medicine

基　　金：金华市科技局基金资助项目(2018-4-087)

摘　　要：目的分析2014-2017年金华市居民脑血管病死亡的流行病学特征,为制定脑血管病预防和控制措施提供科学依据。方法根据"浙江省慢性病监测信息管理系统"中2014-2017年金华市9个县(市、区)户籍死亡的监测数据,采用"浙江省死因监测数据审核软件"分析脑血管病不同性别、城市农村、不同年龄段及不同类型脑血管病死亡率、标化死亡率、潜在减寿年数(PYLL)、平均减寿年数(AYLL)和减寿率(PYLLR)等。结果 2014-2017年金华市居民脑血管病死亡率为121.14/10万,标化死亡率108.89/10万,死亡率呈高水平稳定态势,占全死因的18.74%,居全死因第2位。其中男性死亡率124.67/10万,标化死亡率112.89/10万,女性死亡率117.46/10万,标化死亡率105.09/10万,男性高于女性,城市死亡率105.78/10万,标化死亡率113.83/10万,农村死亡率123.49/10万,标化死亡率108.30/10万,城市高于农村。≥65岁老年人脑血管病死亡率高达1 000.28/10万,占全人群的88.78%。脑血管病死亡以脑出血、脑血管后遗症和脑梗死为主,占全部脑血管病死亡的86.88%。2014-2017年脑血管病潜在减寿71 184人年;以期望寿命为基准,脑血管病患者平均每人因脑血管病减寿3.07岁;按总人口计算,金华市居民平均每人因脑血管病损失3.72‰生命年。结论脑血管病是严重危害金华市居民身体健康和生活质量的重点疾病,应进一步加强针对脑血管病行为危险因素开展行为干预,提高居民生命质量。Objective To understand the epidemiological characteristics of cerebrovascular disease mortality in Jinhua, and to provide scientific evidence for disease control and prevention. Methods The surveillance data of 9 counties recorded in Zhejiang Chronic Disease Monitoring Information Management System from 2014 to 2017 were retrieved and analyzed for the mortality rate, standardized mortality rate, potential years of life loss(PYLL) and average years of life loss of cerebrovascular diseases using Zhejiang Death Cause Monitoring Data Audit Software. Results From 2014 to 2017, the mortality rate and standardized mortality rate of cerebrovascular diseases were 121.14 and 108.89 per 100 000,accounting for 18.74% of all deaths and cerebrovascular diseases were the second cause of death.The mortality rate and standardized mortality rate were higher among males than females(124.67 vs 117.46;112.89 vs 105.09 per 100 000;P<0.05) and were also higher among residents in urban areas than those in rural areas(113.83 vs 108.30 per 100 000).The mortality rate of cerebrovascular diseases in the elderly aged 65 years and above was as high as 1 000.28 per 100 000, accounting for 88.77% of the total death.The death of cerebrovascular disease was mainly caused by cerebral hemorrhage, cerebrovascular sequelae and cerebral infarction, accounting for 86.88% of all cerebrovascular disease deaths.From 2014 to 2017, the PYLLof patients with cerebrovascular diseases was 3.07 years, and the average years of life loss was 3.72‰ years. Conclusions Cerebrovascular disease is a major disease that endangers the health and quality of life of residents in Jinhua.Therefore,a comprehensive intervention against behavioral risk factors should be strengthened to improve the quality of life of residents.

关 键 词：脑血管病 死亡率 标化死亡率 构成比 潜在减寿年数 平均减寿年数 减寿率 

分 类 号：R195[医药卫生—卫生统计学]