新疆居民慢性病疾病谱现况调查及对策研究  

Investigation on status quo of chronic disease spectrum of residents in Xinjiang and its countermeasures

作　　者：徐培兰[1] 木日扎提•买买提 孜克娅•乃吉木 孙虹[3] 魏晶晶[2] 王昕 XU Pei-lan;Murizhati-Maimaiti;Zikeya-Naijimu;SUN Hong;WEI Jing-jing;WANG Xin(Public Health School of Central South University,Changsha Hunan 410083,China;Public Health School of Xinjiang Medical University,Urumqi Xinjiang 831000,China;Xiangya Hospital of Central South University,Changsha Hunan 410000,China;School of Humanities and Social Sciences,China Medical University,Shenyang Liaoning 110122,China)

机构地区：[1]中南大学公共卫生学院,湖南长沙410083 [2]新疆医科大学公共卫生学院,新疆乌鲁木齐831000 [3]中南大学湘雅医院,湖南长沙410000 [4]中国医科大学人文社科学院,辽宁沈阳110122

出　　处：《卫生软科学》2021年第2期73-76,共4页Soft Science of Health

基　　金：新疆社会科学基金项目(18BGL094);自治区卫生健康青年医学科技人才专项科研项目(WJWY-202041)。

摘　　要：[目的]分析2016-2018年新疆居民总体健康状况及慢性疾病谱及发病机制,为进一步促进"健康新疆2020"战略的完成提供科学依据。[方法]对新疆卫健委全民健康体检慢性病监测数据库及年度报表中高血压、脂肪肝、糖尿病、胆囊炎、冠心病、支气管炎、贫血、肾结石、结核病9种慢性病数据,采用WHO疾病分类法(ICD-10)进行编码,对9种疾病发病情况进行描述性统计分析。[结果]2016-2018年全民体检人数分别为1883.36万人、1884.48万人、1749.24万人。高血压的发病率从2016年的24,420/10万人下降为2018年的18,550/10万人,年均增长率男性为-1.46%、女性为-1.66%;脂肪肝的发病率从2016年的7410/10万人下降为2018年的7060/10万人,年均增长率男性为0.21%、女性为-0.06%;糖尿病的发病率从2016年的3780/10万人上升为2018年的5920/10万人,年均增长率男性为0.72%、女性为0.37%;结核病的发病率从2016年的590/10万人上升为2018年的890/10万人,年均增长率男性为0.12%、女性为0.07%。[结论]新疆做到了应检尽检,9种慢性病中高血压、脂肪肝、胆囊炎、冠心病、支气管炎等疾病总情况呈下降趋势,糖尿病、贫血、肾结石、结核病为增长趋势。不同性别的疾病构成比和年均增长率有差异,15~24岁年龄段人群的贫血、肺结核、支气管发病率呈增长趋势。Objective To analyze residents’ general health status, chronic disease spectrum and pathogenesis in Xinjiang from 2016 to 2018 so as to provide scientific basis for further constructing the strategy of "healthy Xinjiang 2020". Methods 9 kinds of chronic diseases data of hypertension, fatty liver, diabetes, cholecystitis, coronary heart disease, bronchitis, anemia, kidney stones and tuberculosis from whole people health examination chronic disease monitoring database and annual report of Xinjiang Health Commission was coded by WHO disease classification(ICD-10), and conducted descriptive statistical analysis on the incidence of 9 kinds of diseases. Results From 2016 to 2018, total number of physical examination was 18.8336 million, 18.8448 million and 17.4924 million respectively. The incidence of hypertension decreased from 24420/100000 people in 2016 to 1818550/100000 people in 2018, which annual average growth rate was-1.46% for male and-1.66% for female. The incidence rate of fatty liver decreased from 7410/100000 people in 2016 to 7060/100000 people in 20180, which annual average growth rate was 0.21% for male and-0.06% for female. The incidence rate of diabetes increased from 3780/100000 people in 2016 to 5920/100000 people in 2018, which annual average growth rate was 0.72% for male and 0.37% for female. The incidence rate of tuberculosis increased from 590/100000 people in 2016 to 890/100000 people in 2018, which average annual growth rate was 0.12% for male and 0.07% for female. Conclusions Xinjiang has done all necessary examinations. Among 9 kinds of chronic diseases, general situation of hypertension, fatty liver, cholecystitis, coronary heart disease, bronchitis show downward trend, while diabetes, anemia, kidney stones and tuberculosis show increasing trend. There are difference in disease constituent ratio of different sex and annual growth rate. Anemia, tuberculosis and incidence of bronchial asthma in age from 15 to 24 years-old group show increasing trend.

关 键 词：新疆 慢性病 发病机制 

分 类 号：R195[医药卫生—卫生统计学]