2009-2018年宁波市居民心血管疾病死亡及早死所致疾病负担趋势分析  

Trend analysis of mortality and early death burden of cardiovascular diseases from 2009 to 2018 in Ningbo

作　　者：蒙家嘉 李辉[3] 王永 纪威[3] 冯伟 张瑞洁 刘杨 刘世炜[5] 韩丽媛 MENG Jiajia;LI Hui;WANG Yong;JI Wei;FENG Wei;ZHANG Ruijie;Uu Yang;LIU Shiwei;HAN Liyuan(Hwa Mei Hospital,University of Chinese Academy of Sciences,Ningbo,Zhejiang 315010,China)

机构地区：[1]中国科学院大学宁波华美医院,浙江宁波315010 [2]中国科学院大学宁波生命与健康产业研究院 [3]宁波市疾病预防控制中心 [4]宁波市奉化区疾病预防控制中心 [5]中国疾病预防控制中心控烟办公室

出　　处：《预防医学》2021年第5期451-456,共6页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：国家重点研发计划“重大慢性非传染性疾病防控研究”重点专项“重大慢性病疾病负担及防控策略研究”(2018YFC1315300,2018YFC1315305);国家自然科学基金面上项目(81872721)。

摘　　要：目的了解2009-2018年宁波市居民心血管疾病的死亡及早死所致疾病负担趋势,为制订心血管疾病防治措施提供依据。方法通过宁波市居民死因监测系统收集2009-2018年宁波市居民心血管疾病死亡资料,计算心血管疾病死亡率、早死概率、寿命损失年(YLL)和潜在工作损失年(WYPLL);死亡率和YLL率采用2010年全国标准人口进行标化。采用年度变化百分比(APC)分析心血管疾病死亡和疾病负担发展趋势。结果 2009-2018年宁波市心血管疾病死亡42 961例,粗死亡率为7.35/万,标化死亡率为4.25/万,均呈上升趋势,APC分别为57.488%和6.004%(P<0.05);早死概率为0.84%,呈下降趋势,APC为-1.253%(P<0.05)。女性心血管疾病标化死亡率为4.36/万,高于男性的4.16/万(P<0.05)。宁波市居民心血管疾病的YLL、标化YLL率和WYPLL分别为329 266.65人年、3.82‰和18 355.63人年,其中YLL呈上升趋势,APC为1.700%(P<0.05);标化YLL率随年龄增加呈上升趋势,APC为1.503%(P<0.05)。从病种看,缺血性心脏病和高血压心脏病YLL较高,分别为105 949.75人年和46 015.95人年。结论2009—2018年宁波市居民心血管疾病粗死亡率呈上升趋势,早死概率呈下降趋势,女性、老年人为高危人群,缺血性心脏病和高血压心脏病为重点防控疾病。Objective To understand the trend of cardiovascular diseases death and disease burden caused by early death from 2009 to 2018 in Ningbo,so as to provide evidence for the prevention and control of cardiovascular disease.Methods The monitoring data of cardiovascular diseases death from 2009 to 2018 was collected from Ningbo death cause surveillance system.The mortality rate,early death probability,years of life lost(YLL) and working years of potential life lost(WYPLL) were calculated,and the mortality rate and YLL rate were standardized by 2010 national standard population.The annual percentage change(APC) was used to measure the time trend.Results From 2009 to2018,there were 42 961 deaths from cardiovascular diseases in Ningbo,with a mortality rate of 7.35/104,a standardized mortality rate of 4.25/104,and an early death probability of 0.84%.The APC of cardiovascular disease mortality and standardized mortality were 57.488% and 6.004%,both showing an upward trend(P<0.05);the APC of the probability of early death was-1.253%,showing a downward trend(P<0.05).The male mortality rate was 4.16×104,which was lower than the female’s 4.36/104(P<0.05).The YLL,standardized YLL rate,and WYPLL for cardiovascular diseases were 329 266.65 person-years,3.82‰,and 18 355.63 person-years,respectively.The overall APC of YLL is1.700%,showing an upward trend(P<0.05).The standardized YLL rate of cardiovascular diseases increased with age(P<0.05).with the APC of 1.503%.Ischemic heart disease and hypertensive heart disease were dominant,their YLLs were105 949.75 and 46 015.68 person-years,respectively.Conclusion From 2009 to 2018,the mortality of cardiovascular diseases show an increasing trend,while the burden caused by early death in Ningbo reverses.Women and the elderly are high-risk groups,and ischemic heart disease and hypertensive heart disease are high-risk diseases.

关 键 词：心血管疾病 死亡率 早死概率 寿命损失年 潜在工作损失年 

分 类 号：R195.4[医药卫生—卫生统计学]