2010—2020年余杭区心脑血管疾病死亡趋势及期望寿命影响研究  

Trends in mortality of cardiovascular and cerebrovascular diseases and effects on life expectancy in Yuhang District from 2010 to 2020

作　　者：刘天娥 唐爱奇 胡永勤[2] 王来根 LIU Tian'e;TANG Aiqi;HU Yongqin;WANG Laigen(Department of Non-communicable Disease Control and Prevention,Linping Center for Disease Control and Prevention,Hangzhou,Zhejiang 311199,China;Yuhang Center for Disease Control and Prevention,Hangzhou,Zhejiang 311112,China)

机构地区：[1]杭州市临平区疾病预防控制中心慢性病防制科,浙江杭州311199 [2]杭州市余杭区疾病预防控制中心,浙江杭州311112

出　　处：《预防医学》2022年第2期119-122,128,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：2020年杭州市科技计划引导项目(农业与社会发展)(20201231Y152)。

摘　　要：目的分析2010—2020年杭州市余杭区居民心脑血管疾病死亡特征及其对期望寿命的影响,为防制心脑血管疾病提供依据。方法通过浙江省居民全人群死因监测系统收集2010—2020年杭州市余杭区户籍居民心脑血管疾病死亡监测资料,计算粗死亡率、标化死亡率、年度变化百分比(APC)、Fulfillment指数、人均期望寿命、去死因期望寿命和寿命损失年等,分析余杭区居民心脑血管疾病死亡特征和对期望寿命的影响。结果2010—2020年余杭区心脑血管疾病死亡21761例,年均粗死亡率为206.14/10万,标化死亡率为129.62/10万;2010—2020年粗死亡率和标化死亡率均呈下降趋势(P<0.05),APC值分别为-3.63%和-5.45%。50~<80岁居民Fulfillment指数均呈下降趋势(P<0.05)。2010—2020年余杭区人均期望寿命为82.71岁,去死因期望寿命为88.39岁,均呈上升趋势(P<0.05),APC值均为0.50%;因心脑血管疾病造成的寿命损失年为5.02~6.47岁,寿命损失率为6.00%~7.73%。结论2010—2020年余杭区心脑血管疾病死亡率呈下降趋势,去死因期望寿命呈上升趋势;加强心脑血管疾病防制可促进居民期望寿命的提高。Objective To investigate the mortality of cardiovascular and cerebrovascular diseases and to examine the ef⁃fects on life expectancy among residents in Yuhang District of Hangzhou City from 2010 to 2020,so as to provide in⁃sights into the management of cardiovascular and cerebrovascular diseases.Methods The mortality surveillance data of cardiovascular and cerebrovascular diseases of registered residents in Yuhang District from 2010 to 2020 were collected from Zhejiang All-cause Death Surveillance System.The crude mortality,standardized mortality,annual percent change(APC),Fulfillment index,life expectancy,cause-eliminated life expectancy and years of life lost,and the mortality of cardiovascular and cerebrovascular diseases and the impact on life expectancy were analyzed.Results A total of 21761 deaths occurred due to cardiovascular and cerebrovascular diseases in Yuhang District from 2010 to 2020,and the annual average crude and standardized mortality rates of cardiovascular and cerebrovascular diseases were 206.14/105 and 129.62/105,respectively.The annual crude and standardized mortality of cardiovascular and cerebrovascular diseases both appeared a tendency towards a decline from 2010 to 2020,with APC of-3.63%and-5.45%,respectively(P<0.05),and the Fulfillment index showed a tendency towards a reduction in residents at ages of 50 to 79 years(P<0.05).The mean life expectancy and cause-eliminated life expectancy were 82.71 and 88.39 years in Yuhang District from 2010 to 2020,which both appeared a tendency towards a rise,both with APC of 0.50%(P<0.05).The years of life lost were 5.02 to 6.47 years due to cardiovascular and cerebrovascular diseases,and the life loss rates were 6.00%to 7.73%.Conclusions The mortality of cardiovascular and cerebrovascular diseases appeared a tendency towards a de⁃cline decreased and the cause-eliminated life expectancy appeared a tendency towards a rise in Yuhang District from 2010 to 2020.Intensifying the management of cardiovascular and cerebrovascular diseases death may in

关 键 词：心脑血管疾病 Fulfillment指数 期望寿命 去死因期望寿命 

分 类 号：R181.3[医药卫生—流行病学]