2015—2019年广州市急性心肌梗死死亡特征及疾病负担分析  

Analysis of myocardial infarction death characteristics and disease burden in Guangzhou:2015—2019

作　　者：周智华 袁晓霞 周尚成 ZHOU Zhi-hua;YUAN Xiao-xia;ZHOU Shang-cheng(School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,China)

机构地区：[1]广州中医药大学公共卫生与管理学院,广东广州510006

出　　处：《现代预防医学》2022年第4期577-580,586,共5页Modern Preventive Medicine

基　　金：国家自然科学基金资助(81973979,71774049);广东省自然科学基金(2019A1515011496);广东省社科基金(GD19CSH04);湖北省教育厅哲学社会科学研究重大项目(17ZD024)。

摘　　要：目的分析广州市2015—2019年急性心肌梗死(AMI)死亡率与疾病负担现况及其变化趋势,并测算其早死概率,为广州市制定急性心肌梗死的预防策略提供实证依据。方法通过获取死亡数据和人口数据,计算死亡率及早死概率以了解广州市急性心机梗死死亡特征,并通过测算伤残调整寿命年(DALY)、伤残所致生命年损失(YLD)和早亡所致生命年损失(YLL)衡量疾病负担。结果2015—2019年广州市居民急性心肌梗死粗死亡率由2015年32.16/10万上升至2019年41.21/10万,标化死亡率由22.29/10万上升至28.02/10万,早死概率为0.98%,年均增长率9.28%,YLL率、YLD率分别为3.50、0.17人年/千人,DALY率为3.67人年/千人。男性早死概率和疾病负担高于女性,随着年龄增长,广州市急性心肌梗死疾病负担加重。结论关注老龄化影响对广州市急性心肌梗死的影响,并加强对男性和60岁及以上老年人等重点人群的干预。Objective To analyze the mortality and disease burden of acute myocardial infarction(AMI)in Guangzhou from 2015 to 2019,and estimate the probability of premature death,providing empirical evidence for the prevention of AMI in Guangzhou.Methods The data of AMI were collected from the death registration data and demographic data in Guangzhou.Mortality,probability of premature death,disability adjusted life years(DALY),years lived with disability(YLD)and years of life lost(YLL)were calculated to measure the mortality characteristics and disease burden of AMI in Guangzhou.Results From 2015 to 2019,the crude mortality rate rose from 32.16 per 100000 in 2015 to 41.21 per 100000 in 2019,and the standardized mortality rate rose from 22.29 per 100000 in 2015 to 28.02 per 100000 in 2019.The probability of premature mortality of AMI in Guangzhou was 0.98%,with an average annual growth rate of 9.28%.The YLL,YLD and DALY rates were 3.50,0.17 and 3.67 per thousand people,respectively.Probability of premature mortality and disease burden of male were higher than female.The burden of AMI disease increased with the increase of age.Conclusion We should focus on the impact of aging on AMI in Guangzhou and strengthen interventions for targeted populations such as men and people aged 60 and older.

关 键 词：急性心肌梗死 死亡率 早死概率 疾病负担 

分 类 号：R542.22[医药卫生—心血管疾病]