江西省2014—2019年缺血性心脏病死亡及寿命损失分析  

Ischemic heart disease death and life loss in Jiangxi, 2014—2019

作　　者：刘杰[1] 李中坚 赵军[1] 颜玮[1] 徐艳[1] LIU Jie;LI Zhong-jian;ZHAO Jun;YAN Wei;XU Yan(Institute of Chronic Disease Control and Prevention,Jiangxi Center for Disease Control and Prevention,Nanchang,Jiangxi 330029,China)

机构地区：[1]江西省疾病预防控制中心慢防所,江西南昌330029

出　　处：《现代预防医学》2022年第9期1689-1693,共5页Modern Preventive Medicine

基　　金：江西省卫生健康委员会科技计划资助项目(202130976);江西省科技厅重点研发计划一般项目(20203BBGL73160)。

摘　　要：目的分析江西省居民缺血性心脏病死亡特征及寿命损失情况,为相关防控措施制订提供依据。方法收集2014—2019年江西省死因监测数据,统计分析缺血性心脏病粗(标化)死亡率、潜在减寿年数(PYLL)、减寿率(PYLLR)、早死寿命损失年率(YLLR)和年度变化百分比(APC)等指标。结果2014—2019年,江西省缺血性心脏病粗死亡率为81.26/10万,中标率75.81/10万。男性粗死亡率(85.99/10万)高于女性(76.33/10万)(χ^(2)=145.057,P<0.001),城市(76.24/10万)低于农村(83.91/10万)(χ^(2)=82.771,P<0.001)。女性(t=3.861,P=0.018)和农村(t=3.120,P=0.036)标化死亡率呈上升趋势。55~64岁组居民(t=3.572,P=0.023)和65岁以上组女性居民粗死亡率变化有上升趋势(t=3.103,P=0.036)。2014—2019年间,江西省缺血性心脏病PYLL为185391人年,PYLLR为3.81‰,YLL率为7.43‰。55~64岁组(t=3.171,P=0.034)、男女合计(t=11.284,P<0.001)和城市地区(t=5.150,P=0.007)YLL率变化均呈上升趋势;城市(t=3.618,P=0.022)、农村地区(t=2.957,P=0.042)、男性(t=4.611,P=0.010)PYLLR变化呈上升趋势,差异有统计学意义。结论缺血性心脏病是威胁对江西省居民健康的主要疾病之一,近年来我省缺血性心脏病死亡率和早死所致寿命损失年率有上升态势,针对高危人群应加强综合防控工作。Objective To analyze the death and life loss of residents with ischemic heart disease in Jiangxi Province,so as to provide basis for formulating targeted prevention and control measures.Methods The monitoring data of death causes in Jiangxi Province from 2014 to 2019 were collected.The crude mortality rate of ischemic heart disease,standardized mortality rate,potential years of life loss(PYLL),potential rate of life loss(PYLLR),years of life lost rate(YLLR)and annual percent change(APC)were calculated.Results From 2014 to 2019,the crude mortality rate of ischemic heart disease in Jiangxi Province was 81.26/100000,and the age standardized mortality rate by Chinese standard population(ASIMC)was 75.81/105.The crude mortality rate was higher in men(85.99/100000)than in women(76.33/100000)(χ^(2)=145.057,P<0.001)and was lower in urban areas(76.24/100000)than in rural areas(83.91/100000)(χ^(2)=82.771,P<0.001).The standardized mortality rate showed an upward trend in women(t=3.861,P=0.018)and rural areas(t=3.120,P=0.036),and the crude mortality rate showed an upward trend in residents aged 55-64(t=3.572,P=0.023)and female residents aged 65 and over(t=3.103,P=0.036).PYLL of ischemic heart disease in Jiangxi Province was 185391 person years.PYLLR was 3.81‰,and the YLL rate was 7.43‰.The change of YLL rate in aged 55-64 group(t=3.171,P=0.034),different gender(t=11.284,P<0.001)and urban areas(t=5.150,P=0.007)were shown an upward trend,and the change of PYLLR in urban(t=3.618,P=0.022),rural areas(t=2.957,P=0.042)and in men(t=4.611,P=0.010)were shown an upward trend with statistically significant differences.Conclusion Ischemic heart disease becomes one of the main diseases threatening the health of residents in Jiangxi Province.The mortality of ischemic heart disease and the rate of life loss caused by early death are increasing in Jiangxi Province.Comprehensive prevention and control should be strengthened for high-risk groups.

关 键 词：缺血性心脏病 死亡率 潜在寿命损失 

分 类 号：R195.3[医药卫生—卫生统计学] R541[医药卫生—卫生事业管理]