中国1990-2019年周围动脉疾病与缺血性心脏病患病情况的分析  

Analysis in prevalence of peripheral artery disease and ischemic heart disease in China from 1990 to 2019

作　　者：王冬梅[1] 刘林波[1] 廖智杰[1] 张恒 白丹丹 张毅[1] Wang Dongmei;Liu Linbo;Liao Zhijie;Zhang Heng;Bai Dandan;Zhang Yi(Department of Vascular Surgery,The Third Hospital of Mianyang,Sichuan Mental Health Center,Mianyang 621000,Sichuan,China)

机构地区：[1]绵阳市第三人民医院四川省精神卫生中心血管外科,四川绵阳621000

出　　处：《中国血管外科杂志(电子版)》2024年第4期368-374,共7页Chinese Journal of Vascular Surgery(Electronic Version)

基　　金：四川省卫生健康委科研课题(18PJ488)。

摘　　要：目的分析中国1990-2019年周围动脉疾病(peripheral artery disease,PAD)和缺血性心脏病(ischemic heart disease,IHD)患病情况,为制订有针对性的预防和治疗措施提供依据。方法通过2019年全球疾病负担数据库提取中国1990-2019年PAD和IHD患病例数、患病率、年龄标化患病率和疾病负担可归因危险因素,采用R语言进行可视化分析,采用Joinpoint软件分析PAD和IHD患病数和年龄标化患病率随时间变化的趋势,计算其年度变化百分比(annual percentage change,APC)和平均年度变化百分比(average annual percentage change,AAPC)。结果中国2019年PAD患病例数、患病率、年龄标化患病率分别为2848.9万、2003.00/10万、1423.78/10万,分别比1990年增加173.94%、127.97%、7.02%;2019年IHD患病例数、患病率、年龄标化患病率分别为4519.7万、3177.62/10万、2322.73/10万,分别比1990年增加158.89%、133.27%、6.29%。中国1990-2019年PAD患病数和年龄标化患病率AAPC分别为3.52%、0.20%。IHD患病数和年龄标化患病率AAPC分别为3.34%、0.23%。各年龄分层PAD和IHD患病率随年龄增大而增加。2019年,中国女性各年龄段的PAD患病率均高于男性;中国男性IHD患病率均高于女性。PAD和IHD的疾病负担归因危险因素中,吸烟在男性的比例明显高于女性。结论中国2019年PAD和IHD的患病例数、患病率和年龄标化患病率均比1990年增高,各年龄分层PAD和IHD患病率随年龄增大而增加。应重视两种疾病在性别、年龄方面的特点,从而采取针对性的预防和治疗措施。Objective To analyze the prevalence of peripheral artery disease(PAD)and ischemic heart disease(IHD)in China from 1990 to 2019,and to provide a basis for the development of tailored prevention and treatment strategies.Methods The number of patients,prevalence rates,age-standardized prevalence rates and attributable risk factors of PAD and IHD in China from 1990 to 2019 were extracted from the 2019 Global Burden of Disease database.The R language was used for visualization analysis.Joinpoint software was used to analyze the trends of the number of cases and age-standardized prevalence rates of PAD and IHD in China from 1990 to 2019,and calculated their annual percentage change(APC)and average annual percentage change(AAPC).Results The number,prevalence rate and age-standardized prevalence rate of PAD in China in 2019 were 28.489 million,2003.00/100000 and 1423.78/100000,respectively,which were 173.94%,127.97%,and 7.02%higher than those in 1990,respectively.The number,prevalence rate and age-standardized prevalence rate of IHD in China in 2019 were 45.197 million,3177.62/100000 and 2322.73/100000,respectively,which were 158.89%,133.27%and 6.29%higher than those in 1990,respectively.The AAPC of the number and age-standardized prevalence rate of PAD in China from 1990 to 2019 were 3.52%and 0.20%,respectively.The AAPC of the number and age-standardized prevalence rate of IHD were 3.34%and 0.23%,respectively.The prevalence of PAD and IHD in each age stratum increased with age.In 2019,the prevalence of PAD in Chinese women of all ages was higher than that in men.The prevalence of IHD in Chinese men was higher than that in women.Among the risk factors attributable to the disease burden of PAD and IHD,the proportion of smoking in men was significantly higher than that in women.Conclusion The number of cases,prevalence rate and age-standardized prevalence rate of PAD and IHD in China in 2019 were higher than those in 1990,and the prevalence of PAD and IHD in all age strata increased with age.Attention should be paid to the

关 键 词：周围动脉疾病 缺血性心脏病 患病率 疾病负担 流行病学 

分 类 号：R54[医药卫生—心血管疾病]