2002-2023年上海市松江区缺血性心脏病死亡趋势及疾病负担分析  

Mortality trend and disease burden of ischemic heart disease in Songjiang district,Shanghai,2002−2023

作　　者：陆慧萍[1] 苏旭燕[1] 孙聪 张玉 陈岚[1] 裴秋彤 黄丽妹[1] 吴毅凌[1] 姜永根[1] 关颖[1] Lu Huiping;Su Xuyan;Sun Cong;Zhang Yu;Chen Lan;Pei Qiutong;Huang Limei;Wu Yiling;Jiang Yonggen;Guan Ying(Songjiang District Center for Disease Control and Prevention,Shanghai 201620,China)

机构地区：[1]上海市松江区疾病预防控制中心,上海201620

出　　处：《疾病监测》2024年第12期1561-1566,共6页Disease Surveillance

基　　金：上海市加强公共卫生体系建设三年行动计划(2023-2025年)重点学科(No.GWVI-11.1-23);国家自然科学基金(No.82173634)。

摘　　要：目的了解上海市松江区缺血性心脏病(IHD)的死亡趋势,以及该病造成的疾病负担。方法收集松江区2002—2023年死因监测数据和人口数据,计算IHD死亡率、标化死亡率、早死损失寿命年(YLL)、伤残损失寿命年(YLD)和伤残调整寿命年(DALY),并用平均年度变化百分比(AAPC)分析IHD死亡趋势和疾病负担变化趋势。结果2002—2023年松江区男性居民粗死亡率和标化死亡率从18.16/10万和16.02万上升至159.50/10万和56.01/10万(AAPC=8.24%、5.68%;P<0.05),女性从30.86/10万和22.98/10万上升至200.99/10万和63.70/10万(AAPC=7.96%、5.59%;P<0.05);80岁以下各年龄组男性死亡率均高于女性;2002—2023年男性50~岁、60~岁、70~岁组死亡率有上升趋势,女性50岁以下组死亡率有下降趋势,80岁及以上年龄组男性和女性均呈上升趋势。男性和女性DALY率呈上升趋势,分别从0.96‰和1.47‰上升至5.88‰和5.44‰(AAPC=7.90%、6.87%;P<0.05)。结论松江区IHD死亡率及疾病负担上升速度快,在性别、年龄方面存在差异,需开展针对性的干预措施。Objective To understand the mortality and disease burden of ischemic heart disease(IHD)in Songjiang district of Shanghai.Methods The death cause surveillance data and demographic data in Songjiang from 2002 to 2023 were collected.The crude mortality rate,standardized mortality rate of IHD,and related years of life lost(YLL),years lived with disability(YLD),disability adjusted life years(DALY)and the average annual percent change(AAPC)were calculated to evaluate the trend of mortality and disease burden of IHD.Results The crude mortality rate and standardized mortality rate of IHD increased from 18.16/100000 and 16.02/100000 in 2002 to 159.50/100000 and 56.01/100000 in 2023 in men(AAPC=8.24%,5.68%,P<0.05)and from 30.86/100000 and 22.98/100000 in 2002 to 200.99/100000 and 63.70/100000 in 2023 in women(AAPC=7.96%,5.59%,P<0.05)in Songjiang.The mortality rate was higher in men than in women in age group<80 years old.The mortality rate increased in men in age group 50−,60−and 70−years and decreased in women aged below 50 years.The mortality rate of IHD increased both in men and women aged≥80 years.The DALY rates in men and women increased from 0.96‰,1.47‰to 5.88‰,5.44‰,respectively(AAPC=7.90%,6.87%,P<0.05).Conclusion The mortality rate and disease burden of IHD increased rapidly and showed gender and age specific differences in Songjiang.It is necessary to take targeted measures to prevent IHD.

关 键 词：缺血性心脏病 急性心肌梗死 死亡趋势 疾病负担 

分 类 号：R211[医药卫生—中医学] R541