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作 者:顾思义 张荣艳 沈建新 杨梅 彭晓楚 汤静 陈梦想 GU Siyi;ZHANG Rongyan;SHEN Jianxin;YANG Mei;PENG Xiaochu;TANG Jing;CHEN Mengxiang(Wujiang District Center for Disease Control and Prevention,Suzhou,Jiangsu 215200,China)
机构地区:[1]江苏省苏州市吴江区疾病预防控制中心,江苏苏州215200
出 处:《公共卫生与预防医学》2025年第2期100-104,共5页Journal of Public Health and Preventive Medicine
基 金:2023年度吴江区第二批“科教兴卫”项目(WWK202329)。
摘 要:目的了解2011-2022年苏州市吴江区冠心病及脑卒中死亡趋势和减寿情况,为心脑血管疾病防治提供依据。方法通过苏州市死因监测系统收集2011-2022年吴江区冠心病及脑卒中死亡资料,计算冠心病及脑卒中死亡率、标化死亡率、潜在寿命损失年(potential years of life lost,PYLL)、平均潜在寿命损失年(average years of life lost,AYLL)、潜在寿命损失年率(potential years of life lost rate,PYLLR),分析冠心病及脑卒中死亡率与寿命损失情况变化趋势。结果2011-2022年吴江区冠心病粗死亡率为31.91/10万,脑卒中粗死亡率为118.93/10万,均呈上升趋势(P<0.05,变化趋势差异有统计学意义)。2011-2022年吴江区冠心病及脑卒中死亡率随年龄增长而快速上升。2011-2022年吴江区冠心病PYLL为11005人年,PYLLR为1.26%,AYLL为12.34年/人;脑卒中PYLL为13587.5人年,PYLLR为1.55%,AYLL为8.93年/人;女性冠心病及脑卒中所致寿命损失呈下降趋势(P<0.05),男性未见明显变化趋势(P>0.05)。结论2011-2022年吴江区冠心病及脑卒中死亡率呈上升趋势,应针对老年和男性居民开展心脑血管疾病防治健康教育和筛查工作。Objective To understand the mortality and potential life loss due to coronary heart disease(CHD)and stroke in Wujiang District,Suzhou from 2011 to 2022,and to provide strategies and basis for the prevention and treatment of CHD and stroke.Methods We collected the data of death cases due to CHD and stroke from the death monitoring system in Suzhou from 2011 to 2022.The mortality of CHD and stroke,potential years of life lost(potential years of life lost,PYLL),average years of life lost(average years of life lost,AYLL)and potential years of life lost rate(potential years of life lost rate,PYLLR)were calculated to analyze the development trend of death and disease burden of CHD and stroke.Results From 2011 to 2022,the crude mortality of CHD was 31.91/10 million,and that of stroke was 118.93/10 million.CHD and stroke mortality rates both showed an upward trend(P<0.05,a statistically significant trend).From 2011 to 2022,the mortality rate of CHD and stroke in Wujiang District increased rapidly with the increase of age.From 2011 to 2022,the disease burden caused by CHD totaled 11005 person-years,with PYLLR of 1.26%and AYLL of 12.34 years per person.The PYLL caused by stroke was 13587.5 people-years,the PYLLR was 1.55%,and the AYLL was 8.93 years per person.PYLL,PYLLR and AYLL all decreased in women(P<0.05),with no significant change in men(P>0.05).Conclusion From 2011 to 2022,the mortality rate of CHD and stroke in Wujiang District appeared a tendency towards a rise,effective intervention and prevention measures should be taken among elderly and male residents.
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