2017年重庆市脑卒中疾病负担分析
|
摘要
目的分析重庆市脑卒中发病死亡特征及疾病负担,为开展脑卒中防治提供建议。方法收集分析2017年重庆市脑卒中(ICD-10编码:I60-I64)发病死亡报告资料。采用SPSS 19.0分析发病率、标化发病率、死亡率、标化死亡率、年龄别发病率与死亡率、伤残调整生命年(DALYs)、早死所致的寿命损失年(YLLs)、残疾所致寿命损失年(YLDs)等指标。发病率与死亡率的比较采用χ~2检验。结果 2017年重庆市脑卒中发病率与标化发病率分别为349.74/10万与279.18/10万,死亡率与标化死亡率分别为108.81/10万与85.49/10万。男性脑卒中发病率与死亡率均高于女性,差异均有统计学意义(P<0.01)。农村地区脑卒中发病率与死亡率均高于城市地区,差异均有统计学意义(P<0.01),非示范区脑卒中发病率与死亡率均高于示范区,差异均有统计学意义(P<0.01)。2017年重庆市脑卒中YLLs率、YLDs率与DALYs率分别为19.45人年/1 000、4.77人年/1 000和24.22人年/1 000。结论重庆市脑卒中发病率与死亡率高,疾病负担重,应加强脑卒中的防治工作,特别是针对重点人群与重点地区。
Objective To analyze the disease characteristic and disease burden of stroke,and to provide the suggestion for stroke prevention and treatment in Chongqing. Methods The data of stroke in Chongqing during 2017(ICD-10:I60-I64) were collected and analyzed. The morbidity,standardization morbidity,mortality and standardization morbidity,age-specific standardization morbidity and mortality,disability adjusted life years(DALYs),years of life lost with premature death(YLLs) and years lived with disability(YLDs) were analyzed. The χ~2 test was used to analyze the morbidity and mortality,the used software was SPSS19.0. Results The morbidity and standardization morbidity of stroke in Chongqing during 2017 were 349.74/100 000 and279.18/100 000, the mortality and standardization mortality of stroke in Chongqing during 2017 were 108.81/100 000 and85.49/100 000. The morbidity and mortality of stroke in males were significantly higher than those in females(P<0.01). The morbidity and mortality of stroke in rural areas were significantly higher than those in urban areas(P<0.01). The morbidity and mortality of stroke in demonstration area of comprehensive prevention and control for non-communicable disease(DACPC-NCDs)were significantly higher than those in non-demonstration area of comprehensive prevention and control for non-communicable disease(NDACPC-NCDs)(P<0.01).The rates of YLLs,YLDs and DALYs were 19.45 person years/1 000,4.77 person years/1 000 and 24.22 person years/1 000 in Chongqing during 2017. Conclusion The morbidity,mortality and disease burden of stroke were high in Chongqing. It should be strengthened the prevention and treatment for stroke,especially for high risk population and crucial areas.
Objective To analyze the disease characteristic and disease burden of stroke,and to provide the suggestion for stroke prevention and treatment in Chongqing. Methods The data of stroke in Chongqing during 2017(ICD-10:I60-I64) were collected and analyzed. The morbidity,standardization morbidity,mortality and standardization morbidity,age-specific standardization morbidity and mortality,disability adjusted life years(DALYs),years of life lost with premature death(YLLs) and years lived with disability(YLDs) were analyzed. The χ~2 test was used to analyze the morbidity and mortality,the used software was SPSS19.0. Results The morbidity and standardization morbidity of stroke in Chongqing during 2017 were 349.74/100 000 and279.18/100 000, the mortality and standardization mortality of stroke in Chongqing during 2017 were 108.81/100 000 and85.49/100 000. The morbidity and mortality of stroke in males were significantly higher than those in females(P<0.01). The morbidity and mortality of stroke in rural areas were significantly higher than those in urban areas(P<0.01). The morbidity and mortality of stroke in demonstration area of comprehensive prevention and control for non-communicable disease(DACPC-NCDs)were significantly higher than those in non-demonstration area of comprehensive prevention and control for non-communicable disease(NDACPC-NCDs)(P<0.01).The rates of YLLs,YLDs and DALYs were 19.45 person years/1 000,4.77 person years/1 000 and 24.22 person years/1 000 in Chongqing during 2017. Conclusion The morbidity,mortality and disease burden of stroke were high in Chongqing. It should be strengthened the prevention and treatment for stroke,especially for high risk population and crucial areas.
引文
[1]毛德强,丁贤彬,焦艳,等.2013年重庆市常住居民全人群死亡原因及期望寿命分析[J].重庆医学,2015,44(21):2949-2952.
[2]刘晓婷,李镒冲,姜勇,等.2010年我国居民脑卒中疾病负担[J].中华预防医学杂志,2012,46(12):1121-1123.
[3]沈卓之,丁贤彬,毛德强,等.2015年重庆市常住人口脑卒中发病与死亡情况[J].公共卫生与预防医学,2016,27(5):48-51.
[4]丁贤彬,焦艳,毛德强,等.2016年重庆市脑卒中早死概率及潜在寿命损失分析[J].重庆医科大学学报,2018,43(2):206-209.
[5]杨静,李诺,张作记.脑卒中疾病负担研究进展[J].济宁医学院学报,2017,40(2):139-143.
[6] GBD 2015 Mortality and Causes of Death Collaborators. Global,regional,and national life expectancy,all-cause and cause-specific mortality for 249 causes of death,1980-2015:a systematic analysis for the Global Burden of Disease Study 2015[J]. Lancet,2016,388(10053):1459-1544.
[7] World Health Organization. National Burden of Disease Studies:a practical guide[DB/OL].(2001-10-01)[2018-11-27].http://www.who.int/healthinfo/nationalburdenofdiseasemanual.pdf?ua=1.
[8] World Health Organization. DALY calculation template[DB/OL](2001-10-01)[2018-11-27].http://www. who. int/healthinfo/bodreferencestandardlifetable.xls?ua=1.
[9] Jiang G,Li W,Wang D,et al. Epidemiological transition and distribution of stroke incidence in Tianjin,China,1988-2010[J].Public Health,2016,131(2),11-19.
[10] Wang WZ,Jiang B,Sun HX,et al. Prevalence,incidence,and mortality of stroke in China[J]. Circulation,2017,135(8):759-771.
[11]孙晓晖,汪韶洁,田小草,等.2013年青岛市脑卒中发病和死亡分析[J].预防医学论坛,2015,21(9):672-674.
[12]陈德喜,陈磊,吕家爱,等. 2014年上海市金山区脑卒中发病和死亡分析[J].职业与健康,2016,32(16)2217-2219.
[13]宇传华,罗丽莎,李梅,等.从全球视角看中国脑卒中疾病负担的严峻性[J].公共卫生与预防医学,2016,27(1):1-5.
[14]丁贤彬,毛德强,沈卓之,等.重庆市城市与农村居民慢性病相关行为与生活方式比较[J].中国慢性病预防与控制,2015,23(7):512-515.
[15]向新志,丁贤彬.重庆市慢性病监测居民糖尿病患病率、知晓率、管理率与治疗率分析[J].公共卫生与预防医学,2016,27(3):56-60.
[16]丁贤彬,毛德强,沈卓之,等.重庆市高血压患病率、知晓率、管理率与治疗率现状分析[J].现代预防医学,2016,43(6),1068-1071.
[17]丁贤彬,陈婷,毛德强,等.重庆市慢性病综合防控示范区建设对居民健康相关知识认知与行为的影响[J].中国慢性病预防与控制,2018,26(4):287-291.
[18]丁贤彬,毛德强,唐文革,等.重庆市慢性病综合防控示范区建设效果评估[J].中国慢性病预防与控制,2017,25(2):122-126.
[19]王鑫,邓波,刘成惠,等.重庆市主城区人口的脑卒中患病率及危险因素调查[J].重庆医学,2015,44(13):1830-1832.
[20] He W,Liu YH,Jie F,et al. The epidemiological characteristics of stroke in Hunan Province,China[J]. Front Neurol,2018,9(583):1-8.
[21]董文兰,姜莹莹,毛凡,等.国家慢性病综合防控示范区高危人群和患者管理评价[J].中国慢性病预防与控制,2013,21(6):649-652.
[22] Wang WZ,David W,Liu HM,et al. Trend of declining stroke mortality in China:reasons and analysis[J]. Stroke Vasc Neurol,2017,3(2):132-139.
[23]刘明法,周脉耕,刘世炜,等.1990和2015年天津市脑卒中死亡率和疾病负担分析[J].中国现代神经疾病杂志,2018,18(7):520-526.
[24]徐颖,刘海韵,于绍轶,等.烟台市2015年脑卒中疾病负担分析[J].中国慢性病预防与控制,2017,25(11):875-877.
[25]林冠雄,冯伟,曹云生,等.奉化市脑卒中疾病负担分析[J].预防医学,2016,28(8):792-795.
[2]刘晓婷,李镒冲,姜勇,等.2010年我国居民脑卒中疾病负担[J].中华预防医学杂志,2012,46(12):1121-1123.
[3]沈卓之,丁贤彬,毛德强,等.2015年重庆市常住人口脑卒中发病与死亡情况[J].公共卫生与预防医学,2016,27(5):48-51.
[4]丁贤彬,焦艳,毛德强,等.2016年重庆市脑卒中早死概率及潜在寿命损失分析[J].重庆医科大学学报,2018,43(2):206-209.
[5]杨静,李诺,张作记.脑卒中疾病负担研究进展[J].济宁医学院学报,2017,40(2):139-143.
[6] GBD 2015 Mortality and Causes of Death Collaborators. Global,regional,and national life expectancy,all-cause and cause-specific mortality for 249 causes of death,1980-2015:a systematic analysis for the Global Burden of Disease Study 2015[J]. Lancet,2016,388(10053):1459-1544.
[7] World Health Organization. National Burden of Disease Studies:a practical guide[DB/OL].(2001-10-01)[2018-11-27].http://www.who.int/healthinfo/nationalburdenofdiseasemanual.pdf?ua=1.
[8] World Health Organization. DALY calculation template[DB/OL](2001-10-01)[2018-11-27].http://www. who. int/healthinfo/bodreferencestandardlifetable.xls?ua=1.
[9] Jiang G,Li W,Wang D,et al. Epidemiological transition and distribution of stroke incidence in Tianjin,China,1988-2010[J].Public Health,2016,131(2),11-19.
[10] Wang WZ,Jiang B,Sun HX,et al. Prevalence,incidence,and mortality of stroke in China[J]. Circulation,2017,135(8):759-771.
[11]孙晓晖,汪韶洁,田小草,等.2013年青岛市脑卒中发病和死亡分析[J].预防医学论坛,2015,21(9):672-674.
[12]陈德喜,陈磊,吕家爱,等. 2014年上海市金山区脑卒中发病和死亡分析[J].职业与健康,2016,32(16)2217-2219.
[13]宇传华,罗丽莎,李梅,等.从全球视角看中国脑卒中疾病负担的严峻性[J].公共卫生与预防医学,2016,27(1):1-5.
[14]丁贤彬,毛德强,沈卓之,等.重庆市城市与农村居民慢性病相关行为与生活方式比较[J].中国慢性病预防与控制,2015,23(7):512-515.
[15]向新志,丁贤彬.重庆市慢性病监测居民糖尿病患病率、知晓率、管理率与治疗率分析[J].公共卫生与预防医学,2016,27(3):56-60.
[16]丁贤彬,毛德强,沈卓之,等.重庆市高血压患病率、知晓率、管理率与治疗率现状分析[J].现代预防医学,2016,43(6),1068-1071.
[17]丁贤彬,陈婷,毛德强,等.重庆市慢性病综合防控示范区建设对居民健康相关知识认知与行为的影响[J].中国慢性病预防与控制,2018,26(4):287-291.
[18]丁贤彬,毛德强,唐文革,等.重庆市慢性病综合防控示范区建设效果评估[J].中国慢性病预防与控制,2017,25(2):122-126.
[19]王鑫,邓波,刘成惠,等.重庆市主城区人口的脑卒中患病率及危险因素调查[J].重庆医学,2015,44(13):1830-1832.
[20] He W,Liu YH,Jie F,et al. The epidemiological characteristics of stroke in Hunan Province,China[J]. Front Neurol,2018,9(583):1-8.
[21]董文兰,姜莹莹,毛凡,等.国家慢性病综合防控示范区高危人群和患者管理评价[J].中国慢性病预防与控制,2013,21(6):649-652.
[22] Wang WZ,David W,Liu HM,et al. Trend of declining stroke mortality in China:reasons and analysis[J]. Stroke Vasc Neurol,2017,3(2):132-139.
[23]刘明法,周脉耕,刘世炜,等.1990和2015年天津市脑卒中死亡率和疾病负担分析[J].中国现代神经疾病杂志,2018,18(7):520-526.
[24]徐颖,刘海韵,于绍轶,等.烟台市2015年脑卒中疾病负担分析[J].中国慢性病预防与控制,2017,25(11):875-877.
[25]林冠雄,冯伟,曹云生,等.奉化市脑卒中疾病负担分析[J].预防医学,2016,28(8):792-795.