2015-2018年陕西省居民心血管病死亡现状及寿命损失分析

目的 了解2015-2018年陕西省居民心血管病的死亡现状及潜在寿命损失情况,为确定疾病防治重点,制定防控策略和措施提供参考依据。方法 收集2015-2018年陕西省死因监测数据,计算不同性别、城乡、年龄组心血管病的死亡率、标化死亡率和构成比,计算疾病负担指标潜在减寿年数(PYLL)、标化潜在减寿年数(SPYLL)、潜在减寿率(PYLLR)、标化潜在减寿率(SPYLLR)和平均减寿年数(AYLL)。结果 2015-2018年陕西省居民心血管病平均粗死亡率333.25/10万(标化死亡率326.61/10万),占全人群死亡的54.01%,其中平均粗死亡率男性(353.73/10万)高于女性(311.66/10万)(〖XC小五号.EPS;P〗=280.679,P<0.001);农村(341.15/10万)高于城市(328.26/10万)(〖XC小五号.EPS;P〗=25.018,P<0.001)。前2位心血管病死因分别是脑血管病和缺血性心脏病。心血管病死亡率随年龄增长而升高,75岁以后增长迅速。全死因期望寿命77.01岁,且女性高于男性、农村高于城市;全人群去心血管病死因后提高了11.90岁。因心血管病死亡导致的PYLL为440072人年(SPYLL为404212人年)、PYLLR为20.88‰(SPYLLR为19.17‰)、AYLL为6.26年,且男性PYLL、PYLLR、AYLL均明显高于女性。结论 心血管病是危害陕西省居民身体健康和生命安全的主要疾病之一,造成的寿命损失较为严重,政府相关部门应重点关注心血管病高危人群的预防与控制措施,从而减少心血管病的发生和死亡。

Analysis on cardiovascular disease death and potential years of life lost in Shaanxi,2015-2018

Objective To analyze the epidemiological characteristics and potential life lost of cardiovascular disease in Shaanxi Province from 2015 to 2018,and to provide scientific basis for making preventive control strategies and measures.Methods Data on the causes of death in Shaanxi Province from 2015 to 2018 were collected to calculate the crude and standardized mortality rates and constituent ratio of cardiovascular disease of residents of different regions,genders and ages.We designed life tables with all causes and eliminated causes of death and calculated the results.Potential years of life lost(PYLL),standardized potential years of life lost(SPYLL),potential years of life lost rate(PYLLR),standardized potential years of life lost rate(SPYLLR)and average years of life lost(AYLL)were analyzed and compared.Results The average mortality of cardiovascular disease was 333.25 per 100000(standardized rate was 326.61 per 100000)in Shaanxi Province from 2015 to 2018,it accounted for 54.01%of total deaths.The average cardiovascular disease mortality of male(353.73 per 100000)was higher than female(311.66 per 100000),and that of countryside(341.15 per 100000)was higher than city(328.26 per 100000).The leading causes of cardiovascular disease death were cerebrovascular disease and ischemic heart disease.The mortality of cardiovascular disease increased with age and growed rapidly after the age of 75.All-cause life expectancy was 77.01 years,and female was higher than male,and countryside was higher than city.Life expectancy for eliminating causes of cardiovascular disease death increased 11.90 years.PYLL was 440072 person-years(SPYLL was 404212 person-years),PYLLR was 20.88‰(SPYLLR was 19.17‰),and AYLL was 6.26 years due to cardiovascular disease among the residents during the period.PYLL,PYLLR and AYLL of male were significantly higher than female.Conclusion Cardiovascular disease has become a serious public health problem endangering people’s life and health in Shaanxi Province.The loss of life due to cardiovascular disease is more serious.Local government should place a high emphasis and take effective measures to prevention and reduce the occurrence and death of cardiovascular disease.