2013-2018年安徽省心血管病死亡流行趋势与疾病负担

目的  了解安徽省居民心血管病(cardiacvascular diseases, CVDs)死亡变化特征和寿命损失情况。 方法  收集全国“人口死亡信息登记管理系统”中2013-2018年安徽省24个疾病监测点数据，分析CVDs死亡率并采用年度变化百分比(annual percent change, APC)检验其变化趋势，采用潜在减寿年数(potential years of life lost, PYLL)、减寿率(potential years of life lost rate, PYLLR)、平均减寿年数(average years of life lost, AYLL)评价其疾病负担。 结果  2013-2018年安徽省CVDs标化死亡率260.36/10万，呈逐年下降趋势(APC%=-2.53%)。CVDs死亡率男性＞女性、农村＞城市、皖北＞皖中＞皖南，CVDs是全人群首位死因，占48.58%，其PYLLR为12.86‰，AYLL为11.13年。其中脑出血和缺血性心脏病的PYLLR最高，分别为4.69‰和4.28‰。AYLL居前3位的分别为慢性风湿性心脏病、脑出血和缺血性心脏病。 结论  安徽省CVDs防控取得一定效果，但疾病负担仍较重，应加强对高危人群的防控。

The trend and burden of cardiovascular death in Anhui Province from 2013 to 2018

  Objective  To understand the characteristics and life loss of cardiovascular diseases (CVDs) death among residents in Anhui Province.  Methods  The data of 24 death surveillance points in Anhui Province from 2013 to 2018 in the national "death information registration management system" was collected. The mortality of CVDs was analyzed, and the change trend of CVDs mortality was tested by annual percent change (APC). Potential years of life lost (PYLL), potential years of life lost rate (PYLLR) and average years of life lost (AYLL) were used for disease burden assessment.  Results  From 2013 to 2018, the standardized mortality rate of CVDs in Anhui Province was 260.36/100 000, showing a decreasing trend year by year (APC%=-2.53%). The CVDs mortality rate was higher in men than in women, and higher in rural areas than in urban. And it is the highest in Northern Anhui, followed by central Anhui, and the lowest in southern Anhui. CVDs were the first cause of death in the whole population (48.58%), with PYLLR of 12.86‰ and AYLL of 11.13 years. PYLLR was the highest in cerebral hemorrhage (4.69 ‰) and ischemic heart disease (4.28 ‰). AYLL ranked the top three in chronic rheumatic heart disease, cerebral hemorrhage and ischemic heart disease.  Conclusion  The prevention and control of CVDs in Anhui Province has received some achievement, but the burden of disease is still heavy, the prevention and control of high-risk groups should be strengthened.