宝山区三个时期的老年保健效益指数分析

目的 ]　了解宝山区主要疾病对老年人健康的影响和评价社会老年医疗保健效果。 方法 ]　利用1985、1990、1998年标化减寿率在前 5位疾病的资料 ,进行老年保健效益指数分析。 结果 ]　标化减寿率在前三位的疾病是肿瘤、损伤与中毒和循环系统疾病 ,而老年保健效益指数在前三位的是循环系统疾病、呼吸系统疾病和损伤与中毒。高血压性心脏病、气管炎肺气肿哮喘和男性糖尿病的GEI上升的幅度较大 ,死亡年龄右移 ;而恶性肿瘤、男性脑血管病和急性心肌梗死及女性糖尿病的GEI上升比较平缓。 结论 ]　 13年来老年人主要慢性病的平均存活时间延长 ,对老年人“早死”的影响正在减弱 ,大多数老年性疾病的医疗保健效果良好。

The geriatrics effect index analysis of three periods in Baoshan

Objective] To explore the principal diseases effecting the old people's health in Baoshan,and to evaluate the effect of the social health care of the aged. Methods] The standardized potential years of life lost(SPYLL) of the top five diseases in 1985,1990 and 1998 were used to analyse geriatrics effect index (GEI). Results] The SPYLL of the top three diseases were neoplasms, injury and poisoning and diseases of the circulatory system. The GEI of the top three were diseases of the circulatory system, diseases of the respiratory system, and injury and poisoning. Hypertensive heart disease, bronchitis emphysema, asthma, and diabetes of man had larger increase of GEI. The age at death of those were increased. But the GEI of malignancy, cerebrovascular disease and acute myocardial infarction of man, diabetes of woman had lower rise. Conclusion] During the thirteen years the average survival time of the principal chronic diseases of the aged were prolonged. These diseases' effect which caused “early death" of old people was reducing. The health care of the aged showed good effect.