中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2015年
4期
345-350
,共6页
刘江美%刘韫宁%王黎君%殷鹏%刘世炜%由金玲%曾新颖%周脉耕
劉江美%劉韞寧%王黎君%慇鵬%劉世煒%由金玲%曾新穎%週脈耕
류강미%류운저%왕려군%은붕%류세위%유금령%증신영%주맥경
中国%死亡率%患病代价%心血管病
中國%死亡率%患病代價%心血管病
중국%사망솔%환병대개%심혈관병
China%Mortality%Cost of illness%Cardiovascular and circulatory disease
目的：分析比较中国1990年与2010年心血管病的死亡和疾病负担情况。方法利用2010年全球疾病负担研究结果，主要指标包括死亡数、过早死亡损失寿命年（YLL）、伤残损失寿命年（YLD）和伤残调整寿命年（DALY），同时使用2010年全国人口普查数据作为标准人口，计算标化死亡率、DALY率、YLL率和YLD率，对1990年和2010年中国心血管疾病死亡情况和疾病负担进行描述。计算1990年与2010年相关指标的变化幅度。结果2010年，中国心血管病的死亡总数为313.62万例，死亡率为233.70/10万，标化死亡率为256.90/10万，其所造成的DALY、YLL和YLD分别为5820.55万、5404.88万、415.68万人年，标化DALY率、YLL率和YLD率分别为4639.04/10万、4313.13/10万和325.91/10万；1990年，心血管病死亡数为216.75万例，标化死亡率为300.30/10万，造成的DALY、YLL和YLD分别为4526.79万、4229.22万和297.57万人年，标化DALY率、YLL率和YLD率分别为5872.58/10万、5523.42/10万和349.16/10万，与1990年相比，2010年心血管病的死亡数、DALY、YLL和YLD分别增加了44.72%，28.58%，27.80%和39.68%，而标化死亡率、DALY率、YLL率和YLD率分别下降了14.45%、21.01%、21.91%和6.66%。在1990和2010年，不同种类的心血管疾病中，脑血管病的DALY均为最高，分别为2487.68万和3013.89万人年，其次为缺血性心脏病（分别为1012.70万和1788.58万人年）；脑血管病的YLL亦为最高，分别为2434.36万和2917.26万人年，其次为缺血性心脏病（分别为899.15万和1608.39万人年）。脑血管病和缺血性心脏病的死亡数从1990年的134.06万例和45.03万例，分别增加到了2010年的172.67万例和94.87万例。脑血管病标化死亡率、DALY率分别从1990年的187.19/10万、3335.37/10万下降至2010年的141.43/10万和2409.09/10万，而缺血性心脏病的标化死亡率和DLAY率却分别从1990年的62.52/10万和1318.38/10万增加到2010年的77.89/10万和1428.31/10万。结论心血管病在中国导致的疾病负担越来越严重，其中以脑血管病和缺血性心脏病最为严重。
目的：分析比較中國1990年與2010年心血管病的死亡和疾病負擔情況。方法利用2010年全毬疾病負擔研究結果，主要指標包括死亡數、過早死亡損失壽命年（YLL）、傷殘損失壽命年（YLD）和傷殘調整壽命年（DALY），同時使用2010年全國人口普查數據作為標準人口，計算標化死亡率、DALY率、YLL率和YLD率，對1990年和2010年中國心血管疾病死亡情況和疾病負擔進行描述。計算1990年與2010年相關指標的變化幅度。結果2010年，中國心血管病的死亡總數為313.62萬例，死亡率為233.70/10萬，標化死亡率為256.90/10萬，其所造成的DALY、YLL和YLD分彆為5820.55萬、5404.88萬、415.68萬人年，標化DALY率、YLL率和YLD率分彆為4639.04/10萬、4313.13/10萬和325.91/10萬；1990年，心血管病死亡數為216.75萬例，標化死亡率為300.30/10萬，造成的DALY、YLL和YLD分彆為4526.79萬、4229.22萬和297.57萬人年，標化DALY率、YLL率和YLD率分彆為5872.58/10萬、5523.42/10萬和349.16/10萬，與1990年相比，2010年心血管病的死亡數、DALY、YLL和YLD分彆增加瞭44.72%，28.58%，27.80%和39.68%，而標化死亡率、DALY率、YLL率和YLD率分彆下降瞭14.45%、21.01%、21.91%和6.66%。在1990和2010年，不同種類的心血管疾病中，腦血管病的DALY均為最高，分彆為2487.68萬和3013.89萬人年，其次為缺血性心髒病（分彆為1012.70萬和1788.58萬人年）；腦血管病的YLL亦為最高，分彆為2434.36萬和2917.26萬人年，其次為缺血性心髒病（分彆為899.15萬和1608.39萬人年）。腦血管病和缺血性心髒病的死亡數從1990年的134.06萬例和45.03萬例，分彆增加到瞭2010年的172.67萬例和94.87萬例。腦血管病標化死亡率、DALY率分彆從1990年的187.19/10萬、3335.37/10萬下降至2010年的141.43/10萬和2409.09/10萬，而缺血性心髒病的標化死亡率和DLAY率卻分彆從1990年的62.52/10萬和1318.38/10萬增加到2010年的77.89/10萬和1428.31/10萬。結論心血管病在中國導緻的疾病負擔越來越嚴重，其中以腦血管病和缺血性心髒病最為嚴重。
목적：분석비교중국1990년여2010년심혈관병적사망화질병부담정황。방법이용2010년전구질병부담연구결과，주요지표포괄사망수、과조사망손실수명년（YLL）、상잔손실수명년（YLD）화상잔조정수명년（DALY），동시사용2010년전국인구보사수거작위표준인구，계산표화사망솔、DALY솔、YLL솔화YLD솔，대1990년화2010년중국심혈관질병사망정황화질병부담진행묘술。계산1990년여2010년상관지표적변화폭도。결과2010년，중국심혈관병적사망총수위313.62만례，사망솔위233.70/10만，표화사망솔위256.90/10만，기소조성적DALY、YLL화YLD분별위5820.55만、5404.88만、415.68만인년，표화DALY솔、YLL솔화YLD솔분별위4639.04/10만、4313.13/10만화325.91/10만；1990년，심혈관병사망수위216.75만례，표화사망솔위300.30/10만，조성적DALY、YLL화YLD분별위4526.79만、4229.22만화297.57만인년，표화DALY솔、YLL솔화YLD솔분별위5872.58/10만、5523.42/10만화349.16/10만，여1990년상비，2010년심혈관병적사망수、DALY、YLL화YLD분별증가료44.72%，28.58%，27.80%화39.68%，이표화사망솔、DALY솔、YLL솔화YLD솔분별하강료14.45%、21.01%、21.91%화6.66%。재1990화2010년，불동충류적심혈관질병중，뇌혈관병적DALY균위최고，분별위2487.68만화3013.89만인년，기차위결혈성심장병（분별위1012.70만화1788.58만인년）；뇌혈관병적YLL역위최고，분별위2434.36만화2917.26만인년，기차위결혈성심장병（분별위899.15만화1608.39만인년）。뇌혈관병화결혈성심장병적사망수종1990년적134.06만례화45.03만례，분별증가도료2010년적172.67만례화94.87만례。뇌혈관병표화사망솔、DALY솔분별종1990년적187.19/10만、3335.37/10만하강지2010년적141.43/10만화2409.09/10만，이결혈성심장병적표화사망솔화DLAY솔각분별종1990년적62.52/10만화1318.38/10만증가도2010년적77.89/10만화1428.31/10만。결론심혈관병재중국도치적질병부담월래월엄중，기중이뇌혈관병화결혈성심장병최위엄중。
Objective To analyze the death status of disease burden of cardiovascular and circulatory diseases in 1990 and 2010 in China, and to provide the basic information for cardiovascular and circulatory disease prevention and control. Methods Using the results of the Global Burden of Diseases Study 2010(GBD 2010) to describe the cardiovascular and circulatory diseases deaths status and disease burden in China. The measurement index included the mortality, years of life lost due to premature mortality (YLL), years lived with disability (YLD), and disability-adjusted life years (DALY). At the same time, we used the population from 2010 national census as standard population to calculate the age-standardized mortality rate and DALY rate, YLL rate and YLD rates which will describe the mortality status and disease burden of total and different types of cardiovascular disease. We also calculated the change in 1990 and 2010 for all indexes, to describe the change of the burden of disease in the 20 years. Results In 2010, the total deaths of cardiovascular and circulatory diseases reached 3.136 2 million, the mortality rate reached 233.70 per 100 000 people and the age-standardized mortality rate was 256.90 per 100 000 people. The total DALYs, YLLs, and YLDs of cardiovascular and circulatory diseases reached 58.2055, 54.0488, and 4.1568 million person-years, respectively, and the age-standardized DALY rate, YLL rate and YLD rate were 4 639.04, 4 313.13, 325.91 per 100 000. In 1990, the deaths only 2.1675 million and the DALYs, YLLs and YLDs were 45.2679, 42.2922, and 2.9757 million person-years. The age-standardized mortality rate was 300.30 per 100 000 people. And the age-standardized DALY rate, YLL rate and YLD rate were 5 872.58, 5 523.42 and 349.16 per 100 000. Compared with the result in 1990, the total deaths, DALYs, YLLs, and YLDs were increased 44.72%, 28.58%, 27.80%, and 39.68%, respectively, while the age-standardized mortality rate, age-standardized DALY rate, age-standardized YLL rate, and age-standardized YLD rate were decreased 14.45%, 21.01%, 21.91%, and 6.66%, respectively. In 1990 and 2010, cerebrovascular disease caused the most DALYs (24.8768 and 30.1389 million person-years, respectively) compared with other types of cardiovascular and circulatory diseases, and followed by ischemic heart disease (10.1270 and 17.8858 million person-years). And the YLLs of cerebrovascular disease (24.3436 and 29.1726 million person-years) also the highest in different type of cardiovascular and circulatory diseases, ischemic heart disease ( 8.9919 and 16.0839 million person-years) was the second highest. The deaths of cerebrovascular disease and cerebrovascular disease increased from 1 340.6 and 450.3 thousands in 1990 to 1 726.7 and 948.7 thousands in 2010, respectively. The age-standardized mortality rate and DALY rate of cerebrovascular disease were decreased from 187.19 and 3 335.37 per 100 000 people in 1990 to 141.43 and 2 409.09 per 100 000 people. While in the ischemic heart disease, the age-standardized mortality rate, and DALY rate were increased form 62.53 and 1 318.38 per 100 000 people in 1990 to 77.89 and 1 428.31 per 100 000 people. Conclusion Burden of cardiovascular and circulatory disease became more and more serious in China, of which the cerebrovascular disease and ischemic heart disease were most serious.
