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目的分析2002-2014年福建省居民心脑血管疾病死亡和寿命损失情况,研究变化趋势。方法根据福建省全人群死因监测死亡和人口资料分析死亡率、标化死亡率、潜在减寿年数(PYLL)、标化潜在减寿年数(SPYLL)、减寿率(PYLLR)、标化减寿率(SPYLLR)。结果 2002-2014年福建省居民心脏病和脑血管病粗死亡率分别为为74.19/10万和93.13/10万,标化死亡率分别为77.00/10万和99.51/10万;40岁以上心脑血管病死亡率快速上升。心脏病和脑血管病SPYLL分别为137 037.41人年和151 442.98人年,SPYLLR分别为2.69‰和2.97‰,减寿指标均为男性高于女性。结论心脑血管疾病对福建省居民健康危害呈上升趋势,男性危害大于女性,农村大于城市,慢性病综合管理是心脑血管疾病控制的有效措施。
Objective To analyze the death and loss of life expectancy of cardiovascular and cerebrovascular diseases in residents of Fujian Province from 2002 to 2014, and to study the changing trend. Methods Mortality, standardized mortality, PYLL, SPYLL, PYLLR and standardized life expectancy were analyzed according to the death rate and demographic data of all causes of death in Fujian province. Rate (SPYLLR). Results The crude death rates of heart disease and cerebrovascular disease were 74.19 / lakh and 93.13 / lakh respectively in Fujian province from 2002 to 2014. The standardized death rates were 77.00 / lakh and 99.51 / lakh respectively. The mortality rate of cerebrovascular diseases increased rapidly. The SPYLL of heart disease and cerebrovascular disease were 137 037.41 person-years and 151 442.98 person-years, respectively. The SPYLLR were 2.69 ‰ and 2.97 ‰, respectively. The indexes of longevity-reducing were higher in males than in females. Conclusions Cardiovascular and cerebrovascular diseases have an increasing tendency on the health risks of residents in Fujian Province. The harm of men is greater than that of women, and that of rural areas is larger than that of cities. The integrated management of chronic diseases is an effective measure to control cardiovascular and cerebrovascular diseases.