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目的分析上海市徐汇区1995—2012年不同亚型脑卒中所致的减寿年数(YLL)和伤残调整寿命年(DALY),为脑卒中防控工作提供依据。方法采用徐汇区死因监测系统中1995—2012年户籍死亡资料,用直接法计算YLL,用间接法计算残损年数(YLD)及DALY。结果缺血性和出血性脑卒中每千人损失YLL呈逐年下降趋势,男性大于女性。包含脑卒中后遗症的脑卒中患者每千人口损失7.53个DALY,不包含脑卒中后遗症为5.51个DALY,男性均大于女性,男性脑血管后遗症死亡造成的DALY略有上升。结论徐汇区脑卒中疾病负担较全球平均水平为低,患者直接死于脑卒中的风险在降低,但是患病后的死亡风险应该加以重视,积极采取防治措施遏制其上升趋势。
Objective To analyze the year of life lost (YLL) and disability adjusted life (DALY) caused by different subtypes of stroke from 1995 to 2012 in Xuhui District, Shanghai, and provide basis for the prevention and control of stroke. Methods The data of domiciliary deaths from 1995 to 2012 in the system of death monitoring in Xuhui District were used to calculate YLL by direct method and YLD and DALY by indirect method. Results Loss of YLL per 1000 people in ischemic and hemorrhagic stroke was declining year by year, with men more than women. Stroke patients with stroke sequelae lost 7.53 DALY per 1,000 population and 5.51 DALY without stroke sequelae, both men and women, with a slight increase in DALY due to death from cerebrovascular sequelae in men. Conclusion The stroke burden in Xuhui District is lower than the global average, and the risk of direct death from stroke is reduced. However, the risk of death after illness should be taken seriously. Prevention measures should be taken to curb the upward trend.