2005-2014年南通市心脏病死亡趋势及潜在寿命损失

Analysis of the death tendency and potential life lost caused by heart diseases among residents in Nantong city from 2005 to 2014

目的了解南通市居民心脏病死亡流行趋势及潜在寿命损失。方法采用死亡率、标化死亡率、年度变化百分比(APC)、潜在减寿年数(PYLL)、标化减寿年数(SPYLL)、潜在减寿率(PYLLR)、标化减寿率(SPYLLR)和平均减寿年数(AYLL)等指标,对南通市2005-2014年居民死因进行分析。结果 2005-2014年南通市心脏病粗死亡率波动在86.26/10万~123.55/10万,总体呈上升趋势,APC值为2.71%(95%CI:0.52%~4.96%,t=2.86,P<0.05);标化死亡率波动在27.37/10万~46.62/10万,总体呈下降趋势,APC值为-4.54%(95%CI:-6.55%^-2.49%,t=-5.05,P<0.05)。女性心脏病死亡率高于男性(χ~2=223.03,P<0.05),心脏病死亡率随年龄的增长而增高。心脏病死亡所致PYLLR和SPYLLR总体呈下降趋势,APC值PYLLR为-1.21%(95%CI:-2.34%^-0.07%,t=-2.44,P<0.05),SPYLLR为-2.79%(95%CI:-4.06%^-1.50%,t=-4.95,P<0.05),男性PYLLR和SPYLLR均高于女性。结论心脏病对南通市居民健康和寿命的危害较严重,应针对心脏病死亡特点,制定有针对性干预措施,以减少心脏病的死亡。

Objective To investigate the trend and potential life lost caused by heart diseases in Nantong. Methods Indices such as mortality, standardized mortality, annual percentage change（APC）, potential years of life lose（PYLL）, standardized potential years of life lost （SPYLL）, potential years of life lost rate（PYLLR）, standardized potential years of life lost rate （SPYLLR）, average years of llfe lost（AYLL） were used to analyze data obtained from death surveillance of Nantong from 2005 to 2014. Results From 2005 to 2014, the mortality rate of heart diseases fluctuated from 86.26/10＇~ to 123.55/105 , demonstrating ascending trend, theAPCwas2.7t%F95~/0 CI（0.52%,4.96%）, t = 2. 86,P-~0. 053. The standardized mor- tality rate of heart diseases fluctuated from 27.37/105 to 46.62/105 , demonstrating descending trend, the APC was -4.54~ [95% CI（ -6.55% , -2.49~,/0）,t=-5.05,P＇~0.053. The mortality rate of females was higher than that of the males （2 223.03, P^0.05）. The mortality rate of heart diseases increased with age. PYLLR and SPYLLR caused by heart disease dem- onstrated descending trend, the APC of PYLLR was - 1.21 ~ E95 ~ CI（- 2.34 % ,- 0.07 ~ ）, t =- 2.44, P^0. 053 ; the APC of SPYLLR was -2.79%[95~CI（- 4.06~,- 1.50%）,t=- 4.95,P^0.05~. The PYLLR and SPYLLR of males were higher than those of females. Conclusion Heart diseases were serious threats to the health and life of residents in Nantong city. Tar- geted interventions against their characteristics should be developed to reduce the death caused by heart diseases.