2011—2016年重庆市心脑血管疾病死亡分析和减寿评估

Analysis on causes of death and year of life lost among residents with cardio-cerebral vascular diseases in Chongqing,2011-2016

目的分析重庆市居民2011—2016年心脑血管疾病死亡情况和潜在寿命损失,为居民的健康和生存质量促进提供科学依据。方法利用2011—2016年重庆市死因登记数据,根据ICD-10国际疾病编码对心脑血管疾病进行分类,采用死亡率、标化死亡率、潜在减寿年数(Potential Year of Life Lost,PYLL)、平均减寿年数(Average Years of Life Lost,AYLL)、潜在减寿率(Potential Year of Life Lost Rate,PYLLR)进行分析。结果2011—2016年重庆市居民心脑血管疾病年均死亡率为230.16/10万,标化死亡率为184.34/10万,其中心脏病死亡率为111.20/10万,脑血管病死亡率为118.96/10万,男性心脑血管疾病的死亡率高于女性;心脑血管疾病死因前3位为冠心病、脑出血和其他脑血管病。心脑血管疾病年均PYLL为226607.33人年,AYLL为3.35年/人,PYLLR为7.60‰,主要心脑血管疾病死因年均PYLL前3位为脑出血、冠心病和其他脑血管病。结论重庆市2011—2016年心脑血管疾病死亡风险和寿命损失均对男性影响较大,导致居民心脑血管疾病死亡和减寿的主要病种是冠心病与脑出血,应长期监测,采取预防为主的措施针对心脑血管疾病的防治工作。

Objective To estimate the death causes and year of life lost of cardio-cerebral vascular diseases among residents during 2011-2016 in Chongqing,and to provide a scientific evidence for the promotion of residents’health and quality of life.Methods The data of death cause registration in Chongqing from 2011 to 2016 were used to classify cardiocerebral vascular diseases according to ICD-10.Healthcare indexes such as mortality,standardized mortality,potential years of life lost(PYLL),and average years of life lost(AYLL),potential year of life lost rate(PYLLR)were used for analysis.Results The average annual morality and standardized mortality of cardio-cerebral vascular diseases among residents during 2011-2016 in Chongqing were 230.16 per 100000 and 184.34 per 100000,respectively.The mortality rate of heart disease and cerebrovascular disease were 111.20 per 100000 and 118.96 per 100000,respectively.The mortality rate of cardio-cerebral vascular diseases in men was higher than that in women.The top three causes of the death of cardio-cerebral vascular diseases were coronary heart disease,cerebral hemorrhage and other cerebrovascular diseases.The annual average PYLL of cardio-cerebral vascular diseases was 226607.33 person-years,AYLL is 3.35 years/person,and PYLLR is7.60‰.The top three causes of PYLL due to cardio-cerebral vascular diseases were cerebral hemorrhage,coronary heart disease and other cerebrovascular diseases.Conclusion The risk of death and life lost of cardio-cerebral vascular diseases among residents during 2011-2016 in Chongqing has a great impact on men.The main diseases causing death and life lost of cardio-cerebral vascular diseases among residents were coronary heart disease and cerebral hemorrhage.Long-term monitoring and preventive measures should be taken to prevent and treat cardio-cerebral vascular diseases.