我国糖尿病的发病和死亡趋势及其疾病负担研究

STUDY ON INCIDENCE AND MORTALITY TRENDS AND ECONOMIC BURDEN OF DIABETES MELLITUS IN CHINA.

利用流行病学、卫生统计学及卫生经济学方法,对近年来我国糖尿病的发病和死亡趋势及疾病负担进行研究。结果表明:糖尿病患病率增加明显,1996年与1980年相比增长约5倍。城市和农村糖尿病死亡率的年均增长率分别为7.85%和7.25%,住院病例数的年增长率分别高达21%和19%。预计未来几年内仍将按这一趋势增长。1990年我国因糖尿病所致的残疾调整生命年损失为76.6万人年,由此造成的间接社会经济损失高达42.57亿元。1993年全国治疗糖尿病共支出22.16亿元,其中门诊总费用为19.30亿元,住院总费用为2.86亿元。本文结果可以为我国开展糖尿病的防治研究工作提供背景资料。

A study on the epidemic features,incidence and mortality trends and economic burden of diabetes mellitus (DM)in recent years in China was carried out by using the methods of epidemiology,health statistics and health economic.The results showed that the prevalence of DM was increasing significantly.The prevalence in 1996 was about 5 times as compared with that in 1980.The annual average increasing rate of DM mortality was 7.85% and 7.25% in urban and rural areas,respectively,and that of hospital inpatients was 21% and 19%,respective- ly.It was predicted that this increasing trend will be continuing in a few years.The loss of disability adjusted life year(DALY)caused by DM in 1990 in China was 0.766 million person-year,which brought about 4.257 billion yuan of indirect economic loss.In 1993,2.216 billion yuan was spent in treatment of DM in the whole country, 1.930 billion in outpatients and 0.286 billion in inpatients.The paper provides the background data for preven- tion and treatment of DM in the country.