2010年我国急性心肌梗死疾病负担分析

Disease burden of acute myocardial infarction of China in 2010

目的了解我国急性心肌梗死疾病负担现状,为制定防控政策提供可靠的信息和证据支持。方法采用全球疾病负担研究方法,分析2010年中国慢病监测和全国疾病监测系统死因监测数据,估计我国急性心肌梗死伤残调整寿命年(DALY),并分析其在人群和地区间的分布。结果我国急性心肌梗死每千人DALY总率值6.83,其中死亡负担占75.26%,总体分布为男性高于女性,农村高于城市,中部地区高于其他地区,年龄主要分布在45岁以上,率值随年龄增长而升高。结论我国急性心肌梗死疾病负担很沉重,应进一步探索更加科学有效和适合中国国情的防治策略。

Objective To estimate disease burden of acute myocardial infarction of China in 2010. Methods The Global Disease burden research manual was used to analyze the data from Mortality Surveillance in National Disease Surveillance Points System and China Chronic Disease Surveillance （2010）, to estimate the disability adjusted life years （DALY） of acute myocardial infarction and to analyze the distribution of DALY in gender, age, urban or rural areas and geographical locations. Results The overall disease burden of acute myocardial infarction was 6.83 DALYs per 1 000 population, 75.26% of which was YLL. The DALYs per 1 000 males was 7.52 which was higher than that （6.12） per 1 000 females. There was a higher DALY rate （7.72 DALYs per 1 000 persons） in rural residents, which was than that （5.52 DALYs per 1 000 persons） in urban residents. The burden （7.44 DALYs per 1 000 persons） of acute myocardial infarction in the Middle China was the highest, the burdens of Eastern China and Western China were 6.44 DALYs per 1 000 persons and 6.29 DALYs per 1 000 persons, respectively. The DALY rate increased with age among middle aged individuals （≥45 years old）. Conclusion The burden of acute myocardial infarction in China was very heavy. The scientific and effective prevention strategie should be explored.