上海市崇明县2005—2014年居民糖尿病死亡特征及减寿分析

PYLL analysis and death features of diabetes mellitus in Chongming County of Shanghai,2005-2014

目的了解上海市崇明县居民糖尿病的死亡特征及寿命损失情况。方法统计2005—2014年崇明户籍居民死因监测资料,计算死亡率、标化死亡率、潜在减寿年数(PYLL)、减寿率(PYLLR)、平均减寿年数(AYLL)。结果 2005—2014年崇明县糖尿病年平均死亡率为37.25/10万,10年间死亡率累计增长94.24%,总体呈上升趋势,年平均标化死亡率为18.92/10万,上升趋势较平缓(APC趋势分析,P=0.086),差异无统计学意义。糖尿病主要危害老年人群,≥65岁人群占糖尿病死亡数的81.95%,男女均呈现死亡率随年龄的增长而上升趋势。直接死因为糖尿病并发症者达67.97%,脑血管病占7.57%;并发症中未特指占比最高(48.37%),糖尿病肾病占8.79%。2005—2014年崇明县糖尿病PYLL为17 393.76人年,PYLLR为2.62‰,AYLL为10.43人年,男性寿命损失较女性严重。结论崇明县糖尿病死亡率上升趋势明显,在严重老龄化无法短期改变的情况下,应加强糖尿病三级预防,降低糖尿病所造成的疾病负担。

Objective To investigate characteristics of death and the life lost caused by diabetes mellitus among residents in Chongming County in Shanghai. Methods The death-cause monitoring data in 2005- 2014 from Chongming residents was analyzed; the indicators included mortality, standard mortality rate,potential years of life lost,the rate of potential years of life lost and average years of life lost.Results The average annual mortality rate was 37. 25 /100 000 in Chongming in 2005- 2014,the mortality rate being on the rise during the last 10 years,and the cumulative growth of the mortality rate94. 24%. The annual average standardized mortality rate was 18. 92 /100 000,and the trend of rising during the 10 years was not statistically significant by APC（ P = 0. 086）. The aged group was the main population suffering from DM,those aged above 65 accounted for 81. 95% of the total deaths caused by DM.The diabetes complication was the main direct cause of death,accounting for 67. 97% of the total deaths,in which the proportions of non specified and diabetic nephropathy were 48. 37% and 8. 79% respectively.The potential years of life lost of diabetic was 17 393. 76 person year in 2005- 2014 in Chongming,the potential years of life lost rate being 2. 62%,and the average years of life lost 10. 43 years： the life loss in men was more serious than that in women. Conclusion As the rising trend of diabetes in Chongming was gradually obvious,we should strengthen the 3-level prevention of diabetes and reduce the burden of disease with the aging of population.