2016年浙江省居民心脑血管疾病死亡及去死因期望寿命分析

Cerebral-cardio vascular diseases death and cause eliminated life expectancy among residents of Zhejiang Province in 2016

目的分析浙江省心脑血管疾病死亡及其对期望寿命的影响。方法收集2016年浙江省居民死因监测资料,计算心脑血管疾病粗死亡率和标化死亡率,编制寿命表,计算期望寿命及去心脑血管疾病后的期望寿命。结果 2016年浙江省居民心脑血管疾病粗死亡率为216.10/10万,标化死亡率为162.68/10万,死亡率随年龄增长呈上升趋势(P<0.05)。心脏病和脑血管病等主要心脑血管疾病的粗死亡率和标化死亡率均为农村高于城市,男性高于女性。2016年浙江省居民期望寿命为78.40岁,其中男性为76.28岁,女性为80.79岁。去除心脑血管疾病后全人群期望寿命增加3.34岁,其中男性增加3.03岁,女性增加3.65岁;去除心脏病和脑血管病后,期望寿命可分别增加1.11和1.60岁。结论农村居民和男性是心脑血管疾病死亡的高危人群;心脑血管疾病对期望寿命的影响较大,尤其是脑血管病。

Objective To explore the impact of cerebral-cardio vascular diseases death on life expectancy among residents in Zhejiang Province. Methods This study was based on the mortality data collected from Zhejiang Chronic Disease Surveillance Information and Management System in 2016, we calculated the mortality of cerebral-cardio vascular diseases and created life tables with all causes of death and with eliminating causes of cerebral-cardio vascular diseases death to analyze life expectancy with and without them examined. Results The crude mortality rate of cerebral-cardio vascular diseases was 216.10/100 000（standardized rate 162.68/100 000） in Zhejiang Province in 2016. The mortality of cerebral-cardio vascular diseases was increased with age（P 0.05）. The crude and standardized mortality rate of cerebral-cardio vascular diseases, such as heart disease and cerebrovascular diseases,residents in the rural areas are higher than residents in urban and males are higher than females, respectively. Life expectancy was 78.40 years, and the males and females were 76.28 years and 80.79 years,respectively. After eliminating the causes of cerebral-cardio vascular diseases, life expectancy increased 3.34 years, for eliminating the causes of heart disease and cerebrovascular diseases,life expectancy increased 1.11 years for male and 1.60 years for female,respectively. Conclusion Rural residents and male have high risk of death from cerebral-cardio vascular diseases,and there are great influence on life expectancy,especially for cerebrovascular diseases.