我国老年人四大慢性病流行现状及对伤残调整生命年的影响

Epidemic Status of Four Major Chronic Diseases of Elderly and Influence of DALYs

通过检索中外数据库、我国政府及国际组织相关的资料,分析我国老年人心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病和糖尿病四大主要慢性病的最新流行状况与伤残调整生命年(DALYs)。目前我国高血压(≥70岁)、脑卒中(≥60岁)、慢性阻塞性肺疾病(≥40岁)、糖尿病(≥60岁)的患病率分别约为61.1%、5.2%、13.7%、20.2%。恶性肿瘤发病率男性为223.0/10万人年,女性为182.6/10万人年。心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病、糖尿病分别造成老年人7482万、3454万、1660万、485万DALYs,占老年人疾病总负担的38.8%、17.9%、8.6%、2.5%。老年人四大慢性病患病率高,已成为我国老年人死亡和伤残的首要原因,也是疾病的主要负担。

Epidemiological status and DALYs of four major chronic diseases were summarized by searching literatures and information provided by government or international organizations.Prevalence of hypertension(≥70 years old),stroke(≥60 years old),COPD(≥40 years old),diabetes mellitus(≥60 years old)were about 61.1%,5.2%,13.7%,20.2%,respectively;incidence of malignant neoplasms was 223.0/100,000 person-years in males and 182.6/100,000 person-years in females.Cardiovascular diseases,malignant neoplasms,respiratory diseases and diabetes mellitus caused 74.82 million,34.54 million,16.60 million,4.85 million DALYs,accounting for 38.8%,17.9%,8.6%,2.5%of total disease burden in elderly respectively.The four major chronic diseases had a high prevalence rate and were leading cause of death and disability in elderly in China.