2011—2020年苏州市缺血性心脏病和脑卒中所致寿命损失研究

Life expectancy of premature death caused by cardiovascular and cerebrovascular diseases in Suzhou in 2011-2020

目的 了解苏州市心脑血管疾病的死亡流行情况和所致早死寿命,为该市卫生行政部门制定心脑血管疾病防控政策提供数据依据。方法 利用2011—2020年全市居民缺血性心脏病和脑卒中死亡资料,计算十年间全市心脑血管疾病的死亡流行情况,计算缺血性心脏病和脑卒中所致的寿命损失年(YLLs)、每千人寿命损失年(YLL率)年度变化百分比(APC),以及不同年龄组和不同性别的YLLs和YLL率。结果 2011—2020年苏州市人群缺血性心脏病年均死亡率为45.61/10万,其死亡率近十年呈现上升的时间趋势。脑卒中年均死亡率为174.23/10万,其死亡率近十年呈先下降后上升的趋势。2011—2020年苏州市缺血性心脏病所致疾病负担总计359 153.97 YLLs, YLL率为6.77人年/千人,APC为2.05%;脑卒中死亡所致YLLs为1 269 193.8人年,YLL率为23.91人年/千人,APC为1.35%。结论 2011—2020年苏州市心脑血管疾病的防治有了一定成效,但缺血性心脏病和脑卒中依然是影响全市人群健康、造成老年人死亡和寿命损失的重要原因,心脑血管疾病的防治应继续采取筛查、监测、干预等工作。

Objective To understand the death prevalence of cardiovascular and cerebrovascular diseases and the life expectancy of premature death caused by them in Suzhou,and to provide data basis for the health administrative department to formulate the prevention and control policies of cardiovascular and cerebrovascular diseases.Methods Based on the death data of ischemic heart disease and stroke of residents in Suzhou from 2011 to 2020,the death prevalence of cardiovascular and cerebrovascular diseases during the past decade was calculated.The years of life lost(YLLs),years of life lost per thousand(YLL rate)and annual percentage of change(APC)caused by ischemic heart disease and stroke were calculated.The YLLs and YLL rates of different age groups and different genders were also calculated.Results From^(2)011 to 2020,the average annual mortality rate of ischemic heart disease in Suzhou was 45.61/100000,and the mortality rate showed an upward trend in the past decade.The average annual mortality rate of stroke was 174.23/100000,with a trend of decreasing first and then increasing in the past decade.From^(2)011 to 2020,the disease burden caused by ischemic heart disease in Suzhou totaled 359153.97 YLLs,with a YLL rate of 6.77 person years per 1000 people,and an APC of 2.05%.The YLLs caused by stroke death were 1269193.8 person years,the YLL rate was 23.91 person years per thousand,and the APC was 1.35%.Conclusion From^(2)011 to 2020,the prevention and treatment of cardiovascular and cerebrovascular diseases in Suzhou has achieved certain results,but ischemic heart disease and stroke are still important causes affecting the health of people and causing death and life loss of the elderly in Suzhou.The prevention and treatment of cardiovascular and cerebrovascular diseases still has a long way to go,and it is necessary to continue strengthening the screening,monitoring and intervention work.