昆山市慢性病流行现状与防治对策

The Prevalence Status and Prevention Strategy of Chronic Non-communicable Diseases in Kunshan City

目的 分析昆山市慢性病的流行现状与疾病负担 ,探讨其防治对策。 方法 对昆山市 1999年慢性病基线调查资料与生命统计资料进行常规统计分析 ,对慢性病死亡情况进行PYLL及DALY分析。 结果 1999年城乡高血压患病率分别高达 2 8 93 %和 2 2 40 % ,是首要的公共卫生问题 ;慢性病死亡构成占全死因的 71 79% ;1～ 70岁人群慢性病死亡造成 193 2 9个PYLL损失 ,占全死因PYLL的 78 0 9% ;推测慢性病死亡和伤残造成的DALY损失为 6 6万个健康生命年。 结论 慢性病造成了较为沉重的疾病负担 ,积极开展社区综合防治是有效途径。

Objective To study the prevalence rate, disease burden and prevention strategy of chronic non-communicable diseases in Kunshan city. Methods The basic line investigation materials of chronic diseases and vital statistic materials were conventionally analyzed. Moreover, the death materials of chronic diseases were analyzed by PYLL and DALY analysis. Result In 1999, the prevalence rate of Hypertension in urban and rural areas were respectively 28.93% and 22.40% , becoming a preferential public health problem. Chronic diseases accounted for 71.79% of the total death cause. The loss of PYLL caused by chronic diseases among residents less than 70 years old was 19 329, accounting for 78.09% of total death cause loss. The loss of DALY caused by chronic diseases was estimated 66 000 health life year. Conclusion Chronic disease has caused quite serious burden, and it is an effective way in community to perform comprehensive measures to prevent and control chronic diseases.