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目的分析2010-2013年锦州市城区居民心脑血管疾病死亡数据,研究其死亡的状况及特征,为心脑血管疾病防治工作提供科学依据。方法采用ICD-10死因分类法进行死因分类,以2010年全国人口普查年龄构成标准进行死亡率的标化,计算主要心脑血管疾病的死亡率、标化死亡率、构成比、潜在减寿年数(YPLL)、减寿率(YPLLR)和平均减寿年数(AYLL)。结果2010-2013年锦州市城区居民心脑血管疾病死亡率为341.70/10万,标化死亡率为318.55/10万,占全死因比例为50.97%,YPLL为13 222.50人年,YPLLR为13.52‰,AYLL为3.51年/人;心脑血管疾病男性死亡率为382.71/10万,女性死亡率为302.02/10万,差异有统计学意义(Z=3.09,P<0.05);心脑血管疾病死亡率在65岁以上人群中明显上升;心脏病居心脑血管疾病死因顺位之首,脑血管病居心脑血管疾病死因减寿顺位之首,2010-2013年脑血管病死亡率呈逐年下降趋势。结论心脑血管疾病死亡率在锦州市处在较高水平,是严重危害居民生命健康的主要疾病,应把中老年人作为疾病预防的重点人群,启动高危人群干预项目,并在全人群长期坚持人群策略和高危策略的双向策略来消除和减少心脑血管疾病的危险因素,保障居民身体健康。
Objective To analyze the death data of cardiovascular diseases in urban residents in Jinzhou city from 2010 to 2013 and study their status and characteristics of death to provide scientific basis for the prevention and treatment of cardiovascular and cerebrovascular diseases. Methods The causes of death were classified according to the ICD-10 method, and the standard of mortality was set according to the 2010 national census age standard. The mortality rate, standardization mortality rate, constituent ratio, potential years of life lost YPLL, YRLL and AYLL. Results The death rate of cardiovascular disease was 341.70 / 100 000 in urban area of Jinzhou city in 2010-2013, the standardized death rate was 318.55 / 100 000, accounting for 50.97% of total deaths, YPLL was 13 222.50 person-years and YPLLR was 13.52 ‰ , AYLL was 3. 51 years / person; Cardiovascular and cerebrovascular disease male mortality was 382.71 / 100000, female mortality was 302.02 / 100000, the difference was statistically significant (Z = 3.09, P <0.05); cardiovascular and cerebrovascular disease death The rate was significantly higher among people over the age of 65. The heart disease ranked first in the causes of cardiovascular and cerebrovascular diseases and the leading cause of longevity in cardiovascular and cerebrovascular diseases. The death rate of cerebrovascular diseases in 2010-2013 was year by year Downtrend. Conclusions The mortality rate of cardiovascular and cerebrovascular diseases is at a relatively high level in Jinzhou City. It is a major disease that seriously endangers the life and health of residents. It should be used as a key population for disease prevention to start intervention programs for high-risk groups and to persist in the whole population Crowd strategy and high-risk strategy to eliminate and reduce the risk factors of cardiovascular and cerebrovascular diseases to ensure residents’ health.