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目的应用疾病负担指标衡量乳山市脑卒中、冠心病的危害程度,定量估计疾病对健康状况的影响程度和经济损失。方法利用乳山市2008—2010年本地户籍的脑卒中、冠心病患者资料,计算脑卒中、冠心病的潜在寿命损失年(years of potential life lost,PYLL)、致残率、经济损失。结果乳山市脑卒中、冠心病的总体死亡率分别为167.71/10万、117.60/10万,平均每例因脑卒中、冠心病死亡的PYLL分别为10.34、10.02年,PYLL率(减寿率)为3.68‰、2.92‰。结论乳山市脑卒中、冠心病的死亡率随着年龄的增加而增加,男性高于女性;脑卒中的疾病负担和济负担均于冠心病;40岁以上的疾病负担总负担的90%以上。
Objective To measure the degree of risk of stroke and coronary heart disease in Rushan City by means of disease burden index and estimate the effect of disease on health status and economic loss quantitatively. Methods According to the data of stroke and coronary heart disease in Rushan City from 2008 to 2010, the potential years of life lost (PYLL), disability and economic loss of stroke and coronary heart disease were calculated. Results In Rushan, the overall mortality rates of stroke and coronary heart disease were 167.71 / 100000 and 117.60 / 100000, respectively. The average PYLL deaths due to stroke and coronary heart disease were 10.34 and 10.22 respectively. The PYLL rate (longevity) 3.68 ‰, 2.92 ‰. Conclusions The mortality rate of stroke and coronary heart disease in Rushan City increased with the increase of age. The male and female were higher than those of female. The disease burden and economic burden of stroke were all in coronary heart disease. More than 90% of the total burden of disease burden was over 40 years old.