您的位置：山东大学 -> 科技期刊社 -> 《山东大学学报（医学版）》

山东大学学报 (医学版) ›› 2017, Vol. 55 ›› Issue (12): 51-55.doi: 10.6040/j.issn.1671-7554.0.2017.431

• 公共卫生与管理学 • 上一篇    下一篇

多中心健康管理人群心脑血管疾病负担分析

康凤玲1,2,丁荔洁1,2,柳晓涓1,2,周苗1,2,薛付忠1,2   

  1. 1.山东大学公共卫生学院生物统计学系, 山东 济南 250012;2.山东大学齐鲁生物医学大数据研究中心, 山东 济南 250012
  • 出版日期:2017-12-20 发布日期:2022-09-27
  • 通讯作者: 薛付忠. E-mail:xuefuzh@sdu.edu.cn
  • 基金资助:
    国家自然科学基金(81273177)

An analysis of the burden of cardiovascular and cerebrovascular diseases in a multi-center health management population

KANG Fengling1,2, DING Lijie1,2, LIU Xiaojuan1,2, ZHOU Miao1,2, XUE Fuzhong1,2   

  1. 1. Department of Biostatistics, School of Public Health;
    2. Cheeloo Research Center for Biomedical Big Data, Shandong University, Jinan 250012, Shandong, China
  • Online:2017-12-20 Published:2022-09-27

PDF (PC)

121

摘要： 目的 了解山东省多中心健康管理人群主要心脑血管疾病的流行情况和疾病负担,为山东省卫生资源的合理配置提供参考。 方法 对山东省多中心健康管理人群2015年的心脑血管疾病的患病、死亡和病死情况进行描述。用WHO推荐的DisMod II 软件和DALY calculation template计算心脑血管疾病的伤残调整生命年(DALYs)和伤残调整生命年强度(DALYs rate),并将伤残调整生命年强度作为反映疾病负担的量化指标。 结果 山东省多中心健康管理人群的心脑血管疾病的患病率、死亡率和病死率较高且随着年龄递增。伤残调整生命年强度随着年龄的增加呈上升趋势。男性平均每千人损失33.7个DALYs,女性平均每千人损失33.0个DALYs,总体人群平均每千人损失33.4个DALYs。 结论 山东省多中心健康管理人群的心脑血管疾病负担较高,且随着年龄的增长而增加,政府需要采取控制措施来减少疾病负担,70岁以上的人群需要重点防护。

关键词: 疾病负担, 伤残调整生命年, 心脑血管疾病, 多中心健康管理人群

Abstract: Objective To explore the burden of cardiovascular and cerebrovascular diseases in Shandong Province, in order to provide references for the reasonable allocation of health resources for the prevention of such diseases. Methods The prevalence, mortality and case fatality of cardiovascular and cerebrovascular diseases in a multi-center health management population in 2015 were collected. Disability adjusted life years(DALYs)and DALYs rate were calculated using DisMod II and WHO recommended DALY calculation template. DALYs rate was regarded as an index to evaluate the burden of diseases. Results The prevalence, mortality and case fatality of cardiovascular and cerebrovascular diseases elevated with patients age advanced. DALYs rate also increased with age. The average DALYs rate was 33.7 person-year/1 000 for male and 33.0 person-year/1 000 for female. The overall DALYs rate was 33.4 person-year/1 000. Conclusion The burden of cardiovascular and cerebrovascular diseases is high in Shandong Province, and increases with age increment. The government should take measures to reduce the burden of such diseases, especially for individuals aged above 70 years.

Key words: Burden of disease, Disability adjusted life years, Cardiovascular and cerebrovascular diseases, Multi-center health management population

中图分类号: 

  • R195.4
[1] 林建军. 心脑血管疾病防治方法研究[J]. 中外医疗, 2009, 26: 168-170.
[2] 芮光来, 姚应水, 艾东, 等. 皖南农村成年居民对心脑血管疾病认知状况的流行病学调查[J]. 皖南医学院学报, 2003, 22(2): 157-158.
[3] 林敬德, 张雷, 余加席, 等. 徐州市城乡居民慢性病疾病负担分析[J]. 中国公共卫生, 2009, 25(2): 222-223. LIN Jingde, ZHANG Lei, YU Jiaxi, et al. Research on burden of chronic disease among residents in Xuzhou[J]. China Public Health, 2009, 25(2): 222-223.
[4] Murray CJ, Vos T, Lozano R, et al. Disability-adjusted life years(DALYs)for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010[J]. Lancet, 2014, 380(9859): 2197-2223.
[5] 王富珍, 齐亚莉, 李辉. 疾病负担研究的方法学进展—疾病负担综合评价[J]. 疾病控制杂志, 2003, 7(6): 537-539.
[6] 宇传华, 罗丽莎, 李梅,等. 从全球视角看中国脑卒中疾病负担的严峻性[J]. 公共卫生与预防医学, 2016, 27(1): 1-5. YU Chuanhua, LUO Lisha, LI Mei, et al. From the global views to understand the seriousness of the burden of stroke in China[J]. Pub Health and Prev Med, 2016, 27(1): 1-5.
[7] Rodriguez T, Malvezzi M, Chatenoud L, et al. Trends in mortality from coronary heart and cerebrovascular diseases in the Americas: 1970-2000[J]. Heart, 2006, 92(4): 453-460.
[8] 王斌, 徐凌忠. 衡量疾病负担的新指标—DALY[J]. 中国卫生资源, 2002, 5(5): 230-231. WANG Bin, XU Lingzhong. DALY-A new indicator to measure the burden of disease[J]. Chinese Health Resources, 2002, 5(5): 230-231.
[9] 刘娅飞, 邢娉, 许秀琴, 等. 山东多中心健康管理纵向观察队列[J]. 山东大学学报(医学版), 2017, 55(6): 30-36. LIU Yafei, XING Ping, XU Xiuqin, et al. Shandong multi-center longitudinal cohort for health management: a brief introduction[J]. Journal of Shandong University(Health Sciences), 2017, 55(6): 30-36.
[10] 田惠光, 宋桂德, 董燕敏, 等. 1996年天津市慢性病综合干预项目的成本-效用和成本-效益分析[J]. 中国慢性病预防与控制, 2000, 8(4): 147-150. TIAN Huiguang, SONG Guide, DONG Yanmin, et al. Cost-effectiveness analysis on Tianjin non-communicable diseases prevention and control project conducted in 1996[J]. Chinese Journal of Prevention and Control of Chronic Non-Communicable Diseases, 2000, 8(4): 147-150.
[11] Jeppesen J, Hansen TW, Rasmussen S, et al. Insulin resistance, the metabolic syndrome, and risk of incident cardiovascular disease: a population-based study[J]. J Am Coll Cardiol, 2007, 49(21): 2112-2119.
[12] Buse JB, Ginsberg HN, Bakris GL, et al. Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the american heart association and the american diabetes association[J]. Diabetes Care, 2006, 30(1): 162-172.
[13] 唐基忠, 朱志红. 复发性脑梗死53例临床分析[J]. 实用临床医学, 2003, 4(3): 74-75.
[14] 俞浩, 武鸣, 林萍, 等. 2012年江苏省居民死因顺位及主要疾病潜在寿命损失分析[J]. 江苏预防医学, 2015, 26(3): 26-29. YU Hao, WU Ming, LIN Ping, et al. Analysis of rank of death causes and potential life lost caused by major diseases among residents of Jiangsu Province in 2012[J]. Jiangsu Journal of Prevention Medicine, 2015, 26(3): 26-29.
[15] 邵颖. 2010-2013年锦州市城区居民心脑血管疾病死亡特征[J].死因监测, 2016, 31(9): 761-765. SHAO Ying. Cardio-cerebral vascular diseases caused deaths in urban residents in Jinzhou, 2010-2013[J]. Disease Surveillance, 2016, 31(9): 761-765.
[16] 康宝华. 泰安市居民心脑血管疾病死亡的分布特征分析[J].中国自然医学杂志, 2010, 12(1): 13-16. KANG Baohua. Distribution of death of cardio-cerebral vascular diseases among residents in Taian city[J]. Chin Journal of Natural Medic, 2010, 12(1): 13-16.
[17] 王文华, 马长生, 杜昕, 等. 北京市心脑血管疾病及主要危险因素的变化趋势[J]. 心肺血管病杂志, 2013, 32(5): 535-537.
[18] 韦再华, 谢学勤, 卫建敏. 2002年北京市居民心脑血管疾病的疾病负担分析[J]. 心肺血管病杂志, 2007, 26(1): 1-2.
[19] 孟显峰, 李宁, 李亮, 等. 2009-2015年潍坊市心脑血管病伤负担分析[J]. 中国城乡企业卫生, 2017, 2(2): 3-5. MENG Xianfeng, LI Ning, LI Liang, et al. Analysis on the burden of cardio-cerebrovascular disease in Weifang from 2009 to 2015[J]. Chinese Journal of Urban and Rural Enterprise Hygiene, 2017, 2(2): 3-5.
[20] 从秀娇, 孙盛利, 宋淑荣. 2007~2009年烟台市某社区居民心脑血管疾病负担分析[J]. 预防医学论坛, 2011, 17(7): 662-663. CONG Xiujiao, SUN Shengli, SONG Shurong. Analysis on burden of cardiovascular diseases in a community in Yantai City, 2007-2009[J]. Preventive Medicine Tribune, 2011, 17(7): 662-663.
[21] 华颖晓, 杨剑波, 董昀球, 等. 无锡市居民2012年心脑血管疾病死亡和潜在减生年数分析[J]. 中国现代医药杂志, 2014, 16(8): 9-12. HUA Yingxiao, YANG Jianbo, DONG Yunqiu, et al. The mortality and potential years of life lost analysis of cardiovascular and cerebrovascular diseases of Wuxi residents in 2012[J]. China Journal of Modern Medicine, 2014, 16(8): 9-12.
[22] 王秀英, 蔡乐, 崔文龙, 等. 云南省通海县2006-2010年主要心脑血管疾病生命损失年的趋势分析[J]. 中国慢性病预防与控制, 2012, 20(6): 629-631. WANG Xiuying, CAI Le, CUI Wenlong, et al. Temporal trend of years of life lost due to major cardiovascular diseases for the years 2006-2010 in Tonghai County of Yunnan Province[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2012, 20(6): 629-631.
[23] 杨敬,沈清,唐新华,等.浙江省主要心脑血管疾病负担测算[J].中国公共卫生, 2009, 25(4): 410-412. YANG Jing, SHEN Qing, TANG Xinhua, et al. Estimated burden of cardiovascular and cerebrovascular diseases in Zhejiang Province[J]. China Public Health, 2009, 25(4): 410-412.
[24] 向辉标. 张家界市2007—2009年心脑血管疾病死亡状况及疾病负担研究[D]. 长沙:中南大学, 2011.
[1] 刘盈,杨淑霞,佘凯丽,程传龙,房启迪,韩闯,崔峰,李秀君. 2019年山东省淄博市居民死因及疾病负担探析[J]. 山东大学学报 (医学版), 2022, 60(6): 114-121.
[2] 曹义海. 血管生成在疾病治疗中的应用与展望[J]. 山东大学学报 (医学版), 2021, 59(9): 9-14.
[3] 许怀悦,王情,马润美,班婕,李湉湉. 温度相关的疾病负担研究进展[J]. 山东大学学报 (医学版), 2021, 59(12): 13-19, 32.
[4] 韩京,张军,周林,房巧玲,刘守钦,张济,张颖. 极端气温对济南市心脑血管疾病死亡的影响[J]. 山东大学学报（医学版）, 2017, 55(11): 71-74.
[5] 于绍轶, 陈远银, 刘海韵, 曲淑娜, 徐颖, 王倩倩, 王茂波. 应用DALYs评价烟台市恶性肿瘤疾病负担[J]. 山东大学学报（医学版）, 2015, 53(8): 92-96.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
版权所有 © 2018 《山东大学学报(医学版)》编辑部　
地址:山东大学科技期刊社（济南市历城区山大南路27号山东大学中心校区明德楼B座721室） 电话: 0531-88366918 E-mail: xbyxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发