2009—2013年辽宁省农村地区脑卒中死亡特点和早死所致疾病负担变化趋势分析

发布时间：2018-03-22 11:22

本文选题：卒中　切入点：死亡　出处：《中国全科医学》2017年32期 　论文类型：期刊论文

【摘要】：目的了解2009—2013年辽宁省农村地区脑卒中的死亡特点及早死所致疾病负担变化趋势,为脑卒中的进一步防治提供依据。方法于2015年5月—2017年1月,由辽宁省凤城市和彰武县疾病预防控制中心提供2009—2013年人口学数据和全死因死亡数据。对死因构成情况进行分析,对死亡率、标化死亡率、早死所致健康寿命年损失(YLL)、YLL率、标化YLL率、平均每人的健康寿命年损失(AYLL)、标化AYLL及定基比下降幅度进行计算。结果 2009—2013年,脑卒中均是辽宁省农村地区居民的首位死因,构成比均25.00%。2009—2013年,缺血性脑卒中、出血性脑卒中及合计脑卒中标化死亡率随时间的变化呈下降趋势(P0.05);下降幅度分别为:缺血性脑卒中23.95%、出血性脑卒中48.65%、合计脑卒中40.08%。2009—2013年,缺血性脑卒中、出血性脑卒中和合计脑卒中标化YLL率随时间的变化呈下降趋势,其中缺血性脑卒中降幅为17.50%、出血性脑卒中降幅为46.36%、合计脑卒中降幅为37.02%。2009—2013年,缺血性脑卒中、出血性脑卒中和合计脑卒中标化AYLL随时间的变化呈上升趋势,其中缺血性脑卒中增幅为10.11%、出血性脑卒中增幅为5.04%、合计脑卒中增幅为4.90%,且出血性脑卒中标化AYLL高于缺血性脑卒中。结论虽然辽宁省农村地区脑卒中死亡率及早死所致的疾病负担呈下降的趋势,但是仍处于较高水平,农村地区亟须采取针对性的防治措施减轻脑卒中所带来的负担。
[Abstract]:Objective to investigate the mortality characteristics of stroke in rural areas of Liaoning Province from 2009 to 2013, and to provide evidence for further prevention and treatment of stroke. Methods from May 2015 to January 2017, The demographic data and death data of all causes of death from 2009 to 2013 were provided by the Centers for Disease Prevention and Control in Fengcheng and Zhangwu County, Liaoning Province. The causes of death were analyzed, and the mortality rate, standardized mortality rate, annual loss of health life due to early death and YLLL / YLL rate were analyzed. Standardized YLL rate, annual health life loss per capita, standardized AYLL and the decrease of fixed base ratio were calculated. Results Stroke was the first cause of death in rural areas of Liaoning Province from 2009-2013, the constituent ratio was 25.00.2009-2013, ischemic stroke. The standardized mortality of hemorrhagic stroke and total stroke showed a decreasing trend with time (P < 0.05). The decrease ranges were: ischemic stroke 23.95, hemorrhagic stroke 48.65, total stroke 40.08, ischemic stroke 2009-.2013. The standardized YLL rate of hemorrhagic stroke and total stroke decreased with time. The decrease of ischemic stroke was 17.50, that of hemorrhagic stroke was 46.36, and that of total stroke was 37.02. 2009-2013. The standardized AYLL of hemorrhagic stroke and total stroke showed an increasing trend with time. The increase of ischemic stroke was 10.11 and that of hemorrhagic stroke was 5.04. The total increase of stroke was 4.90. The standardized AYLL of hemorrhagic stroke was higher than that of ischemic stroke. Conclusion although the mortality rate of stroke in rural areas of Liaoning Province is early death. The burden of disease is on the decline, But it is still at a high level, rural areas need to take targeted prevention and treatment measures to reduce the burden of stroke.
【作者单位】：中国医科大学附属第一医院临床流行病与循证医学教研室;循证医学教育部网上合作研究中心中国医科大学分中心;
【分类号】：R743.3

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