1990年和2016年北京市心脑血管疾病负担及其变化

目的调查1990年和2016年北京市心脑血管疾病负担及其变化情况。方法利用2016年全球疾病负担研究数据,分析1990年和2016年北京市心脑血管疾病死亡情况和疾病负担。主要指标包括死亡人数、过早死亡损失寿命年(YLL)、伤残损失寿命年(YLD)和伤残调整寿命年(DALY),同时使用2000—2025年世界人口的平均人口作为标准人口,计算标化死亡率、DALY率、YLL率和YLD率。结果2016年,北京市居民心脑血管病标化死亡率为209.24/10万;心脑血管病DALY、YLL和YLD分别为87.56、73.36和14.20万人年,较1990年分别增加了58.05%、44.24%和213.47%;标化DALY率和标化YLL率分别为3552.24/10万和2988.01/10万,较1990年分别下降47.90%和52.43%,标化YLD率为564.23/10万,较1990年增加5.10%。2016年,脑血管疾病和缺血性心脏病的死亡数分别为1.76万例和2.37万例;DALY分别为39.63和39.36万人年,较1990年(DALY分别为33.02和16.27万人年)分别增加20.02%和141.92%。结论北京市心脑血管疾病负担重,其中以脑血管疾病和缺血性心脏病最为显著;脑血管疾病的伤残负担严重,缺血性心脏病的疾病负担成倍增长。

Current status and changes of disease burden of cardio-cerebrovascular diseases in 1990 and 2016 for Beijing people

Objective To investigate the current status and changes of disease burden of cardio-cerebrovascular diseases in 1990 and 2016 for Beijing people.Methods Using the results of the Global Burden of Diseases Study 2016(GBD 2016)to describe deaths status and disease burden of cardio-cerebrovascular diseases in Beijing.The measurement index included the total deaths,years of life lost due to premature mortality(YLL),years lived with disability(YLD),and disability-adjusted years(DALY).Using the average world population from 2000 to 2025 as standard population to calculate the age-standardized mortality rate,DALY rate,YLL rate and YLD rate.Results The age-standardized mortality rate of cardio-cerebrovascular diseases was 209.24 per 100000.In 2016,DALY,YLL and YLD of cardio-cerebrovascular was 875.6,733.6 and 142.0 thousand person-years,respectively,which has increased by 58.05%,44.24%and 213.47%,respectively,than that in 1990.The age-standardized DALY rate and age-standardized YLL rate of cardio-cerebrovascular diseases in 2016 was 3552.24 and 2988.01 per 100000 which has decreased by 47.90%and 52.43%,respectively,than that in 1990.The age-standardized YLD rate of cardio-cerebrovascular diseases in 2016 was 564.23 per 100000 which increased by 5.10%than that in 1990.In 2016,the total death of cerebrovascular disease and ischemic heart disease was 17.6 thousand and 23.7 thousand,respectively.DALY was 396.3 and 393.6 thousand person-years in 2016,while 330.2 and 162.7 thousand person-years in 1990,which has increased by 20.02%and 141.92%,respectively.Conclusions The disease burden of cardio-cerebrovascular disease is serious,especially the burden of cerebrovascular disease and ischemic heart disease.The disability burden of cerebrovascular disease is serious.The disease burden of ischemic heart disease has multiplied.