摘要
目的 :测量心血管疾病负担及社区人群防治效果。 方法 :应用 1992年～ 1997年北京市房山区的心血管疾病监测资料和失能调整生命年 (DAL Ys)测量心血管疾病负担及社区防治效果。 结果 :1北京市房山区每千人每年因脑卒中损失 6 .0 5个健康生命年 ,因冠心病损失 3.6 8个健康生命年。脑卒中和冠心病的 DAL Ys损失随年龄增加而增加 ,于 70～ 74岁达高峰 ,70～ 74岁年龄段每千人每年因脑卒中损失 5 7.30个健康生命年 ,因冠心病损失 38.10个健康生命年。2在脑卒中和冠心病的 DAL Ys损失中 ,死亡引起的寿命损失大于失能引起的寿命损失。 31992年～ 1997年 6年间 ,干预措施累积挽回心血管疾病 DAL Ys分别为 12 2 .6 0年、97.40年、117.6 0年、32 5 .2 0年、5 31.6 0年、741.90年。 结论 :脑卒中和冠心病的 DAL Ys损失随年龄增加而增加 ,脑卒中的生命年损失大于冠心病。心血管疾病 DAL Ys损失中 ,死亡引起的寿命损失占大部分。心血管疾病社区干预是有效的 ,干预时间越长 ,效果越好 ,对脑卒中的干预效果好于冠心病。
Objective:To measure the burden of cardiovascular diseases(CVD) and effectiveness of cardiovascular diseases prevention. Methods:Based on the surveillance data of CVD in Beijing Fangshan district,the burden and effectiveness of community intervention of CVD were measured with disability adjusted life years(DALYs). Results:①The average DALYs of stroke were 6 05 years per thousand persons annually and it was 3 68 years for coronary disease(CHD)during 1992 to 1997.The DALYs of stroke and CHD showed a trend of ascending along with aging and it reached the top at the age of 70～74,where the DALYs of stroke and CHD were 57 30 and 38 10 years annually per thousand persons,respectively.②Among the components of DALYs of CVD,the years of life lost were greater than the years of lived with disability,especially for coronary disease.③The accumulated reduction of DALYs were 122 60、97 40、117 60、325 20、531 60、741 90 years respectively each year from 1992 to 1997. Conclusion:The DALYs of stroke and CHD had a trend of ascending along with aging.The DALYs of stroke were larger than that of CHD.The years of life lost were greater than the years of lived with disability in the DALYs of CVD.The community intervention of CVD was effective,especially for stroke.The longer the time of intervention,the better the results.
出处
《中国循环杂志》
CSCD
北大核心
1999年第3期165-167,共3页
Chinese Circulation Journal
关键词
心血管疾病
失能调整生命年
测量
防治
Cardiovascular diseases
Disability adjusted life years
Community intervention
