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目的了解上海市崇明县居民糖尿病的死亡特征及寿命损失情况。方法统计2005—2014年崇明户籍居民死因监测资料,计算死亡率、标化死亡率、潜在减寿年数(PYLL)、减寿率(PYLLR)、平均减寿年数(AYLL)。结果 2005—2014年崇明县糖尿病年平均死亡率为37.25/10万,10年间死亡率累计增长94.24%,总体呈上升趋势,年平均标化死亡率为18.92/10万,上升趋势较平缓(APC趋势分析,P=0.086),差异无统计学意义。糖尿病主要危害老年人群,≥65岁人群占糖尿病死亡数的81.95%,男女均呈现死亡率随年龄的增长而上升趋势。直接死因为糖尿病并发症者达67.97%,脑血管病占7.57%;并发症中未特指占比最高(48.37%),糖尿病肾病占8.79%。2005—2014年崇明县糖尿病PYLL为17 393.76人年,PYLLR为2.62‰,AYLL为10.43人年,男性寿命损失较女性严重。结论崇明县糖尿病死亡率上升趋势明显,在严重老龄化无法短期改变的情况下,应加强糖尿病三级预防,降低糖尿病所造成的疾病负担。
Objective To investigate the death characteristics and the loss of life expectancy of diabetes in Chongming County, Shanghai. Methods Statistical data of the cause of death of Chongming household residents from 2005 to 2014 were collected to calculate the mortality rate, standardized mortality rate, PYLL, PYLLR and AYLL. Results The average annual mortality rate of diabetes in Chongming County during 2005-2014 was 37.25 / 100 000, with a cumulative increase of 94.24% over the 10-year period, with an overall upward trend. The annual average standardized death rate was 18.92 / 100 000, with a mild upward trend (APC Trend analysis, P = 0.086), the difference was not statistically significant. Diabetes mainly endangers the elderly, and people aged 65 or older account for 81.95% of the deaths from diabetes. Both men and women show an upward trend in mortality with age. Direct death due to complications of diabetes 67.97%, cerebrovascular disease accounted for 7.57%; complications accounted for the highest proportion (48.37%), diabetic nephropathy accounted for 8.79%. In 2005-2014, the PYLL of diabetes in Chongming County was 17 393.76 person-years, the PYLLR was 2.62 ‰, and the AYLL was 10.43 person-years. The loss of life-span of men was more serious than that of women. Conclusion The mortality rate of diabetes in Chongming County is obviously rising. Under the circumstances that serious aging can not be changed in the short term, tertiary prevention of diabetes mellitus should be strengthened to reduce the burden of disease caused by diabetes.