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目的应用伤残调整寿命年(DALYs)分析奉化市脑卒中的疾病负担。方法收集2013年奉化市脑卒中发病率、患病率与死亡率,采用世界卫生组织提供的DISMODⅡ软件计算脑卒中的DALYs。结果 2013年奉化市共报告脑卒中发病数1 895例,报告发病率为392.03/10万(标化发病率为201.14/10万),其中男性报告发病率436.33/10万(标化发病率为210.55/10万)高于女性报告发病率346.48/10万(标化发病率为189.25/10万)(P<0.05)。脑卒中死亡751例,死亡率为155.28/10万(标化死亡率为66.53/10万),患病率为1 899.53/10万,60岁及以上老年人占总患病人数的85.53%。脑卒中总DALYs为7 566.03人年,DALYs强度为15.64人年/千人;早死引起的寿命损失年(YLL)为5 807.14人年;由伤残引起的寿命损失年(YLD)为1 758.87人年;60岁及以上人群脑卒中DALYs占总DALYs的84.75%。结论奉化市脑卒中疾病负担较高,社区应重点做好60岁及以上的男性人群的脑卒中防控工作,降低脑卒中引起的疾病负担。
Objective To analyze the disease burden of stroke in Fenghua city by using disability adjusted life years (DALYs). Methods The incidence, prevalence and mortality of stroke in Fenghua city in 2013 were collected. DALYs of stroke were calculated using DISMOD Ⅱ software provided by the World Health Organization. Results A total of 1 895 cases of stroke were reported in Fenghua city in 2013, with a reported incidence of 392.03 / 100 000 (the standardized incidence was 201.14 / 100 000). Incidence rate of male was 436.33 / 10 000 (standardized incidence was 210.55 / 100000) was higher than the female reported incidence of 346.48 / 100000 (standardized incidence of 189.25 / 100000) (P <0.05). The death rate of stroke was 751 cases with a mortality rate of 155.28 / 100000 (the standardized mortality rate was 66.53 / 100000). The prevalence was 1899.53 / 100000. The elderly patients aged 60 and over accounted for 85.53% of the total number of patients. The total DALYs for stroke were 7 566.03 person-years, the DALYs intensity was 15.64 person-years / person, the YLL for premature death was 5 807.14 person-years, and the loss of life-years due to disability (YLD) was 1 758.87 Year; DALYs in stroke patients aged 60 and above accounted for 84.75% of total DALYs. Conclusion In Fenghua City, stroke patients have a higher burden of disease. The community should focus on prevention and control of stroke in men aged 60 and over and reduce the burden of disease caused by stroke.