摘要
目的分析甘肃省金昌队列人群卒中疾病负担及其变化趋势,为金昌队列人群制定卒中防治策略提供依据。方法应用历史队列研究的方法,收集金昌队列人群2001至2013年卒中全死因资料及2001至2010年因卒中住院患者病历资料,根据人群工作单位不同,将其分为采选矿、冶炼、产品、机关服务4种类型。应用死亡率、潜在减寿年数(PYLL)、平均潜在减寿年数(APYLL)、潜在工作损失年数(WYPLL)、平均潜在工作损失年数(AWYPLL)及直接经济负担等指标分析卒中的疾病负担。结果 2001至2013年金昌队列人群卒中粗死亡率为82.37/10万,平均增长速度为4.0%,男性粗死亡率为110.91/10万,女性粗死亡率为34.29/10万。卒中造成的PYLL为3 770.66人年,APYLL为8.23年,WPYLL和AWPYLL分别为1 728.00人年和3.77年,13年间APYLL随着年份的增长呈下降趋势(γ_s=0.70,P<0.05)。2001至2010年金昌队列人群卒中住院患者人均直接经济负担中位数为4 128(2 442,7 704)元,日均直接经济负担中位数为272(193,423)元,药品费所占比率10年间逐渐下降,检验费及治疗费所占比率逐年升高。不同单位类型中,冶炼单位员工因死亡所造成的APYLL最重,产品单位最少。各单位类型员工因卒中住院所花费的例均住院费用差异有统计学意义(P<0.05)。采选矿单位及冶炼单位员工例均住院费用较高,机关服务单位例均住院费用较少。结论卒中对金昌队列人群造成了沉重的疾病负担,应针对高危人群采取干预措施。
Objective To Analyse the stroke disease burden and its variation trend in Jinchang cohort of Gansu province in recent years in order to provide basis for developing stroke prevention and treatment strategies. Methods Using the method of historical cohort study, the data of all death causes of stroke from 2001 to 2013 and the medical records of hospitalized patients with stroke from 2001 to 2010 in the Jinchang historical cohort were divided into mining and mineral processing, smelting, product, authorities and service units according the different work units were collected. Mortality, potential years of life lost （PYLL） ,average potential years of life lost （APYLL） ,work potential years of life lost （WPYLL） ,average work potential years of life lost （AWPYLL） , and direct economic burden were used to analyze the stroke burden. Results From 2001 to 2013 ,the crude death rate for stroke in the Jinchang cohort was 82.37/ 100 000. The average growth rate was 4.0%. The crude mortality in males was 110.91/100 000 and that in females was 34. 29/100 000. Stroke caused PYLL was 3 770. 66 person-years and APYLL was 8.23 years, WPYLL and AWPYLL were 1 728.00 person-years and 3.77 years respectively. During 13 years, APYLL showed a downward trend with the increase of the year （ γs = 0.70,P 〈 0.05 ）. From 2001 to 2010, the per capita direct economic burden of the inpatients with stroke was 4 128 yuan （2 442,7 704） and the average daily direct economic burden was 272 Yuan （ 193,423 ）. The proportion of drug costs decreased gradually in 10 years. The proportions of medical examination and treatment fees increased year by year. In the different types of units,the death caused APYLL was most severe in workers from the smelting units and that was least in those from the product units. There were statistical significances in per capita hospitalization costs in workers of each unit （ P 〈 0.05 ）. The per capita hospitalization costs were higher in the workers from the mining and mineral processing
出处
《中国脑血管病杂志》
CAS
CSCD
北大核心
2016年第11期561-568,共8页
Chinese Journal of Cerebrovascular Diseases
基金
国家"十二五"医改重大专项(财社2012-64)
关键词
卒中
疾病负担
死亡率
潜在减寿年数
潜在工作损失年数
趋势分析
Stroke
Cost of illness
Mortality
Potential years of life lost
Work potential years of life lost
Trends analysis
