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目的了解高血压对金昌队列人群造成的疾病负担及其变化趋势,为金昌队列人群制定有针对性的高血压防治措施、减轻该人群高血压的疾病负担提供基础数据。方法采取历史队列研究方法收集金昌队列人群2001-2013年高血压全死因资料及2001-2010年高血压住院患者资料,应用死亡率、直接经济负担、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)以及人均潜在工作损失年数(AWYPLL)等指标分析高血压造成的疾病负担现状。结果 2001-2013年金昌队列人群高血压粗死亡率为16.73/10万,男性高血压死亡率为24.07/10万,平均增长速度为42.40%。因高血压而造成的PYLL为786.78年、APYLL为8.46年/人、WPYLL为329年和AWPYLL为3.54年/人,13年间无增长趋势。2001-2010年金昌队列人群高血压住院患者人均直接经济负担为2 385.04元,日均直接经济负担为176.38元,10年间无增长趋势。结论高血压对金昌队列人群造成沉重的疾病负担,是重要的健康问题。
Objective To understand the disease burden and the trend of hypertension caused by hypertension in Jinchang cohort and provide the basic data for the targeted antihypertensive control measures in Jinchang cohort to reduce the burden of hypertension in Jinchang cohort. Methods The historical cohort study was conducted to collect data on all-cause hypertension in 2001-2013 and hospitalized patients with hypertension in 2001-2010 in Jinchang cohort. Mortality, direct economic burden, potential years of life lost (PYLL), average potential life expectancy (APYLL), potential years of work lost (WYPLL), and the number of years of potential work loss per head (AWYPLL) were used to analyze the current status of the burden of disease caused by hypertension. Results The crude death rate of hypertensive patients in Jinchang cohort from 2001 to 2013 was 16.73 / 100000. The male death rate of hypertension was 24.07 / 100000 with an average growth rate of 42.40%. PYLL due to hypertension was 786.78 years, APGLL was 8.66 years, WPYLL was 329 years, and AWPYLL was 3.54 years. There was no growth trend for 13 years. In 2001-2010, the per capita direct economic burden of hypertensive inpatients in Jinchang cohort was 2 385.04 yuan and the daily average direct economic burden was 176.38 yuan, with no growth trend in 10 years. Conclusion Hypertension caused a heavy burden of disease on Jinchang cohort and is an important health problem.