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目的:了解武汉市城乡居民脑血管疾病死亡分布及寿命损失情况,为制定相应防控策略提供依据。方法:对武汉市2013年脑血管疾病死亡登记资料进行分析,通过计算粗死亡率、标化死亡率、潜在减寿年数(PYLL)、减寿率(PYLLR)、标化减寿率(SPYLLR)、平均减寿年数(AYLL)等指标评价武汉市脑血管疾病死亡及寿命损失情况。结果:武汉市居民脑血管疾病总体死亡率为171.90/10万,因脑血管疾病死亡的PYLL,PYLLR,SPYLLR和AYLL分别为34 473人年,5.13‰,1.64‰和11.73人年。减寿率农村(3.12‰)高于城市(2.39‰),男性(3.65‰)高于女性(1.65‰)。减寿率顺位前三位依次为:出血性脑卒中,脑血管后遗症和缺血性脑卒中。结论:武汉市居民脑血管疾病死亡率高,主要危及60岁及以上老年人和男性居民,是武汉市城乡居民的重要疾病负担。
Objective: To understand the death distribution and life loss of cerebrovascular diseases in urban and rural residents in Wuhan, and provide the basis for formulating the corresponding prevention and control strategies. Methods: The death registration data of cerebrovascular diseases in Wuhan in 2013 were analyzed. The crude mortality, standardized mortality, PYLL, PYLLR, SPYLLR, , The average number of years of life lost (AYLL) and other indicators of cerebrovascular disease in Wuhan death and life expectancy loss. Results: The overall death rate of cerebrovascular diseases in Wuhan residents was 171.90 / 100 000, while the PYLL, PYLLR, SPYLLR and AYLL deaths due to cerebrovascular diseases were 34 473, 5.13, 0.64, and 11.73 years, respectively. The rate of longevity is higher in rural areas (3.12 ‰) than in urban areas (2.39 ‰) and higher in males (3.65 ‰) than in females (1.65 ‰). The top three ranks of longevity rates were hemorrhagic stroke, cerebrovascular sequelae and ischemic stroke. Conclusion: The death rate of cerebrovascular diseases in Wuhan residents is high, which mainly affects the elderly and male residents aged 60 years and over. It is an important disease burden for urban and rural residents in Wuhan.