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目的测算浙江省主要心脑血管疾病的疾病负担。方法利用2006年浙江省死亡监测数据和相关疾病现场调查获取的资料,使用沙利文法,计算因患心脑血管疾病而损失的期望寿命(DLE)和去除心脑血管疾病后的伤残调整预期寿命(DALE),以评价心脑血管疾病的疾病负担。结果共获取有效样本27391人,其中男性13965人,占51.0%,女性13426人,占49.0%;浙江省人口的出生时期望寿命为75.20岁,0岁～组因冠心病、高血压、慢性风湿性心脏病、先天性心脏病、脑血管病等5种心脑血管疾病而损失的期望寿命将为2.05岁,其中高血压占的比例最高,经心脑血管疾病调整后0岁～组的伤残调整预期寿命为73.15岁;女性人群心脑血管疾病的疾病负担高于男性,城市人群高于农村。结论女性和城市人口因心脑血管疾病引起的伤残导致其DLE高于男性和农村人群。
Objective To estimate the burden of disease on major cardiovascular and cerebrovascular diseases in Zhejiang Province. Methods Based on the data from the death monitoring data and related field surveys in Zhejiang Province in 2006, Sullivan was used to calculate the expected life expectancy (DLE) due to cardiovascular and cerebrovascular diseases and the expected disability adjustment after cardiovascular and cerebrovascular diseases Life expectancy (DALE), to assess the cardiovascular and cerebrovascular disease burden of disease. Results A total of 27391 samples were obtained, of which 13,965 were males (51.0%) and 13,426 were females (49.0%). The life expectancy at birth in Zhejiang Province was 75.20 years old. In the 0-year-old group, coronary heart disease, hypertension, and chronic rheumatism Sexual heart disease, congenital heart disease, cerebrovascular disease and other five kinds of cardiovascular and cerebrovascular diseases and the loss of life expectancy will be 2.05 years, of which the highest proportion of hypertension, cardiovascular and cerebrovascular disease adjusted 0-year-old group of injuries Disability adjusted life expectancy was 73.15 years; women’s cardiovascular and cerebrovascular disease burden of disease is higher than men, urban population is higher than in rural areas. Conclusion Disability due to cardiovascular and cerebrovascular diseases caused by female and urban population leads to higher DLE than male and rural population.