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[目的]分析2002—2014年上海市居民糖尿病死亡现状、死亡人群特征及死亡率变化趋势。[方法]收集2002—2014年上海市死因登记系统中根本死因为糖尿病的户籍居民死亡资料,计算糖尿病死亡率、死亡率的年变化率(APC)、去死因期望寿命、减寿率等指标,分析居民糖尿病死亡现状、死亡率变化趋势、伴随疾病及其对居民寿命的影响。[结果]2014年上海市居民糖尿病死亡率为40.75/10万,较2002年同比增长58.28%;2002—2014年糖尿病死亡率呈现逐年增长趋势(APC=3.27,P<0.05),2009年以后死亡率上升明显加速(APC=5.96,P<0.05)。2014年上海市因糖尿病导致5 847人死亡,占居民总死亡数的4.90%;糖尿病死亡导致居民期望寿命降低0.49岁,平均减寿年数为1.92人年,减寿率为0.78‰;65岁及以上死者占糖尿病死亡的86.39%;糖尿病主要伴随疾病包括脑血管病、冠心病、慢性下呼吸道疾病、急性心肌梗死以及恶性肿瘤。[结论]上海市糖尿病死亡率逐年增加,2009年以后上升趋势加速,死亡以中、老年人群为主。建议加强糖尿病社区管理和家庭护理,控制糖尿病及其伴随疾病的发生发展,提高患者生存质量。
[Objective] To analyze the current situation of death of diabetes, the characteristics of death and the change trend of mortality in Shanghai from 2002 to 2014. [Methods] The mortality data of death due to diabetes mellitus in 2002 to 2014 from 2002 to 2014 were collected to calculate the indexes of diabetes mortality, annual change rate of mortality (APC), life expectancy at death, life expectancy and so on, Analysis of the status of death of residents with diabetes, mortality trends, with the disease and its impact on the life expectancy of residents. [Results] The mortality rate of diabetes in Shanghai was 40.75 / 100,000 in 2014, up 58.28% from the same period of 2002. The mortality rate of diabetes in 2002-2014 showed a trend of increasing year by year (APC = 3.27, P <0.05), and death after 2009 Rate increased significantly accelerated (APC = 5.96, P <0.05). In 2014, Shanghai caused 5,847 deaths due to diabetes, accounting for 4.90% of the total number of deaths. Diabetes deaths led to a 0.49 year reduction in residents’ life expectancy, an average of 1.92 person-years of longevity, and a 0.38% The dead above accounted for 86.39% of the deaths from diabetes; the main diseases accompanying diabetes include cerebrovascular disease, coronary heart disease, chronic lower respiratory tract disease, acute myocardial infarction and malignant tumor. [Conclusion] The mortality rate of diabetes in Shanghai increased year by year, the upward trend accelerated after 2009, and the death was dominated by middle-aged and elderly people. Proposed to strengthen diabetes community management and home care, control of diabetes and its accompanying disease occurrence and development, improve patient quality of life.