薛天怡, 刘世友, 万金豹, 薛俊磊, 蔡卫华, 吴萃. 2010—2019年上海市宝山区居民慢性阻塞性肺疾病死亡情况分析[J]. 上海预防医学, 2022, 34(3): 256-259. DOI: 10.19428/j.cnki.sjpm.2022.21207
引用本文: 薛天怡, 刘世友, 万金豹, 薛俊磊, 蔡卫华, 吴萃. 2010—2019年上海市宝山区居民慢性阻塞性肺疾病死亡情况分析[J]. 上海预防医学, 2022, 34(3): 256-259. DOI: 10.19428/j.cnki.sjpm.2022.21207
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XUE Tianyi, LIU Shiyou, WAN Jinbao, XUE Junlei, CAI Weihua, WU Cui. Analysis of mortality of chronic obstructive pulmonary disease among residents in Baoshan District of Shanghai from 2010 to 2019[J]. Shanghai Journal of Preventive Medicine, 2022, 34(3): 256-259. DOI: 10.19428/j.cnki.sjpm.2022.21207
Citation: XUE Tianyi, LIU Shiyou, WAN Jinbao, XUE Junlei, CAI Weihua, WU Cui. Analysis of mortality of chronic obstructive pulmonary disease among residents in Baoshan District of Shanghai from 2010 to 2019[J]. Shanghai Journal of Preventive Medicine, 2022, 34(3): 256-259. DOI: 10.19428/j.cnki.sjpm.2022.21207
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2010—2019年上海市宝山区居民慢性阻塞性肺疾病死亡情况分析

Analysis of mortality of chronic obstructive pulmonary disease among residents in Baoshan District of Shanghai from 2010 to 2019

    摘要
  • 摘要:
    目的 了解上海市宝山区户籍居民10年间慢性阻塞性肺疾病（COPD）的死亡率和潜在寿命损失年数（PYLL）的变化情况，为今后开展COPD防治工作提供策略和依据。
    方法 基于2010—2019年上海市宝山区居民死因监测系统，采用Excel 2010软件、SPSS 22.0软件和Joinpoint回归模型整理历年数据并综合分析，计算粗死亡率、标准化死亡率、年龄别死亡率、PYLL、年度变化百分比（APC）等指标。
    结果 2010—2019年间，上海市宝山区COPD年均粗死亡率为48.08/10万，标化后死亡率为39.95/10万，占同期总死亡人数的5.82%，位列宝山区死因顺位第3位。10年间，COPD男性粗死亡率、标化死亡率始终高于女性（P<0.01）。COPD粗死亡率和标化死亡率随年份增加均呈下降趋势（P<0.001）。COPD死亡率随年龄的增长呈现上升的趋势，其中≥75岁组的死亡占比最高，占全年龄段的85.71%。因COPD死亡所导致的PYLL总计为2 352.5年，其中男性为1 977.5年，女性为375.0年，COPD导致的每万人中的男性减寿年数（4.18年）远高于女性（0.82年）。
    结论 2010—2019年间上海市宝山区户籍居民COPD标化后死亡率呈明显下降趋势，但由于COPD患病带来的疾病负担重，尤其对老年、男性居民的健康危害影响深远，建议将COPD作为公共卫生服务中慢性病防制的重点疾病，并采取有效的干预防制措施。

     

    Abstract:
    Objective To analyze the changes of mortality and potential years of life lost （PYLL） due to chronic obstructive pulmonary disease （COPD） among residents in Baoshan District， Shanghai from 2010 to 2019 and provide strategies and basis for COPD prevention and treatment in the future.
    Methods Based on the cause-of-death surveillance system in Baoshan District of Shanghai from 2010 to 2019， Microsoft Excel 2010， SPSS 22.0 and Joinpoint Trend Analysis Software were used to sort out and analyze the data over the years and calculate the crude mortality， standardized mortality， age-specific mortality， PYLL， annual percent change （APC）， etc.
    Results From 2010 to 2019， the average annual mortality of COPD was 48.08/100 000， and the standardized mortality rate was 39.95/100 000， accounting for 5.82% of the total deaths in the same period， and COPD ranked as the third leading cause of death in Baoshan District. During the 10 years， the crude and standardized mortality of male COPD patients were generally higher than those of female patients （P<0.01）. However， the crude mortality and standardized mortality of COPD showed a decreasing trend with the increase of years （P<0.001）， and an increasing trend with the increase of age， of which the proportion of patients aged 75 and above was the highest， accounting for 85.71% of all age groups. The PYLL caused by COPD deaths was 2 352.5 years， including 1 977.5 years for men and 375.0 years for women. The number of years of life lost per 10 000 people due to COPD in males （4.18 years） was much longer than that in females （0.82 years）.
    Conclusion From 2010 to 2019， the standardized mortality of chronic obstructive pulmonary disease among residents in Baoshan District， Shanghai has shown a significant decline. However， due to the heavy burden brought by COPD， which has an especially profound impact on the health of elderly and male residents， COPD should be regarded as one of the key diseases in the prevention and control of chronic diseases in public health services， and effective preventive measures should be taken.

     

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