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[目的]应用伤残调整寿命年(DALY)对社区居民心脑血管疾病负担进行综合评价。[方法]以烟台市某社区居民2007~2009年死因监测系统中的心脑血管病死亡资料为基础,利用世界卫生组织提供的专门公式,采用间接法计算心脑血管病的YLLs、YLDs和DALYs,以此评价心脑血管疾病负担。[结果]心脑血管疾病已成为当地居民的首位死因,每年每千人因心脑血管疾病造成20.05个DALYs损失(男性2.14%,女性1.87%),其中81.38%由早死所致,18.62%由残疾所占比重较小。缺血性心脏病和脑血管病为社区居民心脑血管疾病前2位疾病负担。[结论]心脑血管疾病造成的疾病负担主要由早死所致,尤其是缺血性心脏病和脑血管病已严重危害社区居民生命健康,防治地位十分突出。
[Objective] To apply the disability adjusted life year (DALY) to comprehensively evaluate the burden of cardiovascular disease in community residents. [Methods] Based on the death data of cardiovascular and cerebrovascular diseases in a community-based monitoring system for the cause of death from 2007 to 2009 in Yantai City, YLLs, YLDs and DALYs were calculated by the indirect method using the special formula provided by the World Health Organization , In order to evaluate the cardiovascular and cerebrovascular disease burden. [Results] Cardiovascular and cerebrovascular diseases have become the first cause of death among local residents. Each year, there are 20.05 DALYs losses (2.14% for males and 1.87% for females) per 1000 people due to cardiovascular and cerebrovascular diseases, of which 81.38% are caused by premature death and 18.62% Disability accounts for a small proportion. Ischemic heart disease and cerebrovascular disease are the first two disease burden of community residents cardiovascular and cerebrovascular diseases. [Conclusion] The burden of disease caused by cardiovascular and cerebrovascular diseases is mainly caused by premature death. Especially ischemic heart disease and cerebrovascular disease have seriously endangered the lives and health of community residents and the status of prevention and control is very prominent.