肺心脏病相关死亡率 - 中国,2014-2021年
Yangyang Xu1, Zhe Liu1, Jinlei Qi1
1National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
China CDC weekly
|September 25, 2023
概括
中国的肺性心脏病 (PHD) 死亡率从2014年到2021年显著下降. 慢性阻塞性肺病 (COPD) 是主要原因,突出需要在老年人群中继续关注PHD和COPD.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心脏病学 心脏病学
背景情况:
- 肺性心脏病 (PHD) 在20世纪后期成为中国的主要公共卫生问题.
- 目前在中国的PHD死亡率以前是未知的,需要更新调查.
研究的目的:
- 调查中国PHD相关死亡率的现状和趋势.
- 分析PHD死亡率从2014年到2021年的进展情况.
主要方法:
- 利用了中国国家死亡率监测系统 (2014-2021) 的数据.
- 使用2020年人口普查数据进行人口标准化,以计算年龄标准化死亡率 (ASMR).
- 应用结点回归分析,以识别跨人口和地区的ASMR趋势.
主要成果:
- 在2014年至2021年期间,PHD的ASMR从每10万人的61.68%大幅下降到每10万人的28.53%.
- 性别,地区和城市/农村环境的下降趋势一致,西部地区,农村地区和男性的比例更高.
- 慢性阻塞性肺病 (COPD) 是主要的潜在原因,占PHD死亡的87.41%-93.42%.
结论:
- 中国的PHD死亡率在2014年至2021年显示出显著的下降趋势.
- 慢性肺炎仍然是PHD死亡率的主要驱动因素,这强调了它的重要性.
- 鉴于中国人口老龄化和COPD患病率高,PHD仍然是一个关键的健康问题,需要持续关注.
相关概念视频
01:30Pulmonary Hypertension: Classification and Pathogenesis
207
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
207
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.8K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.8K
01:17Other Pulmonary Disorders
865
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
865
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
01:20COPD: Pathogenesis and Clinical Features
327
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
327
01:29Pulmonary Embolism I: Introduction
7
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
7