湖南省心脑血管健康与疾病报告概要(2020)

湖南省心脑血管健康与疾病报告编写组

doi:10.11817/j.issn.1672-7347.2023.230128

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湖南省心脑血管健康与疾病报告概要(2020)
Report on cardiovascular and cerebrovascular health and diseases in Hunan Province, 2020
中南大学学报(医学版) 中南大学学报(医学版) 2023年48卷第8期页码：1113-1127
作者机构：
基金信息：

湖南省科技重大专项(2016SK1001)
DOI：10.11817/j.issn.1672-7347.2023.230128
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湖南省心脑血管健康与疾病报告编写组. 湖南省心脑血管健康与疾病报告概要(2020)[J]. 中南大学学报(医学版), 2023,48(8):1113-1127.

Hunan Cardiovascular and Cerebrovascular Health and Disease Report Compilation Group. Report on cardiovascular and cerebrovascular health and diseases in Hunan Province, 2020[J]. Journal of Central South University. Medical Science, 2023,48(8):1113-1127.
湖南省心脑血管健康与疾病报告编写组. 湖南省心脑血管健康与疾病报告概要(2020)[J]. 中南大学学报(医学版), 2023,48(8):1113-1127. DOI： 10.11817/j.issn.1672-7347.2023.230128.

Hunan Cardiovascular and Cerebrovascular Health and Disease Report Compilation Group. Report on cardiovascular and cerebrovascular health and diseases in Hunan Province, 2020[J]. Journal of Central South University. Medical Science, 2023,48(8):1113-1127. DOI： 10.11817/j.issn.1672-7347.2023.230128.

摘要

心脑血管疾病作为湖南省城乡居民的首位死因，其现状是湖南省疾病预防和控制(以下简称“防控”)成效的体现和未来工作方向的基础和依据。因此，《湖南省心血管健康与疾病报告概要》(2020)(以下简称“年报”)描述和总结了湖南省心脑血管疾病防控的现状及问题，以对未来推动和强化心脑血管疾病防控提供参考和证据支撑。湖南省2017年心脑血管疾病的寿命损失年仍高于全国平均水平，且2019年人均期望寿命(77.1岁)较全国平均期望寿命(77.3岁)减少0.2岁；心脑血管疾病死亡率占居首位，且呈现上升趋势，心脑血管疾病中的高血压、冠心病及脑卒中的患病率、死亡率均高于全国水平，心脑血管疾病负担不断加重。而纵向比较下，2019年湖南省人均期望寿命较2015年增长1.26岁；心脑血管事件发生率较2017年下降8.34%；并在湖南省众多专家的努力下建立了高血压医防融合新模式，实现了基层高血压规范化门诊全覆盖；2020年示范区长沙县在管高血压患者规范管理率上升到65.27%，心脑血管事件发生率、脑卒中发生率、因心脑血管事件死亡率较2016年分别降低了28.08%、28.62%、25.00%。近年来湖南省心脑血管疾病防控工作取得了一定进展和成就，但同样仍面临十分严峻的问题和挑战。

Abstract

Being the leading cause of death among both urban and rural residents in Hunan Province, China, cardiovascular and cerebrovascular diseases hold a significant position in the region’s public health landscape. Their prevalence and impact not only underscore the urgency of effective disease prevention and control but also provide crucial guidance for future initiatives. Consequently, the ,Hunan Province Cardiovascular and Cerebrovascular Health and Disease Report Summary, (2020) hereinafter referred to as the “Annual Report”, serves as an extensive and informative document. It meticulously examines the current status of these diseases, highlighting both the existing challenges and opportunities for prevention and control efforts in Hunan Province. The primary objective of this report is to furnish valuable insights and evidence that will empower and enrich future endeavors aimed at combatting cardiovascular and cerebrovascular diseases within the region. In 2017, the year of life expectancy lost due to cardiovascular and cerebrovascular diseases in Hunan Province remained higher than the national average. Additionally, the per capita life expectancy in 2019 (77.1 years) was slightly lower by 0.2 years compared with the national average (77.3 years). Alarmingly, the mortality rates associated with cardiovascular and cerebrovascular diseases were consistently ranking highest, indicating an upward trajectory. Moreover, the prevalence and mortality rates of conditions such as hypertension, coronary heart disease, and stroke, all encompassed within the domain of cardiovascular and cerebrovascular diseases, surpassed the national averages. Consequently, the economic burden attributable to cardiovascular and cerebrovascular diseases is on the rise. And under vertical comparison, in 2019, the life expectancy per capita in Hunan Province increased by 1.26 years compared with 2015. The incidence rate of cardiovascular and cerebrovascular events decreased by 8.34% compared with 2017. A new model of hypertension medical and preventive integration has been established with the efforts of many experts in Hunan Province, and full coverage of standardised outpatient clinics for hypertension at the grassroots level has been realised. The rate of standardised management of patients with hypertension under management in Changsha County, a demonstration area, rose to 65.27%, and the incidence rate of cardiovascular and cerebrovascular events, the incidence rate of stroke, and the mortality rate due to cardiovascular and cerebrovascular events were reduced by 28.08%, 28.62%, and 25.00%, respectively. Hunan Province has made significant strides in the prevention and control of cardiovascular and cerebrovascular diseases in recent years.

关键词

湖南省心脑血管疾病发病率死亡率疾病负担

Keywords

Hunan Provincecardiovascular and cerebrovascular diseasesincidencemortalitydisease burden

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