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《中国心血管健康与疾病报告 2022 概要》发布。

Report on Cardiovascular Health and Diseases in China 2022: an Updated Summary.

机构信息

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出版信息

Biomed Environ Sci. 2023 Aug 20;36(8):669-701. doi: 10.3967/bes2023.106.

Abstract

In the past 30 years, the accessibility and quality index of medical care have made remarkable progress in China, ranking the first among middle-income countries. Many cardiovascular technologies are at or near the world's leading level, and significant progress has been achieved in China solving the problem of "treatment difficulty" of cardiovascular diseases (CVD). However, due to the prevalence of unhealthy lifestyles among Chinese residents, a huge population with CVD risk factors, accelerated population aging, and other reasons, the incidence and mortality rate of CVD are still increasing, and the turning point of the decline in disease burden has not appeared yet in China. In terms of proportions of disease mortality among urban and rural residents, CVD still ranks the first. In 2020, CVD accounted for 48.00% and 45.86% of the causes of death in rural and urban areas, respectively; two out of every five deaths were due to CVD. It is estimated that the number of current CVD patients in China is around 330 million, including 13 million stroke, 11.39 million coronary heart disease, 8.9 million heart failure, 5 million pulmonary heart disease, 4.87 million atrial fibrillation, 2.5 million rheumatic heart disease, 2 million congenital heart disease, 45.3 million peripheral artery disease, and 245 million hypertension cases. China has entered a new stage of transformation from high-speed development to high-quality development, and the prevention and control of CVD in China should also shift from previous emphasis on scale growth to strategies focusing more on strategic and key technological development in order to curb the trend of increasing incidence and mortality rates of CVD.

摘要

在过去的 30 年中,中国的医疗可及性和质量指数取得了显著进步,在中等收入国家中排名第一。许多心血管技术处于或接近世界领先水平,中国在解决心血管疾病(CVD)“治疗难题”方面取得了重大进展。然而,由于中国居民生活方式不健康、心血管疾病风险因素人群庞大、人口老龄化加速等原因,CVD 的发病率和死亡率仍在上升,疾病负担下降的拐点尚未在中国出现。就城乡居民疾病死亡构成比而言,CVD 仍然位居第一。2020 年,CVD 分别占农村和城市地区死亡原因的 48.00%和 45.86%;每五例死亡中就有两例是由 CVD 引起的。据估计,目前中国 CVD 患者人数约为 3.3 亿,包括 1300 万脑卒中、1139 万冠心病、890 万心力衰竭、500 万肺源性心脏病、487 万心房颤动、250 万风湿性心脏病、200 万先天性心脏病、4530 万外周动脉疾病和 2.45 亿高血压患者。中国已进入高速发展向高质量发展转变的新阶段,中国 CVD 的防控也应从以往注重规模增长转变为更加注重战略和关键技术发展的策略,以遏制 CVD 发病率和死亡率上升的趋势。

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