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Biomed Environ Sci. 2024 Sep 20;37(9):949-992. doi: 10.3967/bes2024.162.
Since 1990, China has made considerable progress in resolving the problem of "treatment difficulty" of cardiovascular diseases (CVD). The prevalent unhealthy lifestyle among Chinese residents has exposed a massive proportion of the population to CVD risk factors, and this situation is further worsened due to the accelerated aging population in China. CVD remains one of the greatest threats to the health of Chinese residents. In terms of the proportions of disease mortality among urban and rural residents in China, CVD has persistently ranked first. In 2021, CVD accounted for 48.98% and 47.35% of deaths in rural and urban areas, respectively. Two out of every five deaths can be attributed to CVD. To implement a national policy "focusing on the primary health institute and emphasizing prevention" and truly achieve a shift of CVD prevention and treatment from hospitals to communities, the National Center for Cardiovascular Diseases has organized experts from relevant fields across China to compile the "Report on Cardiovascular Health and Diseases in China" annually since 2005. The 2024 report is established based on representative, published, and high-quality big-data research results from cross-sectional and cohort population epidemiological surveys, randomized controlled clinical trials, large sample registry studies, and typical community prevention and treatment cases, along with data from some projects undertaken by the National Center for Cardiovascular Diseases. These firsthand data not only enrich the content of the current report but also provide a more timely and comprehensive reflection of the status of CVD prevention and treatment in China.
自 1990 年以来,中国在解决心血管疾病(CVD)“治疗困难”问题方面取得了相当大的进展。中国居民不良的生活方式普遍存在,使很大一部分人面临 CVD 风险因素,而中国人口老龄化的加速使这种情况进一步恶化。CVD 仍然是中国居民健康的最大威胁之一。就中国城乡居民疾病死亡率的比例而言,CVD 一直位居首位。2021 年,农村和城市地区 CVD 分别占死亡人数的 48.98%和 47.35%。每五例死亡中就有两例归因于 CVD。为了实施“以基层为重点、预防为主”的国家政策,真正实现 CVD 防治从医院向社区的转变,国家心血管病中心自 2005 年以来每年组织全国相关领域专家编写《中国心血管健康与疾病报告》。2024 年的报告是基于代表性的、已发表的高质量大数据研究结果,这些研究结果来自横断面和队列人群流行病学调查、随机对照临床试验、大样本登记研究以及典型的社区预防和治疗案例,以及国家心血管病中心承担的一些项目的数据。这些第一手数据不仅丰富了报告的内容,还更及时、更全面地反映了中国 CVD 防治的现状。