中国心血管健康与疾病报告2019概要.docxVIP

中国心血管健康与疾病报告 中国心血管健康与疾病报告 2019 概要 中国心血管健康与疾病报告编写组 摘要 中国心血管病防治工作在取得初步成效的同时，又面临新的严峻挑战。总体上看，中国心血管病患病率及死亡 率仍处于上升阶段。推算心血管病现患人数 3.30 亿，其中脑卒中 1 300 万，冠心病 1 100 万，肺原性心脏病 500 万， 心力衰竭 890 万，风湿性心脏病 250 万，先天性心脏病 200 万，下肢动脉疾病 4 530 万，高血压 2.45 亿。目前，心血管病死亡占城乡居民总死亡原因的首位，农村为 45.91%，城市为 43.56%。中国心血管病负担日渐加重，已成为重大的公共卫生问题，防治心血管病刻不容缓。为此，为降低日益加重的心血管病的疾病负担，我们一方面仍强调提高医疗水平，改善医疗质量，加强对心血管危险因素的控制，另一方面也必须大力开展健康知识普及，强调每个人是自己健康的第一责任人，积极控制行为危险因素，如避免不健康饮食，规律身体活动等。 关键词 心血管病；流行病学；健康影响因素；危险因素；患病率；死亡率；社区防治；康复；基础研究；器械研发 Report on Cardiovascular Health and Diseases in China 2019: an Updated Summary The Writing Committee of the Report on Cardiovascular Health and Diseases in China. Corresponding Author: HU Shengshou, Email: huss@fuwaihospital.org Abstract While the prevention and control of cardiovascular diseases (CVD) has made preliminary achievements in China, it is confronted with several new severe challenges. The prevalence and mortality of CVD in China is continuously rising. It is estimated that about 330 million patients suffer from CVD. The number of patients suffering from stroke, coronary heart disease, pulmonary heart disease, heart failure, rheumatic heart disease, congenital heart disease, peripheral artery disease and hypertension are 13 million, 11 million, 5 million, 8.9 million, 2.5 million, 2 million, 45.3 million and 245 million, respectively. CVD remained the leading cause of death in 2017, accounting for 45.91% and 43.56% of all deaths in rural and urban areas, respectively. The increased burden of CVD has become the most important public health issue in China, which should be prevented and controlled urgently. Every resident in China should aware related health knowledge and it should be emphasized that each individual should be responsible for its own health. Efforts should be made on shifting focus from treatment to prevention – to put healthy lifestyle at the core, and intervene in health-influencing factors for full-lifecycle health, including health literacy, diet, physical