卒中后认知功能障碍59页PPT.pptVIP

卒中后认知功能障碍 Post-stroke cognitive impairment, PSCI)  主要内容  全球20年:疾病负担与死亡 Global and regional mortality from 235 causes of death for t 20 age groups in 1990 and 2019: a systematic analysis for the Global Burden of Disease Study 2019 anct2019;380:2095128 全球人口老龄化,在年龄相关、性别相关、病因相关的死亡比率下降 疾病谱转向非传染性疾病,非洲仍在传统疾病谱保持一定比例 非传染性疾病的死亡前三位 1、肿瘤增长率38%,8万 2、缺血性心脑血管病占1/4(20年前占1/5),12.9百万 3、糖尿病13百万(较20年前增长1倍) Non-communicable injuries neonatal, and diseases aths epected with 2019 papulation, 19gopopulation age structure,1990 rates(thousands)61307 saths expected with 2019 population, 2019 population age sructure, 1990 death rate(thousands) 70316 34540 from 1990 due to Pescentagechangefrom1990due topopulatonageing Percentage change fom 1990 due to change in death rates -163% Pescentagechangefiom1990to2019 ers(thousands)by level I causes from 1990 to 2019 intototal popultion growth, population ageing, and changes  中国20年:疾病负担与死亡 Rapid health transition in China, 1990-2019: findings from O the global Burden of Disease Study 2019 Lancet2019:381:1987-2019 gs The leading causes of death in China in 2019 were stroke (1.7 million deaths, 95% UI 1.5-1.8 million) ic heart disease (948700 deaths, 774 600), and chronic obstructive pulmonary diseas deaths, 846600-1032 300). Age-standardised YLLs in China were lower in 2019 than all emerging economies Interpretation The rapid rise of non-communicable diseases driven by urbanisation, rising incomes, and ageing poses major challenges for China's health system, as does a shift to chronic disability. Reduction of population posures from poor diet, high blood pressure, tobacco use, cholesterol, and fasting blood glucose are public policy priorities for China, as are the control of ambient and household air pollution. These changes will require an 2019年中国死亡的首要原因: 1、孕中(17百万) 2、缺血性心脏病(095百万) 3、coDP(0.93百万) 因城市化进程、收入増加、年龄老化导致非传染性疾病大幅增加 减少人群不良饮食、高血压、吸烟、胆固醇、空腹血糖成为公共健康问题 包括控制环境与生活污染。  中国20年:神经系统疾病的 死亡 传染性疾病谱改变 306(245