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全球亚博手机app5万亿医疗支出,中国在研全球首创新
作者:中糖院 时间:2020-10-26 11:55:45 浏览:145

全球亚博手机app5万亿医疗支出,中国在研全球首创新


亚博手机app  jiangdijibingfudandeguanjian:xuetangwentai!

  国际亚博手机app联盟(IDF)发表的最新版亚博手机app地图[1]显示,2019年度,全世界有10%的医疗保健支出与亚博手机app相关,总支出金额达7.6千亿美元(约合5.2万亿人民币)。中国作为世界第一亚博手机app大国,为成年亚博app下载患者(20-79岁)支出的医疗保健费用位居世界第二,高达1090亿美元(约合7430亿人民币)。

全球亚博手机app5万亿医疗支出,中国在研全球首创新


亚博手机app  shijiegeguoyaboshoujiappyibaozhichu

  亚博手机app带来的经济负担如此沉重,究其根本:这些支出都用在了哪里?

亚博手机app  yixiangjiyu2015nianzhongguo2xingyaboshoujiapp(t2dm)jibingfudanshujujinxingjianmodepinggubaogaoxianshi,zhongguoyaboappxiazaidezhijieyiliaochengbenzhong95.5%yongyubingfazhengdezhiliao[2]。yingguoshujuxianshi,bingfazhengdefeiyongzhanbigaoda80%[3]。

亚博手机app  yaboshoujiappweixueguanbingfazhengdechuxianhejinzhanzaochengrentizhongyaoqiguandesunshang,muqiandaduobukenizhuan,jidadiyingxiangleyaboappxiazaihuanzhedeshengcunxuqiuheshenghuozhiliang,zengjialejibingguanlifudan。changjiandeyaboshoujiappweixueguanbingfazhengyouyaboshoujiappshenbing(dn)、yaboshoujiappshiwangmobingbian(dr)heyaboshoujiappzu(df)。

亚博手机app  dnshiyaboshoujiappzuizhuyaodeweixueguanbingfazheng,shimuqianyinqizhongmoqishenbing(esrd)deshouyaoyuanyin。《2014nianyaboshoujiappshenbingfangzhizhuanjiagongshi》zhichu:woguodndefabinglvzhengzaikuaisuzengjia,20nianyishangbingchengdeyaboshoujiappshenbinghuanzhefazhanweiesrddefashenglvwei40.8/1000rennian,xuyaojinxingtouxihuoyizhidengshenzangtidaizhiliao[4]。

亚博手机app  drdefabingjizhimuqianshangweiwanquanchanming,zhuyaoyuzhangqigaoxuetangdaozhideyanghuameisunshang、weixueshuanxingcheng、xibaozhanfufenzihuohua、xibaoyinzidehuohuadengyinsuyouguan,shiquanqiufanweineizhuyaodezhimangjibingzhiyi[5],yanzhongyingxianghuanzhedeshenghuozhilianghexinlijiankang。

  dfshifeiwaishangxingdiweijiezhishoushudezhuyaoyuanyin。guowaidiaochaxianshi,zaisuoyoudefeiwaishangxingdiweijiezhishoushuzhong,yaboappxiazaihuanzhezhan 40%-60%;2020nianzuixinfabude《zhongguoyaboshoujiappzuzhenzhizhinan》zhichu,dffabinglvgao,zhiliaokunnan,huafeijuda[6]。

  病程越长、微血管并发症风险越高、花费越多

  近期,华领医药一项针对亚博手机app微血管并发症亚博手机app的荟萃分析[7]发表在国际期刊Global Journal of Obesity, Diabetes and Metabolic Syndrome。

全球亚博手机app5万亿医疗支出,中国在研全球首创新


亚博手机app  yanjiufabiaozaiglobal journal of obesity, diabetes and metabolic syndrome

亚博手机app  yanjiurenyuanzaizhongguozhiwang(cnki)、wanfang、pubmedhecochrane libraryzhong,zhenduiguoqu5nian(2014nian1yue-2019nian8yue)zhongguot2dmhuanzhededr、dnhedfhuanbinglvxiangguanyanjiujinxinglewenxianjiansuo。genjujidingdenapaibiaozhun,zuizhongnarule171xiangyaboshoujiappweixueguanbingfazhengxiangguanyanjiu——baokuo86xiangdryanjiu、61xiangdnyanjiuhe24xiangdfyanjiu。

全球亚博手机app5万亿医疗支出,中国在研全球首创新


  huicuifenxidenapaibiaozhun

亚博手机app  youyunaruyanjiuzhijiandexianzhuyizhixing(i2>50%),xuanyongsuijixiaoyingmoxinggusuanyaboshoujiappbingfazhenghuanbinglv,bingtongguodanyinsumetahuiguifenxiyanjiuyingxiangyaboshoujiappweixueguanbingfazhengfashenglvdeweixianyinsu(zhu:suoyoufenxijunzair3.4.3zhongjinxing)。

  分析结果显示:在中国成年T2DM患者中,

  DR的总患病率为26.19%(95%CI 3.02%-29.50%);

  DN的总患病率为27.09%(95%CI 23.55%-30.79%);

  DF 的总患病率为7.41%(95%CI 5.48%-10.03%)。

  此外,在针对DR、DN、DF相关的危险因素——年龄、性别、糖化血红蛋白(HbA 1c )水平、身体质量指数(BMI)、病程等进行分析后,研究人员发现,病程越长,微血管并发症风险越高,相应地,疾病花费也就更多。

全球亚博手机app5万亿医疗支出,中国在研全球首创新


亚博手机app  bingchengyuezhang,weixueguanbingfazhengfengxianyuegao

  jiehehuicuifenxihejibingfudanbaogao,bunandechujielun——yaojiangdiyaboshoujiappjibingfudan,bixucongguanlibingfazhengrushou。

  降低疾病负担的关键:血糖稳态