This data was provided by Deloitte Consulting, a well-known company in the industry, in the Health Care Forecast Report 2020 released around 20 15. Among the consulting companies in the world, Deloitte ranks in the top five, behind McKinsey, Boston Consulting and Bain Consulting, so this report is very convincing and fair, and the authority is not wrong! Such a purely commercial consulting company has done what relevant departments should do, and it is really a conscience enterprise!
How serious is the situation? Look at the figures in the table: hypertension 65.438+0.6 billion, hyperlipidemia 65.438+0 billion, diabetes 92.4 million, overweight or obesity 70-20 million, dyslipidemia 65.438+0.6 billion, fatty liver patients about 65.438+0.2 billion. The total population of China is 654.38+38 billion, including 790 million urban residents and 590 million rural residents. There are 350 million patients with hypertension, hyperlipidemia and hyperglycemia. If a person suffers from two or three "three high" diseases at the same time, these people have reached about 25% of the total population, which means that there will be one case in every four people in China. In other words, the most common family of five will have one on average!
I really feel that relevant departments should thank such enterprises! Only statistics, no words and deeds. Moreover, civil servants also eat whole grains, which is also among the 65.438+38 billion. Perhaps they have a superior social status, but it is difficult for them to get rid of certain diseases, especially' rich diseases' such as hyperlipidemia and gout. No matter what the status, I only look at eating and drinking, eating too much, drinking too much, and getting over chronic diseases, never looking at my face. Maybe they need to pay more attention to health than work. After all, power, money, fame and fortune are all things outside the body, and health is a glass ball that will break when it falls to the ground.
This is Aikang's statistics on about 300,000 civil servants (* * * about100,000 civil servants). The proportion of hyperlipidemia is 57%, and the proportion of overweight or obesity is over 50%. Among the general public, these two proportions are 465,438+0% and 25% respectively. What's more, more than 50% of male officials suffer from fatty liver, while the proportion of male fatty liver in the general public is about 20%. As we all know, this disease is related to obesity and alcoholism.
Therefore, in this era, the' rich disease' is a foregone conclusion. No matter you are an elite or an official, no one can stay out of it! The prevalence of chronic diseases has reached 20% at present! The death toll has reached 83% of the total death toll! 22% of patients aged 35 ~ 46 died of cardiovascular and cerebrovascular diseases! On average, people have diabetes every 30 seconds! On average, people die of cardiovascular and cerebrovascular diseases every 30 seconds! At this time, the whole society needs to think carefully: what's the use of development without a healthy dream? How can you escape the chronic disease that has surrounded you? This society is developing too fast. When we are far away from rational science, various chronic diseases have gone hand in hand in the dark! Before you know it, they are attached to you or your relatives, either alone or in groups!
It is estimated that even as an employee, few people have thought about it before. What if more than 1/4 people in the country are chronically ill? But what most people can understand is the sadness and difficulty of seeing a doctor in a big hospital. Groups of white-haired and obese people go to the same clinic day after day and prescribe the same medicine week after week, trying to "cure" chronic diseases. But who was really told the meaning of the word "chronic disease"? Now there is a view in academic circles that cancer is also a chronic disease, and there is even a book called "Cancer is just a chronic disease". Bravely treat cancer as a chronic disease. Perhaps the author means that cancer can be maintained with drugs like ordinary chronic diseases. Of course, this can reduce the psychological pressure of cancer patients to the greatest extent, but have experts ever wondered: If these diseases are classified as chronic diseases together with cancer, will it increase the psychological pressure of patients with the more common' three high' chronic diseases?
As the name implies, chronic disease is a disease with a course of several years to several decades, and it refers to a disease that does not constitute infection and accumulates for a long time to form morphological damage. However, the long course of the disease does not absolutely mean that the patient's life span is equally long. Once prevention and treatment are not timely and in place, it will also cause harm to life. From this perspective, it does have something in common with some cancers: effective treatment and drug maintenance can maximize the life of patients! In other words, chronic diseases need drug maintenance. If the medicine is well maintained, it can be regarded as a chronic disease. If you don't use medicine or maintain it in place, it will eventually develop into a chronic disease and die! As a national certified licensed pharmacist, I have heard of it, but I have never really seen it. If there is, it is estimated that it is rare. If this idiom really counts as probability statistics, you must believe that Phoenix and Kirin really exist.
Over the years, the media's propaganda on chronic diseases has been focused on prevention and discovery, and there are few reliable professionals' medication education! However, this is precisely the core of the problem: 350 million cases of chronic diseases already exist. What can you do in the face of such a huge group without professional and systematic follow-up guidance and services? These patients are all patients. Did you say prevention and discovery to them? They are all sick, so what should we prevent? Find what? Obviously, these propaganda are an afterthought for them! These 350 million chronic diseases still have the right to be concerned and guided! They need long-term medication to maintain treatment! Moreover, the drugs, family and social wealth they consume should be the core of the core, the focus of the focus!
China people pay attention to foreplay and ignore the system for a long time! Lu Xun wrote it before after Nora left, but obviously this society has never really studied it. Moreover, the education received since childhood is basically the same: the prince and princess are happily married, and the five-year college entrance examination is simulated to a prestigious school for three years, and Peking University graduates into the Chinese Academy of Sciences ... But the problem is that after marriage, there is still a lifetime of daily necessities, online games in universities, skipping classes and sleeping, and even Dr. Peking University of the Chinese Academy of Sciences can't afford to leave Beijing. Media propaganda can have poems and distant places, but such a huge group of patients with chronic diseases must not hide their ears and turn a blind eye and let them grope for survival as life! Furthermore, since the prevention and discovery of chronic diseases need medicine and science, the medication and maintenance of chronic diseases are obviously more important and need more systematic and professional education and guidance. What is the reason for these patients to struggle for themselves?
For chronic diseases such as hypertension, hyperlipidemia and diabetes, there are many kinds of commonly used drugs: for example, there are more than 50 kinds of commonly used antihypertensive drugs and oral drugs, which are divided into 10 according to the mechanism; There are no less than 19 drugs commonly used to regulate blood lipid in 6 categories; Commonly used oral hypoglycemic drugs, 18 a variety of 7 categories! Remember the classification of these drugs, how to mix them, when to take them, and matters needing attention, which are the difficulties of professional doctor Yamatonokusushi. For chronic disease groups, mainly the elderly, they need to choose from so many drugs. How can they bear to be teased and let them explore for themselves? But the reality is even more cruel. Some diabetic patients stopped taking drugs without authorization and died. Some hypertensive patients control their blood pressure, which is not good for stroke. Some patients are complicated with limb necrosis, and some lead to organ failure! Lack of medication guidance for patients with chronic diseases has led to all kinds of Machamp confusion in the market, such as what cabbage can cure cerebral thrombosis, eating mung beans can prevent' three highs' and' extreme algae' can kill cancer cells. ......
That is the reality. Rational thinking and medical technology are just tools. If you don't remember to use them, it is obviously not their responsibility! The end of the false popularization of health care products must be at the expense of the heavy wealth and more precious health of individuals or relatives! The whole society, or family individuals, is not ready for the long-term span of chronic disease groups. This society has developed so fast that in just one generation, chronic diseases have invaded almost all families in this society like locusts! You have to face it, and there is nowhere to run!
The complexity of chronic diseases that need long-term medication far exceeds the cognition of ordinary patients. As a licensed pharmacist, in the chronic disease group, I have seen that regular medication control is very good; I have seen many cases of disability and death caused by not taking medicine according to the doctor's advice; But what I want to tell you now is something that the general public doesn't know at all: the seriousness of adverse reactions caused by long-term medication!
For example, taking ACEI drugs to treat hypertension can lead to vascular edema; ARB drugs can cause acute renal failure; Propranolol can cause impotence; Worst of all, methyldopa will also cause male breast enhancement! For example, drugs that regulate blood lipids, nicotinic acid can not be used for gout, and simvastatin can no longer drink grapefruit juice; For example, diabetic patients can't use glucocorticoids such as dexamethasone, and gout drug probenecid can't be used with aspirin! This is indeed medical knowledge accumulated from many painful lessons, but the reality is that few experts and doctors tell you that an ordinary patient has such complicated and tortuous contents and true feelings in it.
Post another data. Statistics from the National Bureau of Statistics show that the number of abnormal deaths in China exceeds 3.2 million each year, and about 200,000 people die of adverse drug reactions, ranking second in the list of abnormal deaths! Only lower than the first suicide, but even higher than the number of medical accident deaths! Every year, 50 million cases are hospitalized, and the number of people related to adverse drug reactions can reach more than 2.5 million, of which about 200 thousand cases die of adverse drug reactions; The proportion of irrational drug users to drug users can be as high as 26%; Among the 654.38+800,000 deaf children,/kloc-0.0 million is drug-induced deafness, and it is increasing at the rate of 20,000 per year. If someone thinks that taking medicine is nothing more than drinking water and swallowing, please think about the possible effects of medicine on liver, kidney, spleen, stomach and cardiovascular system! Think about the liver, think about kidney failure, think about impotence, and look at the breasts!
Adverse drug reactions must be caused by taking medicine. There is nothing wrong with this logic, but we need to further think about which groups are the main force of long-term medication. This is really a terrible thing for patients with chronic diseases: if you don't take medicine, you will die and be disabled; Blind medication, adverse reactions. Such a complex, systematic and unmistakable thing still has no concern and appeal from relevant departments and media, and a huge group of chronic diseases are allowed to explore it by themselves, try their luck and spread healthy chicken soup with probability! There is really no reason and science.
A member once said that the baby at home 1 year-old or older is weak and loves to cry. Western medicine and Chinese medicine in Beijing have all seen it. I don't know why, but it just doesn't work. Believing in cause and effect, evoking spirits, offering sacrifices to ghosts and gods, the child's illness worsened, and the family was even more afraid. They spent a lot of money to tell the goddess' fortune, and the result was still the same. My family tried their best and I couldn't consult the medicine myself. They asked experts from the Institute of Pediatrics and the director of pediatrics in Vienna, and they all said that vitamin D was needed. The patient's family wondered: I had given my child vitamin D before, but it didn't work. Later, I asked my child about the recipe and found that the child had never eaten fat! You see, it is scientific, reasonable and simple to solve: vitamin D is absorbed with fat, and adding fat cubes every day can promote the absorption of vitamin D.
Therefore, the current situation of chronic diseases may not be so complicated, and screaming propaganda, prevention and detection will not play any role in the already huge chronic disease group; On the other hand, the lack of understanding of long-term medication for chronic diseases has led to an increase in adverse drug reactions year by year; On the one hand, it has led to various bad images in the market. Look at this year's CCTV3. 15 party. Just to give a few examples, they are all swindlers who cheat the elderly of health care (chronic diseases) money. Where is the data of chronic diseases in society? Choose one out of five, one for each family on average. As an individual, where can you escape? People who care about themselves should face the problem bravely and pay attention to the long-term medication of chronic diseases and the safety of long-term medication.
About the author:
Dr. Sun studied in Tongji Medical College of Huazhong University of Science and Technology, Academy of Military Medical Sciences and Vienna University. Member of American Chemical Society, member of Vienna Young Scientists Association, licensed pharmacist in China. He volunteered to popularize the safety of medication and answer the common sense of medication for free! With professional knowledge and voluntary service, we won the Silver Award jointly awarded by the Central Committee of the Communist Youth League, the Ministry of Education, Ministry of Human Resources and Social Security, China Association for Science and Technology, the National Federation of Students and the Sichuan Provincial Government!