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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2016年11期

页码:

1194-1197

栏目:

论著

出版日期:

2016-12-27

文章信息/Info

Title:

Analysis of acute cardiovascular events surveillance in residents of Fujian province in 2015

作者:

李晓庆;  林修全;  黄少芬;  钟文玲;  叶莺;  章叶发

福建省疾病预防控制中心，福州350001

Author(s):

LI Xiao-qing;  LIN Xiu-quan;  HUANG Shao-fen;  ZHONG Wen-ling; YE Ying;  ZHANG Ye-fa

Fujian Centers for Disease Control and Prevention, Fuzhou, Fujian 350001, China Corresponding author: LI Xiao-qing, E-mail: qingofwoody@163.com

关键词:

急性心脑血管事件; 冠心病急性事件; 脑卒中; 发病率; 监测

Keywords:

Acute cardiovascular events;  Acute coronary heart disease; Stroke;  Morbidity rate;  Surveillance

分类号:

R54；R193

DOI:

-

摘要:

目的分析2015 年福建省长乐市、思明区、石狮市3 个国家级监测点户籍居民急性心脑血管事件发病、 死亡数据，为制定防控措施提供参考依据。方法根据“重点慢性病监测信息系统”和“人口死亡信息登记管理 系统”中的发病、死亡数据，计算并比较粗发病率、标化发病率、死亡率、标化死亡率等相关指标。结果监 测人群急性心脑血管事件粗发病率为415.88/10 万，标化发病率为325.84/10 万；其中冠心病急性事件和脑卒中 粗发病率分别为54.48/10 万和361.40/10 万，标化发病率分别为41.97/10 万和283.87/10 万。男性急性心脑血管 事件发病（粗发病率457.23/10 万，标化发病率420.96/10 万） 高于女性（粗发病率373.17/10 万，标化发病率 241.27/10 万），差异有统计学意义（χ2=323 732.23，P<0.001）。急性心脑血管事件发病率随年龄增加而升高， 65 岁以上人群发病率最高（2 636.57/10 万），占总发病人数的74.61%。同期，急性心脑血管事件粗死亡率为 120.68/10 万，标化死亡率为91.90/10 万，占总死亡23.23%。冠心病急性事件粗死亡率48.10/10 万，标化死亡 率36.93/10万；脑卒中粗死亡率为72.58/10万，标化死亡率为54.98/10万。结论监测地区户籍居民急性心脑 血管疾病危害以脑卒中为主，男性、65岁以上老人为重点防治人群，积极采取综合防治管理措施十分必要。

Abstract:

Objective To analyze the morbidity and mortality of acute cardiovascular events of three surveillance areas of Fujian province in 2015, and to provide scientific evidence for formulating prevention and control measures. Methods Based on the incidence and mortality data in “Surveillance Information System for Important Chronic Diseases” and “Death Registration and Management Information System”, the crude incidence, standardized incidence, crude mortality and standardized mortality were calculated and compared. Results The crude incidence and standardized incidence of acute cardiovascular events in surveillance areas were 415.88/105 and 325.84/105, respectively; the crude incidences of acute coronary heart diseases and stroke were 54.48/105 and 361.40/105, with standardized incidences of 41.97/ 105 and 283.87/105, respectively. The incidence of acute cardiovascular events in males (crude incidence: 457.23/105; standardized incidence: 420.96/105) was significantly higher than that in females (crude incidence: 373.17/105; standardized incidence: 241.27/105) (χ2=323 732.23, P<0.001). The incidence of acute cardiovascular events increased with the rise of age. People over age 65 had the highest incidence of acute cardiovascular events (2 636.57/105), accounting for 74.61% of the total events. Over the same period,the crude and standardized mortality rates of acute cardiovascular events were 120.68/105 and 91.90/105, respectively; the deaths attributed to acute cardiovascular events accounted for 23.23% of the total deaths. The crude and standardized mortality rates of acute coronary heart diseases were 48.10/105 and 36.93/ 105, respectively. The crude and standardized mortality rates of stroke were 72.58/105 and 54.98/105, respectively. Conclusion The main hazard of acute cardiovascular events is stroke. More attentions should be paid for comprehensive prevention and management measures, especially for males and people over age 65.

参考文献/References:

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[5] 中华医学会心血管病学会,中华心血管病杂志编辑委员会. 中 国心血管病预防指南[J]. 中华心血管病杂志,2011, 1(39):3.

备注/Memo

备注/Memo:

基金资助：福建省卫生计生青年科研课题（2016-1-19） 作者简介：李晓庆，硕士研究生，主管医师，研究方向：慢性病预防与控制 通信作者：李晓庆，E-mail: qingofwoody@163.com

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更新日期/Last Update: 2016-12-27