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本文对辽宁省1985~1989年在心血管疾病监测人群中发生的急性心肌梗死(AMI)、冠心病猝死、脑卒中进行了调查分析。调查质量和方法均按WHO的统一方法进行。结果表明,五年中AMI的平均发病率为17.2/10万,冠心病猝死和脑卒中分别为8.9/10万和168.5/10万。三种疾病的发病率均为男性高于女性,RR值分别为3.13,2.95和2.02三种疾病的发病率均随年龄的增加而升高;观察期间冠心病猝死及脑卒中的发病率表现平稳,AMI则略表现出下降趋势;不同时期内不同年龄段发病率变化趋势不同,AMI随年代的接近,各年龄段的发病率逐渐下降;而冠心病猝死,仅在55~岁以上年龄组出现升高现象;脑卒中则表现出在各时期各个年龄段的发病率相对稳定;经标化后比较,辽宁省急性冠心病事件的发病率居中下游水平,但男性脑卒中发病率居全国前几位,女性则居中游。
This article investigates and analyzes acute myocardial infarction (AMI), sudden coronary death, and stroke in the cardiovascular disease surveillance population in Liaoning Province from 1985 to 1989. The survey quality and methods were conducted according to the WHO’s unified approach. The results showed that the average incidence rate of AMI in the five-year period was 17.2 per 100,000, and sudden coronary death and stroke were 8.9 per 100,000 and 168.5 per 100,000, respectively. The incidence rates of the three diseases were higher for men than for women, and the RR values were 3.13, 2.95, and 2.02, respectively. The incidence of the three diseases increased with age; sudden coronary death and brain during the observation period The incidence of stroke was stable, and AMI showed a downward trend. The trend of incidence of different ages in different periods was different. With the approach of age, the incidence of AMI decreased gradually in all age groups; while the sudden death of coronary heart disease was only 55. The age group above the age group showed an increase; the stroke rate showed a relatively stable incidence at various ages in all age groups; after standardization, the incidence of acute coronary heart disease events in Liaoning province was middle and lower level, but male stroke. The incidence rate ranks first in the country, while women are in the middle.