论文部分内容阅读
目的了解安徽省心脑血管病流行现状,为制定相关防控措施提供科学依据。方法根据国家“重点慢性病监测信息系统”中2015年安徽省5个国家心脑血管事件报告监测点资料进行分析。结果 2015年安徽省国家心脑血管事件报告监测点户籍居民心脑血管事件粗发病率为579.20/10万,其中男性发病率(595.024/10万)高于女性(562.40/10万),差异有统计学意义(U=3.93,P<0.05);农村发病率(596.23/10万)高于城市(479.58/10万),差异有统计学意义(U=9.93,P<0.05);各县区发病率在458.64/10万~680.92/10万之间,差异有统计学意义(χ~2=367.79,P<0.001);心脑血管事件的发病率随年龄增加呈上升趋势(χ~2=1633897,P<0.001)。女性首发病例平均年龄(68.62±11.74岁)晚于男性(67.88±11.71岁),差异有统计学意义(t=-3.58,P<0.001)。脑卒中发病率是冠心病的4倍。脑梗死、急性心肌梗死和脑出血为发病率最高的三种疾病,占全部病例的95.57%。冬春季节发病率高于夏秋季。结论安徽省心脑血管病发病存在性别、城乡、县区、年龄、季节分布差异,应在冬春季节,重点加强对农村老年男性人群的防控。
Objective To understand the prevalence of cardio-cerebrovascular disease in Anhui Province and provide a scientific basis for making relevant prevention and control measures. Methods According to the national “key chronic disease monitoring information system” in 2015 in Anhui Province five national cardiovascular and cerebrovascular events report points for analysis. Results The gross incidence rate of cardio-cerebrovascular events was 579.20 / 100,000 in the monitoring points of national cardiovascular and cerebrovascular events in Anhui Province in 2015. The incidence rate of male (595.024 / 100,000) was higher than that of female (562.40 / 100,000) (U = 3.93, P <0.05). The incidence rate in rural areas (596.23 / 100,000) was higher than that in urban areas (479.58 / 100,000), with significant difference (U = 9.93, P <0.05) The incidence was between 458.64 / 100000 and 680.92 / 100000, the difference was statistically significant (χ ~ 2 = 367.79, P <0.001). The incidence of cardiovascular and cerebrovascular events increased with age (χ ~ 2 = 1633897, P <0.001). The average age of onset of female patients (68.62 ± 11.74 years) was later than that of male (67.88 ± 11.71 years), the difference was statistically significant (t = -3.58, P <0.001). The incidence of stroke is 4 times that of coronary heart disease. Cerebral infarction, acute myocardial infarction and cerebral hemorrhage were the three diseases with the highest incidence, accounting for 95.57% of the total cases. The incidence of winter and spring is higher than summer and autumn. Conclusions The incidence of cardiovascular and cerebrovascular diseases in Anhui Province is different in gender, urban and rural areas, county area, age and season distribution. In winter and spring, the prevention and control of elderly men in rural areas should be emphasized.