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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。
Objective To analyze the incidence and death data of acute cardiovascular and cerebrovascular events of three registered permanent residents of Changle City, Siming District and Shishi City in Fujian Province in 2015 and provide references for the formulation of prevention and control measures. Methods According to the incidence and mortality data in the “Key chronic disease monitoring information system” and “Population death information registration management system”, the incidences of crude disease, standardized incidence, mortality and standardized mortality were calculated and compared index. Results The crude incidence rate of acute cardiovascular and cerebrovascular events in the monitoring population was 415.88 / 100 000, and the standardized incidence rate was 325.84 / 100 000. The acute incidence of coronary heart disease and the crude incidence of stroke were 54.48 / 100 000 and 361.40 / 100 000 respectively, The standardized incidence rates were 41.97 / 100000 and 283.87 / 100000 respectively. The incidence of acute cardiovascular and cerebrovascular events in male patients (crude incidence 457.23 / 100000, normalized incidence 420.96 / 100000) was higher than that of female (373.17 / 100000 crude incidence and normalized incidence 241.27 / 100000) Significance (χ2 = 323 732.23, P <0.001). The incidence of acute cardiovascular and cerebrovascular events increased with age, the highest incidence of over 65 years of age (2636.57 / 100000), accounting for 74.61% of the total number of cases. Over the same period, the crude death rate of acute cardiovascular and cerebrovascular events was 120.68 / 100000, the standardized mortality rate was 91.90 / 100,000, accounting for 23.23% of the total deaths. The acute death rate of coronary heart disease was 48.10 / 100000, the standardization death rate was 36.93 / 100000; the crude death rate of stroke was 72.58 / 100000, the standardization death rate was 54.98 / 100000. Conclusion The main hazards of acute cardiovascular and cerebrovascular diseases of the permanent residents in the monitoring area are stroke. Men and the elderly over 65 years old are the key prevention and treatment groups. It is necessary to adopt comprehensive prevention and control measures actively.