人群中70岁以上老年人冠心病的死亡状况分析  

A STUDY ON THE DEATH OF CHD E VENTSINPATI ENTS OVER 70

作　　者：时景璞[1] 张镇中[1] 李辉[1] 郭宝霞 齐玉兰 刘桂芬[1] 冯颖[1] 王阿玲 卢德义 

机构地区：[1]中国医科大学,沈阳市心血管病监测中心,鞍钢心血管病防治办,鞍矿心血管病防治中心

出　　处：《中国慢性病预防与控制》1994年第6期252-254,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：本文对１９９０～１９９２年发生在老年人群中（≥７０岁）的冠心病死亡进行了调查分析。结果表明，老年冠心病的平均死亡率为１．２３％，其中男性为１．５２％，女性为０．９４％，小于７５岁者死亡率高于７５岁以上者，前者为１．６９％，后者为０．８４％，两组死亡的主要病种均为冠心病猝死（ＣＳＤ）；无论男女，死亡均以工人所占比例为大（男５７．４％，女４４．８％）；各种冠心病死亡多集中在冬季；急性心肌梗塞（ＡＭＩ）死亡者多发生在夜间，ＣＳＤ则多发生在白天；ＡＭＩ病人中有９．１％未经抢救即死亡，有５４．５％在１小时内得到医疗救护，ＣＳＤ则有５９．６％的病例未经治疗而死，２９．８％的患者在发作后一小时内得到抢救。study on the death of cotonary heart disesse(CHD)was carried out in patients over 70 from 1990 to 1992.Theresults were:1)the average mortality rate of CHD events inaged population was l.23/1000 ,and it was 1.52/1000 and0.94/1000 in mdle and female respectively.The mortalitytate in 70- age group.69/1000)was higher than that in75- age group(0.84/1000);in both groups,the main fatalcause was sudden coronary death(SCD);2)the propottionof CHD events in workers was higner than that in otherprofessional groups;3)CHD mostly occurted in winter,and acute myocatdial infarction(AMI)often happened atnight,while SCD at daytime:)the mortality rate of AMIand SCD was 9.9%and 59.60%respectively;after onset,550%AM I and 29.80%SCD wete rescued within Iho ur.

关 键 词：冠心病 死亡率 老年人群 

分 类 号：R541.401[医药卫生—心血管疾病]