北京市居民冠心病住院率及其变化趋势  

Hospitalization rates for coronary heart disease from 2007 to 2009 in Beijing

作　　者：谢学勤[1] 张秀英[2] 赵冬[2] 王薇[2] 王淼[2] 郭默宁[1] 孙佳艺[2] 齐玥[2] 刘军[2] 万浩[2] 刘静[2] 

机构地区：[1]北京市公共卫生信息中心,100050 [2]首都医科大学附属北京安贞医院北京市心肺血管疾病研究所

出　　处：《中华心血管病杂志》2012年第3期188-193,共6页Chinese Journal of Cardiology

基　　金：基金项目：北京市科技计划课题（Z09050700940901）

摘　　要：目的分析2007-2009年北京市居民冠心病住院率及其在不同性别、年龄及地区间的分布和变化趋势。方法冠心病病例资料来源于北京市公共卫生信息中心的北京市出院患者信息系统。冠心病包括急性心肌梗死、不稳定性心绞痛和其他类型冠心病，国际疾病分类（ICD）-10编码为I20～I25。2007-2009年每年北京市户籍人口信息来源于北京市统计局。计算25岁以上不同性别、年龄和地区的北京市居民的冠心病住院率，并对比2007-2009年冠心病住院率在不同特征人群中的变化。结果2007-2009年北京市25岁以上冠心病住院患者共248049例，其中非北京市户籍者占26．3％，北京市户籍者占73．7％。2007-2009年3年间北京市户籍人口冠心病平均住院率为651．2／10万，男性为741．2／10万，女性为560．9／10万。在不同地区中，远郊（671．9／10万）冠心病住院率高于城区（621．8／10万）和近郊（646．7／10万）。在不同类型冠心病中，急性心肌梗死、不稳定性心绞痛、其他类型冠心病3年平均住院率分别为126．4／10万、226．4／10万和298．4／10万。2007—2009年北京市户籍人口冠心病住院率由2007年的598．1／10万上升至2009年的706．5／10万，升高了18．1％，且女性上升幅度（20．2％）高于男性（16．6％）。在不同类型冠心病中，急性心肌梗死和不稳定性心绞痛2009年的住院率较2007年分别增加了55．3％和24．5％，而其他类型冠心病住院率较2007年降低了5．7％。在不同地区中，城区、近郊、远郊冠心病住院率均上升，其中远郊上升幅度最大，为36．6％。结论2007-2009年北京市户籍人口冠心病住院率男性高于女性，远郊高于城区和近郊；3年间冠心病住院率逐年上升，中青年和远郊区县人群的住院率上升幅度较大。该结果提示北京市居民，特别是中青年和远郊区县人群冠心病的住院负担呈�Objective To examine the distribution and trends of hospitalization rates for coronary heart disease （CHD） from 2007 to 2009 in Beijing. Methods We calculated hospitalization rates for CHD using data from Beijing Hospital Discharge Information System. Information of census registered population in Beijing was obtained from Beijing Municipal Bureau of Statistics. CHD includes acute myocardial infarction, unstable angina and other forms of CHD. Age-standardized hospitalization rates for CHD per 100 000 population aged 25 years or more were calculated. Results During 2007 - 2009, a total of 248 049 patients aged 25 years or more hospitalized in Beijing with the primary discharge diagnosis of CHD were enrolled, of whom 73.7% were permanent registered Beijing citizens. The average hospitalization rate for CHD in 2007 - 2009 was 651.2/100 000 for the permanent residences in Beijing （741.2/100 000 in men,560.9/100 000 in women）. The highest average hospitalization rate （671.9/100 000） was seen in exurban area compared to other areas in Beijing. The average hospitalization rate for acute myocardial infarction, unstable angina, and other CHD was 126.4/100 000, 226. 4/100 000 and 298.4/100 000, respectively. The hospitalization rate for CHD increased 18. 1% from 2007 to 2009 （from 598.1/100 000 to 706.5/100 000）. The same trend was seen in women （20. 2% ） and men （ 16. 6% ）. The hospitalization rates of CHD in theurban, suburban, and exurban areas of Beijing all increased in the three years, and the greatest increase （36. 6% ） was found in exurban area. Hospitalization rates of acute myocardial infarction and unstable angina increased 24. 5% and 55.3%, respectively, in the three years, while hospitalization rates of other CHD decreased 5.7%. Conclusions The hospitalization rate of CHD is higher in men than in women in Beijing. The hospitalization rates for CHD increased from the observation period, especially in those living in exurban area. Awareness of the magnitudes and trends of CHD hospital

关 键 词：冠心病 住院率 流行病学 

分 类 号：R541.4[医药卫生—心血管疾病]