北京地区急性冠心病事件病死率的流行病学研究  

Population based epidemiological study for case fatality of acute coronary events in Beijing

作　　者：王薇[1] 赵冬[1] 姚丽 周美然 吴兆苏 

机构地区：[1]北京心肺血管疾病研究所流研室,100029

出　　处：《中华心血管病杂志》2000年第3期228-230,共3页Chinese Journal of Cardiology

基　　金："七五"国家医学科技攻关项目!(75060202)

摘　　要：目的　对北京地区急性冠心病事件的病死率进行流行病学的分析 ,为降低该病的病死率制订有效的防治措施提供依据。方法　以北京地区MONICA方案 70万监测人群中 1984～ 1993年发生的 3 2 6 1例急性冠心病事件为研究样本 ,分析病死率及其在不同特征人群中的分布情况。结果(1)急性冠心病事件病死率为 6 3 7% ,医院内病死率为 39 3% (P <0 0 0 1)。 (2 )院外死亡者是院内死亡人数的 2倍 (P <0 0 1)。 (3)女性病死率高于男性 (P <0 0 5 )。 (4 )女性病死率随年龄增长而增加(P <0 0 5 ) ,到 6 5岁年龄组男女两性病死率相似。 (5 )发病后 1h内猝死者占死亡人数的 1/ 3。发病后 2 4h内死亡占总死亡的 75 2 %。结论　不同人群与医院内、外的急性冠心病事件的病死率存在明显差异 ;2 / 3死亡病例是发生在院外 ;靠改善医院医疗水平降低病死率有一定限度。提示加强预防工作 ,提高人群对该病的认识和自我保健意识 。Objective To define the differences between case fatality of acute coronary events admitted to hospital and those in population. Method All of the 3 216 acute coronary events aged 35 74, occurred during 1984 1993 were included for analysis. The case fatalities in hospital, out hospital and the total were calculated. The differences between age groups, gender, death places and the times from onset to death were compared. Results The total case fatality for all events was 63 7%, while the in hospital case fatality was 39 3%. Two third of the dead cases died out hospital and 75% of the death occurred within 24 hours after onset. Conclusion The efforts to improve the treatment of acute coronary events only for cases arrived at hospital have a very limited impact on total case fatality of acute coronary events. To strenghten prophylaxis and health care of acute coronary events are very important to decrease case fatality.

关 键 词：冠心病 病死率 MONICA方案 流行病学 

分 类 号：R541.4[医药卫生—心血管疾病]