2004-2010年中国心血管病死亡流行趋势分析  

Trend analysis on the mortality of cardiovascular diseases from 2004 to 2010 in China

作　　者：刘明波[1] 王文[1] 周脉耕[2] 

机构地区：[1]中国医学科学院北京协和医学院国家心血管病中心阜外心血管病医院,北京100037 [2]中国疾病预防控制中心慢性非传染性疾病预防控制中心

出　　处：《中华流行病学杂志》2013年第10期985-988,共4页Chinese Journal of Epidemiology

摘　　要：目的了解中国人群心血管病死亡变化规律和特征。方法使用全国疾病监测系统2004--2010年死因监测数据，在漏报调整的基础上，分析心血管病死亡率、标化死亡率和死因构成的变化趋势。结果全国心血管病总死亡率从2004年的240．03／10万人升至2010年的268．92／10万人，平均每年上升5．50／10万人，每年在前一年的基础上上升2．17％。死因分析表明，缺血性心脏病、高血压心脏病、脑血管病及其他心脏病均呈上升趋势，每年上升幅度分别为5．05％、2．08％、1．02％和2．66％，风湿性心脏病则呈明显下降趋势，以每年7．02％的幅度下降。消除人口老龄化影响后，上述趋势不变，但斜率有所降低。全国心血管病死亡占总死亡的比例由2004年的37．46％上升至2010年的40．73％，呈逐年上升趋势；其中脑血管病所占比例无变化，缺血眭心脏病所占比例则明显上升，风湿性心脏病所占比例有所下降，其他心血管病死亡所占比例变化不大。结论2004--2010年中国心血管病死亡呈明显上升，其趋势主要是由于缺血性心脏病死亡上升所致。Objective To explore the trend and characteristics of cardiovascular disease mortality in China. Methods Mortality data from the National disease surveillance system from 2004 to 2010 was used. Underreporting was adjusted and trends were analyzed on the rates of crude mortality, standardized mortality and causes of death fraction among cardiovascular diseases. Results The total mortality of cardiovascular diseases increased from 240.03 to 268.92 per one hundred thousand during 2004 to 2010, with an average annual increase of 5.50 per one hundred thousand, with the annual increase of 2.17%. Data from all causes of death, ischemic heart disease, hypertensive heart disease, cerebrovascular disease, and other heart disease showed an upward trend, with the annual rise of 5.05%, 2.08%, 1.02% and 2.66% respectively while rheumatic heart disease showed a downward trend, with the declining rate of 7.02% per annum. After eliminating the effect of aging, the trend remained the same but the slope was decreasing. The proportion of national cardiovascular mortality on total deaths increased annually by 37.46% to 40.73% from 2004 to 2010. The proportion of cerebrovascular disease remained unchanging but the proportion of ischemic heart disease showed a significant increase. The proportion of rheumatic heart disease declined while the proportion of other cardiovascular disease mortality showing a slight change. Conclusion In recent years, the cardiovascular mortality had significantly increased, which was mainly due to the increase of ischemic heart disease mortality.

关 键 词：心血管疾病 死亡 流行趋势 

分 类 号：R181.3[医药卫生—流行病学]