北京市城区居民心脏性猝死发生率的监测研究  

Incidence of sudden cardiac death of urban residents in Beijing

作　　者：张林峰 李莹[1] 周红玲[3] 王洪波[4] 戴研 初里楠[3] 王利清[4] 张燕[3] 华伟[2] 张澍[2] 

机构地区：[1]国家心血管病中心中国医学科学院北京协和医学院阜外心血管病医院心血管疾病国家重点实验室防治网络部,100037 [2]国家心血管病中心中国医学科学院北京协和医学院阜外心血管病医院心律失常研究中心,100037 [3]北京市西城区疾病预防控制中心 [4]北京市海淀区疾病预防控制中心

出　　处：《中华心血管病杂志》2014年第6期504-509,共6页Chinese Journal of Cardiology

基　　金：基金项目：首都医学发展科研基金资助（2005-1017）

摘　　要：目的 初步探讨北京市城区居民心脏性猝死（SCD）发生率及分布特点.方法 2008年10月至2009年9月在北京市海淀区和西城区抽取4个街道社区进行SCD发生率的监测,系统收集辖区内的人口和死亡资料,采用统一表格收集可能的心脏性猝死发病情况及相关资料.结果 监测人群共计47.0万人,男性24.4万人,女性23.6万人.监测期间共发生各种原因死亡1 285例（男性642例,女性643例）,其中SCD 184例（男性86例,女性98例）,SCD发生率：男性为35.2/10万（95％ CI 27.8/10万～42.7/10万）,女性为41.6/10万（95％ CI 33.4/10万～49.8/10万）.SCD占总死亡人数的比例：男性为13.4％,女性为15.2％.55岁后发生SCD 171例,占SCD人数的91.0％.0～ 24、25 ～ 34、35～ 44、45～ 54、55～ 64、65～ 74和≥75岁年龄组SCD的发生率男性分别为5.6/10万、4.6/10万、3.0/10万、9.8/10万、78.4/10万、88.4/10万和272.8/10万,女性分别为6/10万、0、3.2/10万、0、21.1/10万、84.2/10万和470.0/10万.男性SCD患者有心血管病史者的比例为57.0％ （49/86）,女性为60.2％ （59/98）.184例SCD发生在家中、赴医院途中、医院急诊室、医院病房以及其他场所的比例分别为53.3％（98例）、12.2％（22例）、9.2％（17例）、12.5％（23例）和13.0％（24例）.结论 心脏性猝死是危害北京市城区居民生命健康的重要问题,其主要发生在家中以及55岁以后的人群中.随着年龄增加,SCD发生率显著增加.加强55岁以后人群的防控和现场急救对减少心脏性猝死的危害具有重要意义.Objective To explore the incidence of sudden cardiac death （SCD） of urban residents in Beijing.Methods A community based epidemiology survey was performed on the residents of 4 communities in the Xicheng and Haidian districts in Beijing from October 2008 to September 2009.Data on the total population,age,gender and vital status were monitored,and incidence of SCD as well as related information were collected from the household administrative workers,the family members of the deceased,the hospital personnel and the witnesses.Results 479 521 subjects （244 000 men and 235 521 women） were monitored,a total of 1 285 （642 men and 643 women） all cause death occurred during the study period and 184 （86 men and 98 women） deaths were identified as SCD.The incidence of SCD was 35.2 （95% CI 27.8-42.7） per 100 000 per year for men and 41.6 （95% CI 33.4-49.8） per 100 000 per year for women.SCD accounted for 13.4% mortality in men and 15.2% mortality in women.There were 171 （91.0%） SCD cases in residents over 55 years of age.The incidence of SCD for the age group 0-24,25-34,35-44,45-54,55-64,65-74 and 75 years and over was 5.6,4.6,3.0,9.8,78.4,88.4,and 272.8 per 100 000 per year for men,and 1.6,0,3.2,0,21.1,84.2 and 470.0 per 100 000 per year for women,respectively.The proportion of the cases that have at least one cardiovascular disease history was 57.0% （49/86） for men and 60.2% （59/98） for women.The cases that occurred at home,on the way to hospital,in the hospital emergency room,in the hospital ward and other places account for 53.3% （98 cases）,12.2% （22 cases）,9.2% （17 cases）,12.5% （23 cases） and 13.0% （24 cases） of the 184 SCD cases,respectively.Conclusion SCD is a great threat to the urban residents in Beijing.Most SCD cases occurred at home on residents over 55 years of age.More than half SCD residents have at least one cardiovascular disease.It is important to take preventive measures in the urban residents over 55 years old and with history of cardiovascular dise

关 键 词：猝死 心脏 发病率 流行病学 

分 类 号：R541.78[医药卫生—心血管疾病]