2007至2012年北京市居民冠心病住院率和住院病死率变化趋势  

Changes of hospitalization rates and in-hospital mortality for coronary heart disease in Beijing from 2007-2012

作　　者：张倩[1] 赵冬[1] 解武祥[1] 谢学勤[2] 郭默宁[2] 王淼[1] 王薇[1] 刘婉如[2] 刘静[1] 

机构地区：[1]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流行病研究室,100029 [2]北京市公共卫生信息中心

出　　处：《中华心血管病杂志》2016年第1期43-49,共7页Chinese Journal of Cardiology

摘　　要：目的分析2007至2012年北京市居民冠心病住院率和住院病死率的变化趋势。方法从“北京市心血管病监测系统”中获取2007年1月1日至2012年12月31日主要出院诊断为冠心病的病例，纳入25岁及以上北京市户籍冠心病住院患者421929例。经过户籍地址整理、重报病例排查、数据完整性与准确性审核后，分析冠心病住院率和住院病死率的分布特征，并采用泊松回归模型分析冠心病住院率和住院病死率的变化趋势。结果2007至2012年25岁及以上北京市户籍冠心病患者的年龄标化住院率为515．3／10万。调整年龄和性别后，冠心病住院率随时间呈上升趋势（P〈0．001），6年间年龄标化住院率升高43．0％。男性和女性的冠心病住院率均为45～54岁年龄段上升幅度最大。同期冠心病住院病死率呈下降趋势（P〈0．001），年龄标化住院病死率从2007年的3．3％下降至2012年的2．2％，其中急性心肌梗死的年龄标化住院病死率从2007年的11．3％下降至2012年的8．5％。结论2007至2012年25岁及以上北京市居民的冠心病住院率呈上升趋势，应加强对冠心病的防治；住院病死率呈下降趋势，提示冠心病医疗救治水平整体提高。Objective To observe the changes of hospitalization rates and in-hospital mortality for coronary heart disease （CHD） in Beijing from 2007-2012. Methods Patients hospitalized for CHD in Beijing from 1 January 2007 to 31 December 2012 were identified from ＂The Cardiovascular Disease Surveillance System in Beijing＂. In total, 421 929 patients aged ≥25 years of permanent Beijing residents were admitted for CHD in Beijing during the 6 years. After excluding duplicate records and validation for the completeness and accuracy of the records, the hospitalization rates for CHD and in-hospital CHD mortality were analyzed. Trends in hospitalization rates and the in-hospital mortality for CHD were analyzed with Poisson regression models. Results The age-standardized average hospitalization rate of CHD was 515.3 per 100 000 population in patients aged ≥25 years in Beijing. During the six years, an increasing trend was observed in the hospitalization rates for CHD after adjusting the age and gender （ P 〈 0. 001 ）. The agestandardized hospitalization rates of CHD increased by 43.0% in the past six years. The greatest increases of hospitalization rates were noted in both men and women between 45 to 54 years. The age-standardized inhospital mortality decreased from 3.3% to 2. 2% over the time （P 〈 0. 001 ） , with a in-hospital mortality reduction for acute myocardial infarction from 11.3% to 8.5%. Conclusions An increasing trend in hospitalization rate was observed during 2007-2012 for Beijing residents aged ≥ 25 years, indicating an urgent need in CHD prevention in Beijing. The in-hospital mortality reduction during this period might reflect the improvement in the in-hospital treatment modalities of CHD.

关 键 词：冠状动脉疾病 住院 死亡率 

分 类 号：R541.4[医药卫生—心血管疾病]