人口流动及无偶生活状态对广州市白云区居民心脑血管病死亡率的影响  

The Effects of Migration and Living Without Spouse on the Mortality Ratio of Residents with Cardiovascular and Cerebrovascular Diseases in Baiyun District, Guangzhou

作　　者：黄咏梅[1] 罗聆[1] 杨菊 张志城 HUANG Yongmei;LUO Ling;YANG Ju;ZHANG Zhicheng(The People's Hospital of Baiyun District,Guangzhou 510500,China)

机构地区：[1]广州市白云区人民医院,广东广州510500

出　　处：《临床医学工程》2019年第2期261-262,共2页Clinical Medicine & Engineering

基　　金：广州市白云区科技和信息化局项目(2016-kz-045)

摘　　要：目的调查人口流动无偶生活状态对广州市白云区居民心脑血管病死亡率的影响。方法对白云区三家医院近十年所有因循环系统死亡的病例进行统计学分析。结果心脑血管病患者死亡率与流动人口数量变化趋势高度一致,死亡率曲线拐点滞后1～2年与流动人口数据曲线拐点良好对应(R=0.784, P <0.01)。无偶组60岁以下男性死亡比例高于女性,亦高于已婚男性。病程短于一年期者比例达到35%,同样男性死亡比例高于女性。无偶男性约有45%在一年内死亡(P <0.05)。结论白云区流动人口增长与心脑血管病患者死亡率上升呈正相关,无偶生活状态对于心脑血管病患者,尤其对男性患者存活率以及存活期有着实质性影响。加大对流动人口宣传与教育,对无偶人群,尤其是男性进行相应的健康体检,及早诊治是防控重点。Objective To investigate the effects of migration and living without spouse on the mortality ratio of patients with cardiovascular and cerebrovascular diseases in Baiyun District, Guangzhou. Methods Statistical analysis was conducted on the dead cases of cardiovascular and cerebrovascular diseases collected from three hospitals in Baiyun District. Results The trend of mortality ratio was highly consistent with the variations of local migrating population. The data inflection point of mortality curve was with a postpone of 1 ~ 2 years, in correspondence with those of flowing population growth curve (R = 0.784, P <0.01). Under the age of 60, the mortality ratio of the male patients without spouse was higher than that of females and higher than the male living with spouse also. About 35% of sufferers dead in a course of disease less than one year and themaleswere themajor victims. For the patients living without spouse, the mortality ratio was 45% in this period. Conclusions The mortality ratio of patients with cardiovascular and cerebrovascular diseases in Baiyun District is positively related to the growth of flowing population in this district in the last decade. Living without spouse may be a key factor for shortening survival period or lowering survival possibility. Publicity and education of cardiovascular and cerebrovascular diseases should be stressed on the flowing population and regularmedical examination is a necessity for the people livingwithout spouse, especially for males.

关 键 词：心脑血管疾病 死因分析 无偶生活状态 

分 类 号：R543[医药卫生—心血管疾病]