2010-2018年潍坊市急性冠心病死亡率及变化趋势分析  

Analysis of mortality characteristics and trend of acute coronary events among residents of Weifang during 2010-2018

作　　者：李宁[1] 来丽萍[2] 李亮[1] 孟显峰[1] 陈作森[1] 陈伟[1] LI Ning;LAI Li-ping;LI Liang;MENG Xian-feng;CHEN Zuo-sen;CHEN Wei(Weifang Center for Disease Prevention and Control,Shandong,Weifang 261000,China;不详)

机构地区：[1]潍坊市疾病预防控制中心,山东潍坊261000 [2]寿光市人民医院,山东潍坊262700

出　　处：《现代预防医学》2020年第16期2925-2928,共4页Modern Preventive Medicine

基　　金：山东省医药卫生科技发展计划项目(2019WS247);潍坊市卫生计生委科研项目(wfwsjs_2018_108)。

摘　　要：目的分析潍坊市2010-2018年急性冠心病死亡特点及变化趋势,为制定综合防治策略提供科学依据。方法收集2010-2018年急性冠心病死亡数据,分别计算粗死亡率、2000年中国人口标化死亡率来描述死亡现状,使用Joinpoint回归计算年度变化百分比(annual percent change, APC)和年度变化贡献率以描述年度时间趋势。结果 2010-2018年潍坊市急性冠心病死亡率和标化死亡率为124.39/10万和65.55/10万,其中男性分别为127.48/10万和70.84/10万,女性分别为121.24/10万和60.74/10万,男性死亡率高于女性(χ^2=40.70,P<0.001)。死亡率随年龄增长而增加,85岁及以上年龄组达峰值。急性心肌梗死死亡率和标化死亡率为118.28/10万和61.92/10万,冠心病猝死死亡率和标化死亡率为6.10/10万和3.63/10万。急性冠心病总体粗死亡率逐年上升趋势明(APC=3.04%, t=4.88, P<0.001),而标化死亡率(APC=-1.61%, t=-1.04, P=0.33)呈下降趋势,但差异无统计学意义。急性心肌梗死粗死亡率和标化死亡率变化趋势与急性冠心病总体变化趋势一致,而冠心病猝死粗死亡率(APC=-6.95%, t=-3.37, P=0.01)和标化死亡率下降(APC=-9.83%, t=-4.79, P<0.001)趋势明显。急性心肌梗死各年龄组死亡率除55~64岁组先上升后下降外无明显变化,冠心病猝死各年龄组死亡率逐年下降趋势明显。相比冠心病猝死,急性心肌梗对急性冠心病标化死亡率下降贡献大,约占85%左右。结论潍坊市急性冠心病死亡下降不显著,仍处于较高水平。男性、老年人群为急性冠心病死亡重点关注人群。Objective To analyze the morality characteristics and trends of acute coronary heart disease(ACHD)events of Weifang from 2010 to 2018,in order to provide scientific evidence for making the comprehensive strategies of prevention and control.Methods ACHD morality data collected during 2010 to 2018 were used to calculate crude morbidity and standardized morbidity calculated according to the 2000 Chinese standard population.Joinpoint regression analysis was performed to obtain percentage changes(APC)and annual contribution(AC),so as to estimate the trend of morality over the year from 2010 to 2018.Results The crude morbidity and standardized morbidity of ACHD in Weifang City from 2010-2018 was 124.39/100000 and 65.55/100000.The crude morbidity and standardized morbidity in males was 127.48/100000 and 70.84/100000 respectively,which were higher than those in females(121.24/100000 and 60.74/100000),and the differences were statistically significant(χ^2=40.70,P<0.001).Age-specific mortality increased along with age,and peaked among over 85 age groups.The crude morbidity and standardized morbidity of acute myocardial infarction(AMI)was 118.28/100000 and 61.92/100000 re-spectively,which of sudden coronary death(SCD)was 6.10/100000 and 3.63/100000.ACHD crude morbidity showed a rising trend(APC=3.04%,t=4.88 P<0.001)while standardized morbidity showed a descending trend(APC=-1.61%,t=-1.04,P=0.33)without statistical significance,as well as those in AMI.The crude morbidity(APC=-6.95%,t=-3.37,P=0.01)and standardized morbidity(APC=-9.83%,t=-4.79,P<0.001)of SCD showed an obvious descending trend.The trends of age-specific mortality between AMI and SCD there was no other statistical difference except for the 55-64 age group.According to the calculated annual change contribution rate,acute myocardial infarction made greatest contribution to the decrease of the incidence(85%).Conclusion The mortality of ACHD especially AMI in Weifang did not decrease significantly.It is still in the higher level.We should pay more attention on male

关 键 词：急性冠心病 急性心肌梗死 冠心病猝死 年度变化百分比 

分 类 号：R181.3[医药卫生—流行病学]