2011—2020年黔南州居民急性冠心病事件发病和死亡流行病学特征分析  

Epidemiological characteristics of incident morbidity and mortality of acute coronary heart disease among residents of Qiannan,2011—2020

作　　者：李佳 孙会琼 管慧 何江 廖沙 李世红 田大伟 LI Jia;SUN Hui-Qiong;GUAN Hui;HE Jiang;LIAO Sha;LI Shi-hong;TIAN Da-wei(Department of Internal Medicine-Cardiovascular,Hospital of Traditional Chinese Medicine of Qianncm,Duyun,Guizhou 558000,China;不详)

机构地区：[1]贵州省黔南州中医医院心内科,贵州都匀558000 [2]黔南州疾病预防控制中心,贵州都匀558000

出　　处：《现代预防医学》2021年第24期4417-4420,共4页Modern Preventive Medicine

基　　金：中央财政转移支付地方重大慢性疾病防治项目[国卫财发(2020)13号];黔南州重大疾病防治项目[黔社发(2020)4号]。

摘　　要：目的了解2011—2020年黔南州居民急性冠心病事件发病和死亡情况流行病学特点,为制订防治措施提供依据。方法收集2011—2020年黔南州12县(市)全部医疗机构上报的急性冠心病事件病例监测数据资料,应用描述性流行病学方法分析其流行病学特征。结果2011—2020年黔南州急性冠心病事件发病40781例,粗发病率116.71/10万;死亡27788例,粗死亡率79.53/10万。男性急性冠心病事件发病率(139.11/10万)和死亡率(93.22/10万)高于女性发病率(95.25/10万)和死亡率(63.04/10万),发病率和死亡率随着年龄的增长均呈上升趋势。急性冠心病事件发病和死亡率前3位是苗族、布依族、水族,发病率分别为398.57/10万、340.29/10万、249.95/10万,死亡率分别为148.22/10万、121.08/10万、113.27/10万;急性冠心病事件年均发病率和死亡率前3位是龙里县、荔波县和长顺县,发病率分别为168.54/10万、166.89/10万、140.57/10万,死亡率分别为122.26/10万、139.85/10万、94.56/10万。农民发病率(787.32/10万)和死亡率(663.47/10万)高于其他职业人群。结论2011—2020年黔南州急性冠心病事件发病率和死亡率呈上升趋势,农民、男性老年人、苗族、布依族是冠心病防治的重点人群。Objective To understand the epidemiological characteristics of the incidence and death of acute coronary heart disease events among residents of Qiannan from 2011 to 2020,and to provide a reference for formulating prevention and control measures.Methods Surveillance data of acute coronary events reported by all medical institutions in 12 counties(cities)of Qiannan from 2011 to 2020 were collected,and the epidemiological characteristics were described and analyzed.Results From 2011 to 2020,there were 40781 acute coronary events in Qiannan,with a crude incidence rate of 116.71/100000,and 27788 cases of death,with a crude mortality rate of 79.53/100000.The incidence rate(139.11/100000)and mortality rate(93.22/100000)of acute coronary events in males were higher than those in females(95.25/100000)and mortality rate(63.04/100000),and both the incidence rate and mortality rate showed an increasing trend with age.The top three ethnic groups were Miao,Buyi,and Shui,with morbidity rates of 398.57/100000,340.29/100000,and 249.95/100000,and mortality rates of 148.22/100000,121.08/100000,and 113.27/100000,respectively.The top three counties were Longli county,Libo county and Changshun county,with incidence rates of 168.54/100000,166.89/100000 and 140.57/100000,and mortality rates of 122.26/100000,139.85/100000 and 94.56/100000,respectively.The morbidity rate(787.32/100000)and mortality rate(663.47/100000)of farmers were higher than those with other occupations.Conclusion The morbidity rate and mortality rate of acute coronary events in Qiannan shows an increasing trend from 2011 to 2020.and farmers,male elderly,Miao and Buyi are the key populations for coronary heart disease prevention and treatment.

关 键 词：急性冠心病事件 人群监测 流行病学 民族地区 

分 类 号：R541.4[医药卫生—心血管疾病]