2016-2020年广东省心血管疾病死亡及趋势分析  

Analysis of death and trend of cardiovascular diseases in Guangdong Province from 2016 to 2020

作　　者：周弘烨 孟瑞琳[2] 林立丰[2] 许燕君[2] 许晓君[2] 王晔[2] 赵德坚 廖羽 效拟 郑雪燕 曾转萍 ZHOU Hong-ye;MENG Rui-in;LIN Li-feng;XU Yan-jun;XU Xiao-jun;WANG Ye;ZHAO De-jian;LIAO Yu;XIAO Ni;ZHENG Xue-yan;ZENG Zhuan-ping(School of Public Health,Guangdong Pharmaceutical University,Guangzhou,Guangdong 510310,China;不详)

机构地区：[1]广东药科大学公共卫生学院,广东广州510310 [2]广东省疾病预防控制中心

出　　处：《现代预防医学》2023年第17期3085-3089,共5页Modern Preventive Medicine

基　　金：广东省基础与应用基础研究基金项目(2023A1515012328);广东省中医药局项目(20231220);广州市科技计划(202201010023)。

摘　　要：目的了解2016—2020年广东省户籍居民心血管疾病的死亡水平及变化情况,为疾病防控工作的实施和评估提供科学依据。方法本研究数据来自“中国疾病预防控制信息系统-人口死亡信息登记管理系统”和“广东省死亡医学证明管理信息系统”,纳入2016—2020年各年户籍死亡率不低于5‰的广东省国家死因监测点的户籍居民死亡数据。利用Joinpoint4.3.1.0软件分析广东省死因监测点不同性别和年龄居民2016—2020年心血管疾病的死亡趋势。结果2016—2020年期间,广东省居民心血管疾病死因顺位依次是脑血管病、缺血性心脏病、高血压及并发症、其他心血管疾病、风湿性心脏病、炎性心脏病。男女性居民心血管疾病标化死亡率均呈下降趋势,年度变化百分比(APC)分别为-2.20%、-3.64%(P值均<0.05)。其中男女性居民的缺血性心脏病、脑血管病标化死亡率呈下降趋势,APC分别为-3.62%、-1.62%(P值均<0.05)和-5.80%、-2.14%(P值均<0.05)。2016—2020年,各类心血管疾病年龄组死亡率均在85岁及以上达到峰值,缺血性心脏病和脑血管病年龄组死亡率在60~65岁迅速上升,高血压及其并发症、其他心血管疾病年龄组死亡率则在70~75岁开始加速上升,而风湿性心脏病和炎性心脏病死亡率在各年龄组大致相同。结论广东省心血管疾病标化死亡率在2016—2020年呈下降趋势,反映出心血管疾病防控的有效性。要进一步针对不同年龄、不同性别人群特点继续做好心血管疾病防控工作。Objective To understand the death level and changes of cardiovascular disease among registered residents in Guangdong Province from 2016 to 2020,and to provide scientific basis for the implementation and evaluation of disease prevention and control.Methods The data of this study were collected from China disease prevention and control information system-population death information registration management system and Guangdong provincial death medical certificate management information system.The death data of registered residents at the national cause of death surveillance sites in Guangdong Province from 2016 to 2020 were included.The Joinpoint4.3.1.0 software was used to analyze the cardiovascular disease death trend of residents of different genders and ages in Guangdong Province from 2016 to 2020.Results From 2016 to 2020,the causes of death of cardiovascular diseases in Guangdong Province were cerebrovascular disease,ischemic heart disease,hypertension and complications,other cardiovascular diseases,rheumatic heart disease,and inflammatory heart disease.The standardized mortality rate of cardiovascular disease in both male and female residents showed a downward trend,and the annual percentage of change(APC)was-2.20%and-3.64%,respectively(P<0.05).Among them,the standardized mortality rates of ischemic heart disease and cerebrovascular disease in male and female residents showed a downward trend,with APC of-3.62%,-1.62%(P<0.05)and-5.80%,-2.14%(P<0.05),respectively.From 2016 to 2020,the mortality of all kinds of cardiovascular diseases reached the peak at the age of 85 and above,and the mortality of ischemic heart disease and cerebrovascular disease increased rapidly at the age of 60 to 65 years old.The mortality of hypertension and its complications and other cardiovascular diseases began to accelerate at the age of 70 and 75,while the mortality of rheumatic heart disease and inflammatory heart disease was roughly the same in all age groups.Conclusion The standardized mortality rate of cardiovascular disease i

关 键 词：心血管疾病 死亡率 年度变化百分比 

分 类 号：R54[医药卫生—心血管疾病]