北京市居民2021年急性心脑血管事件流行病学特征分析  

Epidemiological Characteristics of Acute Cardiovascular Events among Residents in Beijing in 2021

作　　者：杨思璇 刘晶晶 王冰洁 徐婉心 YANG Sixuan;LIU Jingjing;WANG Bingjie;XU Wanxin(不详;Emergency Department,Beijing Shijitan Hospital,Capital Medical University,Beijing,100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院急诊科,北京100038 [2]首都医科大学附属复兴医院综合科,北京100045

出　　处：《中国社会医学杂志》2023年第5期558-562,共5页Chinese Journal of Social Medicine

基　　金：北京市优秀人才培养资助项目(20180000214690253)。

摘　　要：目的了解北京市居民2021年急性心脑血管事件流行病学特征,为北京市急性心脑血管事件的防控和管理提出对策和建议。方法选取2021年1月1日—12月31日在北京市慢性病监测信息管理系统上登记的急性心脑血管事件资料作为研究对象进行描述性分析,使用SPSS 19.0软件进行统计学分析,计量资料采用t检验进行比较,计数资料采用卡方检验进行分析。结果2021年北京市共计报告心脑血管疾病患者70022例,发病率为319.88/10万,其中通州区、丰台区、顺义区较高。北京市2021年居民急性心脑血管事件的发病主要集中在2—4月份,男性发病率高于女性,年龄主要集中在60岁以上人群,所有急性心血管事件中以脑卒中的发生率为最高。通过对2021年北京市居民急性心脑血管死亡患者的分布情况进行分析,患者的死亡率及病死率以通州区、丰台区、顺义区、门头沟区、密云区以及房山区居高,其中12月、1月、2月、3月的死亡率及病死率均较高,急性心肌梗死、缺血性心脏骤停的死亡率及病死率较高。结论北京市2021年的居民心脑血管疾病的发病存在显著的季节、性别以及年龄差异,建议针对60岁以上男性患者加强在冬春季节心脑血管疾病预防相关知识宣传。Objective To study the epidemiological characteristics of acute cardiovascular events among residents in Beijing in 2021.Methods In this study,data of acute cardiovascular and cerebrovascular events registered in Beijing Chronic Disease Detection Information Management System from January 1 to December 31,2021 were selected as research objects for descriptive analysis.SPSS 19.0 software was used for statistical analysis,and measurement data were compared by t test.Counting data were analyzed by chi-square test.Results Through the analysis of the incidence of acute cardiovascular and cerebrovascular events in Beijing in 2021,a total of 70022 patients with cardiovascular and cerebrovascular diseases were reported in 2021,with an incidence rate of 319.88/100000,among which Tongzhou District,Fengtai District and Shunyi District had higher incidence.The incident cases of acute cardiovascular and cerebrovascular events in Beijing residents in 2021 were mainly detected from February to April.Through the analysis of the incidence of acute cardiovascular and cerebrovascular events in Beijing residents in 2021,the incidence of acute cardiovascular and cerebrovascular events in males was higher than that in females,and patients were mainly from those over 60 years old,among which the incidence of stroke was higher.By analyzing the distribution of patients with acute cardiovascular and cerebrovascular death in Beijing in 2021,the mortality and case fatality rates of patients were higher in Tongzhou District,Fengtai District,Shunyi District,Mentougou District,Miyun District and Fangshan District,among which the mortality and case fatality rates in December,January,February and March were higher.The mortality rate of acute myocardial infarction and ischemic cardiac arrest was higher.Conclusion In 2021,the incidence of cardiovascular and cerebrovascular diseases among residents in Beijing showed significant seasonal,gender and age differences.It is suggested to strengthen the knowledge of cardiovascular and cerebrovascular dise

关 键 词：心脑血管疾病 健康素养 发病率 发病人群 三间分布 

分 类 号：R54[医药卫生—心血管疾病] R181.3[医药卫生—内科学]