石家庄市居民循环系统疾病死因监测分析  

Surveillance and analysis of causes of death of circulatory system diseases in residents of Shijiazhuang City

作　　者：安玉琴[1] 丁婷婷 王苏玮 裴秀坤[1] 杨娜敬[1] 刘毅刚[1] AN Yuqin;DING Tingting;WANG Suwei;PEI Xiukun;YANG Najing;LIU Yigang(Institute of Environmental Health Monitoring and Evaluation,Hebei Province Center for Disease Control and Prevention,Shijiazhuang,Hebei 050021,China)

机构地区：[1]河北省疾病预防控制中心环境卫生监测与评价所,河北石家庄050021

出　　处：《医学动物防制》2023年第12期1196-1200,共5页Journal of Medical Pest Control

基　　金：2020年河北省医学研究重点课题计划(20200692)。

摘　　要：目的了解石家庄市居民循环系统疾病死因现状,为采取干预措施提供科学依据。方法收集2015—2019年石家庄市居民循环系统疾病死因数据,使用率、占比描述死亡率、死因顺位,应用χ^(2)趋势检验比较死亡率的时间变化趋势,采用简略寿命表分析期望寿命。结果2015—2019年循环系统疾病平均粗死亡率为247.60/10万,男性和女性平均粗死亡率分别为280.26/10万和215.24/10万。全人群、男性循环系统疾病死亡率呈上升趋势(Z=807.000、464.820,P<0.01),女性呈下降趋势(Z=342.760,P<0.01)。患有循环系统疾病的居民死亡率随年龄增长逐渐升高,15~<65岁年龄组和≥65岁年龄组随时间分布分别呈上升和下降趋势(Z=164.660、25.720,P<0.01)。死因顺位前5位的病种依次为未特指的急性心肌梗死、慢性缺血性心脏病、其他类型的慢性缺血性心脏病、未特指的脑梗死、急性心肌梗死。2015—2019年去除循环系统疾病死因后增加的期望寿命依次为2.89岁、2.05岁、3.51岁、3.63岁、3.02岁,去除心脏病死因后增加的期望寿命高于去脑血管病死因后增加的期望寿命。结论心脏病是石家庄市居民重点防治的疾病,应重点关注65岁以上居民健康状况。Objective To understand the current status of causes of death of circulatory system diseases in residents of Shijiazhuang City and to provide scientific basis for implementing intervention measures.Methods Data on causes of death of circulatory system diseases in residents of Shijiazhuang City were collected from 2015 to 2019,with using rates,percentage to describe mortality rates,and cause of death cis-position.Theχ^(2) trend test was applied to compare temporal trends in mortality.Life expectancy was analyzed using an abridged life table.Results From 2015 to 2019,the average crude mortality rate of circulatory system diseases was 247.60/100000,and the average crude mortality rate for males and females were 280.26/100000 and 215.24/100000,respectively.The mortality rate of circulatory system diseases in the whole population and in males showed an upward trend(Z=807.000,464.820,P<0.01),and in females a downward trend(Z=342.760,P<0.01).The mortality rates of residents with circulatory system diseases gradually increase with age,with an upward and downward trend in the age group of 15 to<65 years old and≥65 years old,respectively,over the distribution of time(Z=164.660,25.720,P<0.01).The top five causes of death were unspecified acute myocardial infarction,chronic ischemic heart disease,other types of chronic ischemic heart disease,unspecified cerebral infarction,and acute myocardial infarction.From 2015 to 2019,the increased life expectancy after removing causes of death from circulatory system disease was 2.89,2.05,3.51,3.63 and 3.02 years old in that order.The increased life expectancy after removing causes of death from heart disease was higher than after removing causes of death from cerebrovascular disease.Conclusion Heart disease is a priority disease for Shijiazhuang residents to prevention and control,and should focus on the health status of residents over the age of 65.

关 键 词：循环系统疾病死因 心脏病 脑血管疾病 死因顺位 期望寿命 去死因期望寿命 监测 分析 

分 类 号：R195[医药卫生—卫生统计学]