2017—2022年福建省厦门市居民急性心脑血管疾病监测结果  

Surveillance of acute cardiovascular and cerebrovascular diseases events in Xiamen,Fujian,2017-2022

作　　者：陈友兰[1] 伍啸青[1] 林艺兰[1] 池家煌 陈洁 陈钰 刘玉文 CHEN Youlan;WU Xiaoqing;LIN Yilan;CHI Jiahuang;CHEN Jie;CHEN Yu;LIU Yuwen(Xiamen Center for Disease Control and Prevention,Xiamen,Fujian 361021,China;School of Public Health,Fujian Medical University)

机构地区：[1]厦门市疾病预防控制中心,福建厦门361021 [2]福建医科大学公共卫生学院

出　　处：《现代疾病预防控制》2024年第7期518-522,共5页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的分析厦门市居民急性心脑血管疾病发病和死亡特征,为制定心脑血管疾病防控策略提供依据。方法通过中国居民心脑血管事件监测信息系统和人口死亡信息登记系统,连续收集2017—2022年厦门市居民急性心脑血管疾病发生和死亡资料,采用2010年第六次全国人口普查数据进行标化,计算粗发病率和粗死亡率,运用Joinpoint模型计算平均年度变化百分比(average annual percentage of change,AAPC)分析变化趋势。结果2017—2022年厦门市居民急性心脑血管疾病发病62129例,粗发病率为533.59/10万,标化发病率为515.21/10万,标化发病率呈下降趋势(AAPC=-6.36%,P<0.05);死亡7286例,粗死亡率为63.30/10万,标化死亡率为53.78/10万,标化死亡率无明显变化趋势(AAPC=-8.44%,P>0.05)。男性的粗发病率和标化发病率均高于女性(χ^(2)值分别为13.389、10.941,P均<0.05),男性的粗死亡率和标化死亡率与女性无明显差异(χ^(2)值分别为2.127、1.151,P均>0.05);粗发病率和粗死亡率均随年龄增长呈上升趋势(χ^(2)趋势值分别为28.563、7.114,P均<0.05)。急性心脑血管疾病平均发病年龄男性为(65.75±14.37)岁,女性为(70.81±13.60)岁;平均死亡年龄男性为(71.36±15.26)岁,女性为(80.02±12.72)岁。结论2017—2022年厦门市居民急性心脑血管疾病发病率呈下降趋势,死亡率保持在较低水平,心脑血管疾病防控工作取得一定成效。男性和老年人是心脑血管疾病防治的重点高危人群,应针对危险因素加强一级预防,持续做好重点人群健康管理,不断优化医疗卫生资源配置,提升医疗卫生服务水平。Objective To analyze the incidence and mortality characteristics of acute cardiovascular and cerebrovascular diseases among residents in Xiamen,providing a basis for the development of prevention and control strategies.Methods Data on the occurrence and death rates of acute cardiovascular and cerebrovascular events of Xiamen residents from 2017 to 2022 were collected through the Chinese Resident Cardiovascular and Cerebrovascular Event Monitoring Information System and the Population Death Information Registration System.Crude incidence and crude mortality rates were calculated and standardized using the data from the sixth national population census in 2010.The Joinpoint model was used to calculate the average annual percentage change(AAPC)and analyze the trends.Results A total of acute cardiovascular and cerebrovascular diseases were 62129 in Xiamen residents,the crude incidence rate of was 533.59/10~5,with a standardized of 515.21/10~5,showing a downward trend(AAPC=-6.36%,P<0.05).The death cases were 7286,the crude mortality rate was 63.30/10^(5),and the standardized rate was 53.78/10^(5),with no significant trend(AAPC=-8.44%,P>0.05).Males had higher crude and standardized incidence rates than females(χ^(2)=13.389 and 10.941,respectively;both P<0.05),while no significant differences were observed in crude and standardized mortality rates(χ^(2)=2.127 and 1.151,respectively;both P>0.05).Both crude incidence and mortality rates increased with age(χ^(2)_(trend)=28.563 and 7.114,respectively;both P<0.05).The average age of onset of acute cardiovascular and cerebrovascular diseases was(65.75±14.37)years for males and(70.81±13.60)years for fenales.The average age of death was(71.36±15.26)years in males and(80.02±12.72)years for fenales.Conclusions From 2017 to 2022,the incidence rate of acute cardiovascular and cerebrovascular diseasess in Xiamen residents showed a downward trend,while the mortality rate remained stable.Men and the elderly are identified as high-risk groups,necessitating the targeted preventio

关 键 词：心脑血管 发病率 死亡率 发病年龄 厦门市 

分 类 号：R714.246[医药卫生—妇产科学]