2007-2022年东城区心血管疾病发病趋势  

Trends in incidence of cardiovascular disease in Dongcheng District from 2007 to 2022

作　　者：周国营 邢丽丽[1] 苏颖[1] 刘宏杰[1] 刘赫[1] 王迪[1] 薛锦峰 戴威 汪静[3] 杨兴华[2] ZHOU Guoying;XING Lili;SU Ying;LIU Hongjie;LIU He;WANG Di;XUE Jinfeng;DAI Wei;WANG Jing;YANG Xinghua(Department of Chronic Disease Control and Prevention,Dongcheng District Center for Disease Control and Prevention,Beijing 100009,China;School of Public Health,Capital Medical University,Beijing 100069,China;Dongcheng District Center for Disease Control and Prevention,Beijing 100009,China)

机构地区：[1]北京市东城区疾病预防控制中心慢病科,北京100009 [2]首都医科大学公共卫生学院,北京100069 [3]北京市东城区疾病预防控制中心,北京100009

出　　处：《预防医学》2024年第9期813-816,共4页China Preventive Medicine Journal

摘　　要：目的分析2007—2022年北京市东城区居民心血管疾病(CVD)的发病趋势,为制定有针对性的防控措施提供依据。方法通过北京市慢性疾病管理监测系统收集2007—2022年东城区急性冠脉综合征、不稳定型心绞痛、急性冠心病和急性心肌梗死4种亚型CVD发病资料,计算发病率并采用2020年第七次全国人口普查数据进行标化,采用平均年度变化百分比(AAPC)分析CVD发病趋势。结果2007—2022年东城区居民CVD发病177964例,粗发病率为1144.83/10万,标化发病率为1141.41/10万;急性冠脉综合征、不稳定型心绞痛、急性冠心病和急性心肌梗死粗发病率分别为434.45/10万、277.04/10万、272.87/10万和160.47/10万;CVD和4种亚型CVD粗发病率呈上升趋势(AAPC=4.467%、4.576%、5.937%、4.070%和2.353%,均P<0.05),其中不稳定型心绞痛上升速度较快。男性CVD粗发病率为1413.08/10万,高于女性的884.68/10万(P<0.05)。2007—2022年男性、女性CVD粗发病率均呈上升趋势(均P<0.05),男性(AAPC=5.552%)上升速度快于女性(AAPC=2.905%)。CVD粗发病率随年龄增长呈上升趋势(P<0.05),其中急性冠心病粗发病率在65岁后上升幅度较大,由65~<75岁组的477.58/10万上升至≥85岁组的2888.02/10万。结论2007—2022年东城区CVD及4种亚型CVD粗发病率均呈上升趋势,不稳定型心绞上升速度较快,男性和高龄人群是CVD早期筛查与综合干预的重点人群。Objective To analyze the trends in incidence of cardiovascular disease(CVD)among residents in Dongcheng District,Beijing Municipality from 2007 to 2022,so as to provide the evidence for formulating targeted prevention and control measures.Methods Data of the incidence of four subtypes of CVD,including acute coronary syndrome,unstable angina pectoris,acute coronary heart disease,and acute myocardial infarction,in Dongcheng District from 2007 to 2022 were collected through the Beijing Chronic Disease Management Monitoring System.The incidence rates were calculated and standardized using the data of the seventh national population census in 2020.The trends in incidence of CVD were analyzed using average annual percent change(AAPC).Results A total of 177964 cases of CVD were reported in Dongcheng District from 2007 to 2022,with a crude incidence rate of 1144.83/10^(5)and a standardized incidence rate of 1141.41/10^(5).The crude incidence rates of acute coronary syndrome,unstable angina pectoris,acute coronary heart disease and acute myocardial infarction were 434.45/10^(5),277.04/10^(5),272.87/10^(5)and 160.47/10^(5),respectively.The crude incidence rates of CVD and the four subtypes showed an upward trend(AAPC=4.467%,4.576%,5.937%,4.070%and 2.353%,all P<0.05),with unstable angina pectoris rising more rapidly.The crude incidence rate of CVD in males was higher than that in females(1413.08/10^(5)vs.884.68/10^(5),P<0.05),and both of them showed an upward trend from 2007 to 2022(both P<0.05),with a faster increase in males than in females(AAPC=5.552%vs.2.905%).The crude incidence rate of CVD increased with age(P<0.05),and the crude incidence rate of acute coronary heart disease increased significantly after the age of 65 years,rising from 477.58/10^(5)at the age of 65-<75 years to 2888.02/10^(5)at the age of 85 years and above.Conclusions The crude incidence rates of CVD and its four subtypes showed an upward trend in Dongcheng District from 2007 to 2022,with unstable angina pectoris rising more rapidly.Males and older

关 键 词：心血管疾病 发病率 急性冠脉综合征 不稳定型心绞痛 急性冠心病 急性心肌梗死 

分 类 号：R541[医药卫生—心血管疾病]