2015—2023年南宁市居民急性心肌梗死死亡及潜在寿命损失变化趋势分析  

Analysis of the trend of death and potential life loss of acute myocardial infarction in Nanning residents,2015-2023

作　　者：黄建双[1] 梁竹[1] 叶琳[1] 朱荣健[1] 周吉[1] 秦奎 HUANG Jian-shuang;LIANG Zhu;YE Lin;ZHU Rong-jian;ZHOU Ji;QIN Kui(Nanning Center for Disease Control and Prevention,Nanning,Guangxi 530021,China;不详)

机构地区：[1]广西壮族自治区南宁市疾病预防控制中心,广西南宁530021 [2]广西壮族自治区疾病预防控制中心

出　　处：《现代预防医学》2024年第18期3283-3288,共6页Modern Preventive Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200959)。

摘　　要：目的 分析2015—2023年南宁市居民急性心肌梗死死亡及潜在寿命损失的变化趋势,为制定慢性病防控政策提供依据。方法 整理南宁市全人群死因监测数据,计算粗死亡率、标化死亡率、年龄别死亡率、构成比、潜在减寿率(PYLL%)、标化减寿率(SPYLL%)和平均减寿年数(AYLL)等指标,采用Joinpoint对数线性回归模型做趋势分析。结果 2015—2023年南宁市12县(市、区)共报告急性心肌梗死死亡病例38 870例,其中男性22 566例,女性16 304例;粗死亡率为59.84/10万,标化死亡率为53.70/10万;粗死亡率及标化死亡率均呈稳定趋势,AAPC分别为-1.408和-2.892,P值分别为0.443和0.054;死亡率随年龄的增加而增加,40岁后呈直线上升;急性心肌梗死院前死亡构成比为81.53%~87.29%,处于较高水平,但整体呈现下降趋势(AAPC=-0.552%,P=0.007);潜在减寿率在0.33%~0.42%,平均减寿年数6.02年-7.03年,变化趋势均无统计学意义,但女性的潜在减寿率及平均减寿年数均呈下降趋势,AAPC分别为-5.941%和-3.475%,P值均小于0.05。结论 南宁市急性心肌梗死死亡率较高,潜在寿命损失较严重,应加强急性心肌梗死院前急救及健康教育工作,老年人、男性是防控的重点人群。Objective To analyze the trend of acute myocardial infarction mortality and potential life loss among residents in Nanning City from 2015 to 2023,and provide a basis for formulating chronic disease prevention and control policies.Methods To collate the death cause monitoring data of the whole population in Nanning City.Crude mortality,standardized mortality,age-specific mortality,composition ratio,potential years of life lost( PYLL%),standardized years of life lost(SPYLL%) and average years of life lost(AYLL) were calculated.Joinpointlog-linear regression model was used for trend analysis.Results From 2015 to 2023,a total of 38 870 deaths from acute myocardial infarction were reported in 12 counties(cities,districts) of Nanning City,including 22 566 males and 16 304 females.The crude mortality rate was 59.84/100 000,and the standardized mortality rate was 53.70/100 000.The crude mortality rate and standardized mortality rate both showed a stable trend,with AAPC values of-1.408 and-2.892,and P values of 0.443 and 0.054,respectively.The mortality rate increases with age and shows a linear increase after the age of 40.The proportion of pre hospital mortality in acute myocardial infarction ranged from 81.53% to 87.29%,which was at a high level,but showed an overall downward trend(AAPC=-0.552%,P=0.007).The potential life loss rate ranged from 0.33% to 0.42%,with an average life loss of 6.02 years to 7.03 years,and the trend of change was not statistically significant.However,the potential life loss rate and average life loss of women showed a downward trend,with AAPC values of-5.941% and-3.475%,respectively,and P values of 0.01.Conclusion The mortality rate of acute myocardial infarction in Nanning City is relatively high,and the potential loss of life is severe.Pre hospital emergency treatment and health education for acute myocardial infarction should be strengthened,and the elderly and men are the key population for prevention and con.

关 键 词：急性心肌梗死(AMI) 死亡率 潜在寿命损失 南宁市 

分 类 号：R541.4[医药卫生—心血管疾病]