2016—2023年武汉市急性心肌梗死发病趋势分析  

Joinpoint regression analysis for the trends in incidence of acutemyocardial infarction,Wuhan,2016-2023

作　　者：邓青 罗俊[1] 金琦曼 张晓霞 张微 代娟[1] DENG Qing;LUO Jun;JIN Qi-man;ZHANG Xiao-xia;ZHANG Wei;DAI Juan(Department of Chronic Non-communicable Diseases and Injury Prevention,Wuhan Centers for Disease Prevention and Control,Wuhan,Hubei 430021,China)

机构地区：[1]武汉市疾病预防控制中心慢非传与伤害防制所,湖北武汉430021

出　　处：《现代预防医学》2024年第18期3295-3301,共7页Modern Preventive Medicine

基　　金：武汉市卫生健康委员会/武汉市科技创新局医学科学研究项目(WX23Z95)。

摘　　要：目的 分析2016—2023年武汉市急性心肌梗死(acutemyocardial infarction,AMI)发病率及变化趋势,为武汉市开展AMI防控工作提供科学依据。方法 收集武汉市心脑血管疾病监测系统2016—2023年AMI发病数据,计算粗发病率、中标发病率、世标发病率,采用Joinpoint回归模型来估算AMI的年度变化百分比(APC)和平均年度变化百分比(AAPC)。结果 武汉市AMI发病率从2016年56.67/10万上升至2023年115.29/10万(APC=10.24%,P<0.05),中标发病率从2016年40.45/10万上升至2023年79.57/10万(APC=9.75%,P<0.05),2016—2023年武汉市男性AMI中标发病率(83.65/10万)高于女性(34.99/10万),城市(62.59/10万)高于农村(55.35/10万),差异均具有统计学意义(P<0.05)。Joinpoint回归模型分析结果显示,2016—2023年武汉市男女性AMI发病率、中标发病率均呈明显上升趋势(均有P<0.05);城市居民发病率、中标发病率均呈明显上升趋势(均有P<0.05),农村居民发病率、中标发病率2016—2020年的变化趋势均无统计学意义,2020—2023年均呈明显上升趋势(均有P<0.05);2016—2023年武汉市<30岁、30~<40岁、40~<50岁、50~<60岁、60~<70岁和≥70岁年龄组居民AMI发病率以不同的速度上升,趋势均有统计学意义(均有P<0.05),其中,30~<40岁、40~<50岁年龄组居民发病率上升速度较快,AAPC分别为16.73%和13.87%。结论 2016—2023年武汉市AMI发病率呈逐年上升趋势,青壮年男性是重点防控人群。Objective To analyze the trends in incidence of acutemyocardialinfarction(AMI)in Wuhan from 2016 to 2023,and to provide scientific basisfor prevention and control of AMI in Wuhan.Methods The incidence data during 2016—2023 from the Surveillance System of cardiovascular diseases in Wuhan were collected to compute the incidence,age-standardized rate by China population 2010(ASR-C) and by Segi's world standard population(ASR-W).Theannual percent change(APC) and average annual percent change(AAPC) of incidence of AMI were evaluated using Joinpoint regression model,to analyzethe incidence trends of AMI.Results The incidence of AMI in Wuhan increased from 56.67/10~(5 )in 2016 to 115.29/10~5 in 2023(APC=10.24%,P<0.05);andASR-C of AMI increased from 40.45/10~5 in 2016 to 79.57/10~5 in 2023(APC=9.75%,P<0.05).The AMI incidence of males(83.65/10~5) was significantly higherthanthat of females(34.99/10~5) from 2016 to 2023(P<0.05).The AMI incidenceofurban area(62.59/10~5) was significantly higher than that of rural area(55.35/10~5)(P<0.05).The regression model showed that the incidence and ASR-C of AMI in male and female all showed a significant upward trend(all P<0.05);the incidence and ASR-C of AMI of urban residents all showed a significant upward trend(all P<0.05),while the trends of rural residents from 2016 to 2020 were not statistically significant,but they all showed a significantupward trend from 2020 to 2023(all P<0.05).The incidence of AMI in age groups<30,30-<40,40-<50,50-<60,60-<70 years and≥70 years in Wuhan increased at different rates from 2016 to 2023(P<0.05).Incidence in agegroups 30-<40,40-<50 years increased rapidly,with the AAPCs of 16.73% and 13.87%,respectively.Conclusion The incidence of AMI in Wuhan showedan upward trend from2016 to 2023,young adult males are the crucial population for prevention andcontrol.

关 键 词：急性心肌梗死 发病率 趋势分析 武汉市 

分 类 号：R541.4[医药卫生—心血管疾病]