山东省滕州市2013—2021年冠心病死亡率变化趋势调查  

Trends of coronary heart disease mortality in Tengzhou city of Shandong province from 2013 to 2021

作　　者：韩金国 徐玉銮 韩兴贵 程俐 朱宏宇 叶树军 司福中 Han Jinguo;Xu Yuluan;Han Xinggui;Cheng Li;Zhu Hongyu;Ye Shujun;Si Fuzhong(Department of Cardiology,Tengzhou Traditional Chinese Medicine Hospital,Tengzhou 277599,China;Department of Chronic Disease Prevention and Control,Tengzhou Center for Disease Control and Prevention,Tengzhou 277599,China;Department of Medical Imaging,Zaozhuang Fourth Hospital,Tengzhou 277599,China;Department of Internal Medicine,Shandong Coal Mine Health School,Xuecheng 250024,China)

机构地区：[1]滕州市中医院心内科,滕州277599 [2]滕州市疾病预防控制中心慢病防控科,滕州277599 [3]枣庄市第四医院影像科,滕州277599 [4]山东省煤炭卫生学校内科教研室,薛城250024

出　　处：《中华全科医师杂志》2024年第10期1044-1052,共9页Chinese Journal of General Practitioners

基　　金：国家十二五“重大新药创制”科技重大专项(2012ZX09101105)。

摘　　要：目的分析2013—2021年山东省滕州市居民冠心病死亡率的变化趋势。方法该研究为横断面调查。从山东省慢性病监测信息系统-冠心病管理模块中获取滕州市2013年1月1日至2021年12月31日国际疾病分类编码为ICD-10:I20-I25的冠心病死亡病例,并收集其相关资料。户籍人口数由滕州市公安局提供。采用二项分布精确法计算率的95%置信区间(CI),统计2013—2021年滕州市冠心病死亡数、粗死亡率,根据2020年全国第7次人口普查数据计算年龄和性别标化死亡率。应用Cochran-Armitage趋势检验分析死亡率随年份和年龄的变化趋势。结果2013—2021年滕州市共有冠心病死亡病例20667例,年均2296例,男女比例为1.09∶1,≥65岁者占80.98%(16736/20667)。2013年总人群冠心病粗死亡率和标化死亡率分别为131.84/10万和168.22/10万,2021年冠心病粗死亡率比2013年升高了13.67%(P<0.001),年均升高1.59%,而标化死亡率则下降了18.65%(P<0.05),年均下降2.34%。2013—2021年,男性和女性冠心病粗死亡率均呈上升趋势,女性升高差异有统计学意义(P<0.01),标化死亡率均呈下降趋势(P<0.001)。与2013年相比,2021年≥65岁的男性、女性冠心病粗死亡率分别下降了22.40%、19.73%,二者均呈下降趋势(均P<0.001),而≤44岁的男性冠心病粗死亡率呈上升趋势(P<0.05)。2013—2021年城区居民冠心病粗死亡率下降了5.22%(P>0.05),年均下降0.67%,农村居民冠心病粗死亡率升高了19.29%(P<0.001),年均升高2.18%。2013—2021年城区居民冠心病粗死亡率均高于农村(均P<0.05)。结论2013—2021年山东省滕州市居民冠心病粗死亡率总体呈上升趋势、标化死亡率总体呈下降趋势,65岁及以上人群冠心病粗死亡率呈下降趋势,此外女性与男性、城市与农村的变化趋势均有所不同。Objective To analyze the trends of coronary heart disease mortality in Tengzhou city of Shandong province from 2013 to 2021.Methods The data of coronary heart disease(ICD-10:I20-I25)from January 2013 to December 2021 were obtained from the Chronic Disease Surveillance Information System-Coronary Heart Disease Management Module of Shandong province;the population data were provided by Tengzhou Public Security Bureau.The 95%confidence interval(CI)of the rate was calculated using the binomial exact method.The age-standardized mortality rate(ASMR)was calculated based on 2020 National Population Census.The trends of mortality rate were analyzed using the Cochran-Armitage trend test.Results During 2013 to 2021,there were 20667 coronary heart disease deaths in Tengzhou city,with an average of 2296 cases per year.The male-to-female ratio was 1.09∶1,and 80.98%(16736/20667)of the death cases were aged 65 years or older.The crude mortality rate and ASMR of coronary heart disease were 131.84/105 and 168.22/105 in 2013,respectively.The crude mortality rate increased by 13.67%from 2013 to 2021(P<0.001)with an average annual increase of 1.59%;while the ASMR decreased by 18.65%from 2013 to 2021(P<0.05)with an average annual decease of 2.34%.The crude mortality rate of coronary heart disease in men and women showed an upward trend,with the difference in the increase for women being statistically significant(P<0.01);while the ASMR both in men and women showed a downward trend(P<0.001).The crude death rates from 2013 to 2021 in age groups of 65 or older for men and women decreased by 22.40%and 19.73%,respectively(both P<0.001);while the crude death rate for age groups of 44 or younger in men showed an upward trend(P<0.05).The crude death rate among urban residents decreased by 5.22%from 2013 to 2021 with an annual decrease of 0.67%(P>0.05);while the crude death rate among rural residents increased by 19.29%with an annual increase of 2.18%(P<0.001).The overall crude death rate among urban residents was higher than that among rural

关 键 词：冠心病 死亡率 流行病学 

分 类 号：R541.4[医药卫生—心血管疾病] R181.3[医药卫生—内科学]