摘要
目的了解重庆市2015年居民心肌梗死发病及死亡情况,为重庆市心肌梗死防治方案的制定提供科学依据。方法利用2015年重庆市心脑血管事件登记报告系统的数据,按2010年全国第六次普查标准人口构成,采用报告发病/死亡率、标化发病/死亡率等指标,采用Poisson回归模型检验不同人群间率的差异以及随年龄的变化趋势对心肌梗死的发生和死亡情况进行统计分析。结果 2015年重庆市常住人口心肌梗死报告发病率为44.07/10万,其中男49.15/10万,女38.86/10万;标化发病率为34.04/10万,其中男36.69/10万,女31.05/10万。报告死亡率为28.02/10万,其中男29.32/10万,女26.69/10万;标化死亡率为21.84/10万,其中男21.85/10万,女21.76/10万。男性发病率、死亡率均高于女性,但病死率女性高于男性。发病率、死亡率在55岁前较低,55岁后呈快速上升的趋势。各型心肌梗死以前壁急性透壁心肌梗死最多,占总发病例数的50.09%,发病率、病死率亦为最高。结论应加强心脑血管疾病的监测和管理,重点做好老年人(>60岁),尤其是男性老年人的心肌梗死预防控制工作。
Objective To investigate the morbidity and mortality of myocardial infarction in Chongqing province and to provide evidence for developing prevention and control measures.Methods A populationbased epidemiological study was performed using data from the Stroke and Myocardial Infarction Incidence Surveillance System of the Chongqing Centers for Disease Control and Prevention in 2015.Almost 13,089 cases were analyzed to examine the incidence of myocardial infarction by age,sex and subtype.Indicators as reported and standardized rate of morbidity and mortality were calculated by weight on age proportions from the 2010 census.The Poisson regression analysis accounted for the rare event distribution in myocardial infarction.Results The reported morbidity of myocardial infarction was 44.07/100,000（male 49.15/100,000 and female 38.86/100,000）.The standardized morbidity of myocardial infarction was 34.04/100,000（male 36.69/100,000 and female 31.05/100,000）.The reported mortality of myocardial infarction was28.02/100,000（male 29.32/100,000 and female 26.69/100,000）.The standardized mortality of myocardial infarction was 21.84/100,000（male 21.85/100,000 and female 21.76/100,000）.The morbidity and mortality rate in men was significantly higher than that in women.The morbidity and mortality ascended exponentially with the age increasing.But there was higher case fatality in women.The incidence rate of anterior wall acute myocardial infarction was in the highest ranking of the incidence of all types of myocardial infarction.Conclusion It is suggested that more attention should be paid to preventing and controlling myocardial infarction in Chongqing.The male population aged over 60 years old should be considered as the most important target persons for community-based intervention.
出处
《中国煤炭工业医学杂志》
2016年第9期1331-1336,共6页
Chinese Journal of Coal Industry Medicine
基金
重庆市卫生计生委科研项目(编号:2013-2-149)
关键词
心肌梗死
发病率
死亡率
Myocardial infarction
Morbidity
Mortality
作者简介
通讯作者
