2013—2016年江阴市冠心病发病率及类型的变化趋势

Change trend on incidence rates and types of coronary heart disease in Jiangyin City from 2013-2016

目的通过分析2013—2016年江阴市户籍居民冠心病发病率和类型的变化趋势,为江阴市冠心病防治工作提供基础资料。方法收集"无锡市慢性病网络管理信息系统"中2013—2016年江阴市冠心病发病的统计数据,按不同年度、性别和年龄段计算冠心病的粗发病率和标化发病率,并根据累计新发病例数与累计人口数之比计算年均发病率。结果 2013—2016年江阴市冠心病的年均粗发病率和标化发病率分别为283.92/10万和186.91/10万,其中男性为315.00/10万和209.63/10万,女性为253.02/10万和164.77/10万,性别间差异均有统计学意义(χ~2=166.84、132.46,P<0.01)。男性、女性及男女合计的粗发病率和标化发病率均呈上升趋势(P均<0.01);随着年龄的增长,各年度冠心病的发病率均呈上升趋势(P均<0.01)。60岁及以上老龄人口累计新发冠心病10 269例,占总新发病例数的73.58%,其年均增长速度低于30~<60岁组(χ~2=84.50,P<0.01)。冠心病类型中心绞痛累计发病5 784例,占41.41%,5种发病类型的构成比不同,差异有统计学意义(χ~2=8 089.99,P<0.01)。结论 2013—2016年江阴市冠心病发病率随年度推移和年龄增长而上升,发病趋势年轻化,男性及≥60岁老年人群高发,主要发病类型为心绞痛。以上需在冠心病防治工作中引起重点关注。

[Objective]To analyze the change trend on incidence rates and types of coronary heart disease（CHD） in Jiangyin City from 2013-2016,provide basic data for CHD prevention and treatment in Jiangyin City.[Methods] The data of CHD in Jiangyin City from 2013-2016 were collected from the Wuxi chronic disease network management information system,to calculate the crude morbidity and standardized morbidity of CHD according to year,sex and age,and the average annual incidence rate was calculated according to the ratio of the cumulative number of new cases to the cumulative population.[Results] The crude morbidity and standardized morbidity of CHD in Jiangyin City from 2013-2016 was 283.92/lakh and 186.91/lakh. The crude morbidity and standardized morbidity in males was 315.00/lakh and 209.63/lakh respectively,which were higher than those in females（253.02/lakh and 164.77/lakh）,and the differences were statistically significant（χ~2=166.84,132.46,P0.01）. The total crude morbidity and standardized morbidity,as well as those in males and females all showed a rising trend（all P0.01）. The annual incidence rates of CHD increased with age（all P0.01）. There were 10 269 new cases of CHD in elderly over 60 years old,accounting for 73.58% of total new cases,and the average annual growth rate in this age group was lower than that in 30~60year-old age group（χ~2 =84.50,P 0.01）. There were 5 784 case of angina pectoris,accounting for 41.41%. The difference in constituent ratio of five disease types was statistically significant（χ~2=8 089.99,P 0.01）.[Conclusion]The incidence rates of CHD in Jiangyin City from 2013-2016 is increasing with time and age,with a younger trend. The incidence rates in males and elderly over 60 years old are high,and the main type is angina pectoris. The prevention and control measures of CHD should focus on above features.