2016年寿光市居民冠心病急性事件发病监测分析

Analysis on monitoring data of acute coronary heart disease events among residents,Shouguang city,2016

目的了解寿光市居民全人口冠心病急性事件发病情况,为制定预防和控制冠心病防控对策提供科学依据。方法对2016年寿光市居民冠心病急性事件发病监测资料进行分析。结果 2016年寿光市合计报告冠心病急性事件1 943例,发病率为178.79/10万(1 943/1 086 722)。男性1 028例、女性915例,发病率分别为187.53/10万(1 028/548 187)、169.91/10万(915/538 535)(P<0.05)。15岁以上居民冠心病急性事件发病率为211.22/10万(1 942/919 408),男性为223.74/10万(1 027/458 804),女性为198.65/10万(915/460 604)(P<0.01)。0~、15~、45~和≥65岁发病率分别为0.60/10万、11.02/10万、102.68/10万、988.70/10万(P<0.01),发病率随年龄组增加而剧增。15~岁冠心病急性事件发病率男女性分别为16.04/10万、5.76/10万,45岁~冠心病急性事件发病率男女性分别153.78/10万、51.72/10万(P<0.01),≥65岁男女性差异无统计学意义(P>0.05)。≥65岁占冠心病急性事件总发病数的79.77%。2016年全人群冠心病急性事件各种类型发病构成,以急性心肌梗死为主,共1 759例,占90.53%;冠心病猝死184例,占9.47%。急性心肌梗死、冠心病猝死发病率分别为161.86/10万、16.93/10万,男女性差异均有统计学意义(P<0.05),其中15岁以上居民急性心肌梗死、冠心病猝死发病率分别为191.21/10万、20.01/10万。结论寿光市居民冠心病急性事件发病较高,发病随年龄增加呈明显上升趋势。

Objective To understand incidence of acute coronary heart disease events among the whole population of residents in Shouguang city,so as to provide scientific basis for formulating prevention and control measures of coronary heart disease. Methods Analysis was made on the monitoring data of acute coronary heart disease events in Shouguang city,2016. Results A total of 1 943 cases of acute coronary heart disease events were reported,the incidence rate was178.79/10^5（1 943/1 086 722）in Shouguang city,2016.Among them 1 028 cases were males,915 females,the incidence rate was 187.53/10^5（1 028/548 187）and 169.91/10^5（915/538 535）（P〈0.05）.The incidence of acute coronary heart disease among residents over 15 years of age was 211.22/10^5（1 942/919 408）,223.74/10^5（1 027/458 804）in males,in females 198.65/10^5（915/460 604）（P〈0.01）.The incidence rates of 0-14 years old,15-44 years old,45-64 years old and over the age of 65 was respectively 0.60/10^5,11.02/10^5,102.68/10^5 and 988.70/10^5.The incidence rate increased dramatically with the increase of age groups.The incidence rate of 15-44 years old was 16.04/10^5 in males,5.76/10^5 in females,and that of 45-54 years old was 153.78/10^5 in males,51.72/10^5 in females（P〈0.01）.There was no statistically significant difference between males and females over the age of 65（P〈0.05）.The over-65 age group accounted for 79.77% of the total number of acute coronary heart disease events.In 2016,various types of acute coronary heart disease events in the entire population were composed of acute myocardial infarction,which were 1 759 cases,accounting for 90.53%,and sudden death from coronary heart disease were 184 cases,accounting for 9.47 %.The incidence of sudden death from acute myocardial infarction and coronary heart disease was 161.86/10^5 and 16.93/10^5 respectively.The difference between males and females was statistically significant（P〈0.05）.The incidence of acute myocardial infarction and sudden death of coronary heart disease in residents over the age of 15 was 191.21/10^5 and 20.01/10^5 respectively. Conclusion The incidence of acute coronary heart disease among residents in Shouguan city is higher,and the incidence increases with age.