江苏省扬州市2018年心脑血管疾病全人群流行现状研究

Epidemiological status of cardiovascular and cerebrovascular diseases in population of Yangzhou City in Jiangsu Province

目的分析江苏省扬州市心脑血管疾病发病及死亡情况.方法从扬州市心脑血管疾病全人群监测点采集数据,分析心脑血管疾病的发病情况和死亡情况.结果扬州市2010-2018年冠心病和脑卒中发病人数呈持续增长.扬州市2018年心脑血管疾病合计发病率为701.82/10万,其中冠心病发病率为75.44/10万,脑卒中发病率为626.38/10万,脑卒中发病率远高于冠心病.男性冠心病和脑卒中发病率均高于女性.男性、女性的冠心病粗死亡率分别为47.95/10万、42.92/10万,男性、女性的脑卒中粗死亡率分别为137.20/10万、139.80/10万.冠心病、脑卒中首次发病患者比例分别为54.18%、47.16%,冠心病首次发病比例高于脑卒中.冠心病和脑卒中主要由县级及以下医院诊治.扬州市男性、女性因冠心病死亡共造成健康寿命年损失分别为14700.07、14652.27人年,平均每千人健康寿命年损失分别为6.39、6.41人年;男性、女性因脑卒中死亡共造成健康寿命年损失分别为47883.19、41924.74人年,平均每千人健康寿命年损失分别为20.82、18.34人年.结论扬州市冠心病、脑卒中发病呈持续增长.60岁以上男性人群为心脑血管疾病高危人群.

Objectives To analyze the incidence and death status of cardiovascular and cerebrovascular diseases in Yangzhou City in Jiangsu Province.Methods Data was collected from the population monitoring system of Yangzhou,and the incidence and mortality of cardiovascular and cerebrovascular diseases were analyzed.Results The incidence of coronary heart disease and stroke increased gradually from 2010 to 2018 in Yangzhou City.The incidence of cardiovascular and cerebrovascular diseases was 701.82 per 100 thousand people in Yangzhou City in 2018,among which the incidence of coronary heart disease was 75.44 per 100 thousand people,the incidence of stroke was 626.38 per 100 thousand people,and the incidence of stroke was higher than that of coronary heart disease.The incidences of coronary heart disease and stroke in males were higher than those in females.The crude death rates of coronary heart disease in male and female patients were 47.95 per 100 thousand people and 42.92 per 100 thousand people respectively,and the crude death rates of stroke in male and female patients were 137.20 per 100 thousand people and 139.80 per 100 thousand people respectively.Among all the patients with cardiovascular and cerebrovascular diseases,the proportions of patients with first onset of coronary heart disease and stroke were 54.18%and 47.16%respectively,the proportion of the first onset of coronary heart disease was higher than that of stroke.County-level hospitals and below were the main hospitals for the diagnosis and treatment of coronary heart disease and stroke.In Yangzhou City,the annual loss of healthy life caused by the death of coronary heart disease was 14700.07 and 14652.27 person-years respectively,with an average of 6.39 and 6.41 person-years per thousand people.The annual loss of healthy life caused by the death of stroke was 47883.19 and 41924.74 person-years respectively,with an average of 20.82 and 18.34 person-years per thousand people.Conclusion The incidence of coronary heart disease and stroke is increasing continuously in Yangzhou City.Men over 60 years old are population with high risks of cardiovascular and cerebrovascular diseases.