上海市普陀区2019—2020年急性心脑血管事件监测数据分析

Analysis of Surveillance Data of Acute Cardiovascular and Cerebrovascular Events from 2019 to 2020 in Putuo District of Shanghai

目的了解2019—2020年普陀区急性心脑血管事件的发生和死亡情况。方法结合监测报告和死因推送,对2019—2020年普陀区户籍人口发生的急性心脑血管事件进行登记报告。报告的病种包括脑卒中和急性心肌梗死,计算心脑血管事件的监测发病率和标化率。结果2019—2020年报告急性心脑血管事件16529例;监测发病率和标化率分别为924.64/10^(5)和365.09/10^(5);男性监测发病率高于女性监测发病率,差异有统计学意义(P<0.01)。死亡率分别为152.38/10^(5)和118.42/10^(5),标化死亡率分别为26.61/10^(5)和16.86/10^(5);男性死亡率高于女性死亡率,差异有统计学意义(P<0.01)。报告脑卒中病例以缺血性脑卒中为主,占总发病数的89.72%。心脑血管疾病监测发病率和死亡率随着年龄的增长而明显增加,60岁以上发病人数占总发病数的88.91%,死亡人数占总死亡的94.37%。结论中老年是脑卒中的高危人群,男性发病率和死亡率高于女性,应加强对老年男性的防治干预工作。

Objective To analyze the morbidity and mortality of acute cardiovascular and cerebrovascular events in Putuo District of Shanghai from 2019 to 2020.Methods Combining with the surveillance report and the push of the cause of death,the acute cardiovascular and cerebrovascular events that occurred in the registered population of Putuo District from 2019 to 2020 were registered and reported.The reported diseases include stroke and acute myocardial infarction,and the incidence and standardized rate of surveillance of cardiovascular and cerebrovascular events are calculated.Results From 2019 to 2020,16529 cases of acute cardiovascular and cerebrovascular events were reported,and the surveillance incidence and standardized rates were 924.64/10^(5) and 365.09/10^(5),respectively.The surveillance incidence of men was higher than that of women,and the difference was statistically significant(P<0.01).The mortality rates were 152.38/10^(5) and 118.42/10^(5),and the standardized mortality rates were 26.61/10^(5) and 16.86/10^(5).The male mortality rate was higher than the female mortality rate,and the difference was statistically significant(P<0.01).The reported stroke cases were mainly ischemic stroke,accounting for 89.72%of the total incidence.The morbidity and mortality of cardiovascular and cerebrovascular disease surveillance increased significantly with age.The number of morbidities over 60 years old accounted for 88.91%of the total morbidity,and the death toll accounted for 94.37%of the total death.Conclusion The incidence rate and mortality rate of male and female is higher than that of female.The prevention and control intervention of the elderly men should be strengthened.