2016-2020年东营市东营区20岁及以上居民冠心病发病率变化趋势及类型分析

Analysis on incidence trend and types of coronary heart disease in population over the age of 20,Dongying district,Dongying city,2016-2020

目的分析2016-2020年山东省东营市东营区20岁及以上居民冠心病发病率变化趋势及其类型,为本地冠心病防治工作提供参考依据。方法收集山东省慢性病监测综合管理信息系统2016-2020年报告的山东省东营市东营区20岁及以上居民的冠心病监测资料,按年度、性别、年龄计算冠心病粗发病率和标化发病率。以2016-2020年东营市东营区各年度累计新发病例数与累计人口数之比计算平均发病率。结果2016-2020年东营市东营区20岁及以上居民冠心病平均粗发病率为139.75/10万(3768/2696330),平均标化发病率为92.51/10万;男性冠心病平均粗发病率和平均标化发病率分别为157.86/10万、108.70/10万;女性冠心病平均粗发病率和平均标化发病率分别为122.17/10万、77.85/10万。男性平均粗发病率和平均标化发病率高于女性,差异有统计学意义(P<0.01)。2016-2020年东营区20岁及以上男性、女性冠心病粗发病率和标化发病率均呈上升趋势(P<0.01);男性和女性粗发病率年平均增长速度分别为13.92%、15.28%;2016-2020年60岁及以上老年人冠心病新发病例占累计新发病例数的71.63%(2699/3768)。冠心病发病类型以急性心肌梗死(70.36%,2651/3768)为主;冠心病猝死占冠心病总发病人数的5.84%(220/3768)。结论2016-2020年山东省东营市东营区20岁及以上居民冠心病发病率随年龄增长而增加,冠心病类型主要为急性心肌梗死和冠心病猝死,发病人群趋于年轻化,老年人发病率较高值得关注。

Objective To analyze the trend of incidence of coronary heart disease(CHD)and the kinds of the disease among residents aged 20 and over in Dongying district,Dongying city,Shandong province during 2016-2020,so as to provide a basis for prevention and treatment of CHD in the local area.Methods The data of CHD from 2016 to 2020 were collected from the Management Information System of Chronic Disease Surveillance in Shandong province.The crude incidence and standardized incidence rates of CHD were calculated according to the data of year,sex and age.The ratio of the cumulative number of new cases to the cumulative population in each year from 2016 to 2020 in Dongying district was used to calculate the mean incidence.Results The mean crude incidence rate of CHD was 139.75/10~5(3768/2696330)and the mean standardized incidence was 92.51/10~5 for residents aged 20 or above during 2016-2020 in Dongying district.The mean crude incidence and mean standardized incidence were 157.86/10~5(2096/1327734)and 108.70/10~5 respectively for males,and 122.17/10~5(1672/1368597)and 77.85/10~5 for females.The average crude incidence and standardized incidence of men were higher than those of women,and the difference was statistically significant(P<0.01);And both the average crude incidence and standardized incidence in males and females aged 20 and above from 2016 to 2020 showed an increasing trend in Dongying district(P<0.01);The average annual growth rate of crude incidence was 13.92%for males and 15.28%for females;The number of new cases aged 60 or above accounted for 71.63%(2699/3768)of the cumulative number of new cases from 2016 to 2020.Acute myocardial infarction or AMI(70.36%,2651/3768)was the main type of CHD,and the number of patients of sudden coronary death(SCD)accounted for 5.84%(220/3768)of the total number of CHD patients.Conclusion The incidence of CHD among residents aged 20 or above in Dongying district increased with age from 2016 to 2020.The main types of CHD were acute myocardial infarction and sudden coronary death.The younger population tended to suffer from the disease,and the higher incidence among the elderly merited attention.