2015—2021年驻马店市急性冠心病事件的流行病学特征

Epidemiological characteristics of acute coronary disease events in Zhumadian from 2015 to 2021

目的分析2015—2021年驻马店市急性冠心病事件的流行病学特征。方法回顾性观察性研究。对2015—2021年驻马店市1587例急性冠心病事件进行调查研究,分析不同年份、不同年龄(<35岁、35~45岁、46~55岁、56~65岁、66~75岁、>75岁)、不同性别、不同诊断分型(冠心病猝死、急性心肌梗死)、不同职业(农民、工人、无业人员、干部、其他人员)患病率和临床表现情况(典型胸痛、不典型胸痛、无痛)。结果调查的1587例急性冠心病事件患者中,2015、2016、2017、2018、2019、2020、2021年患病率逐渐增高;<35岁、35~45岁、46~55岁、56~65岁、66~75岁、>75岁患者随年龄增长患病率逐渐增高。男性发病率(69.06%,1096/1587)高于女性(30.94%,691/1587)。调查的1587例急性冠心病事件患者中,患病率由高到低依次为农民、工人、无业人员、干部、其他人员;急性心肌梗死患病率(87.52%,1389/1587)高于冠心病猝死(12.48%,198/1587)。急性冠心病事件临床表现以典型胸痛为主,其次为不典型胸痛、无痛。结论2015—2021年驻马店市急性冠心病事件发生率逐渐增高,男性患病率和农民患病率较高,并以急性心肌梗死为主,临床症状主要表现为典型胸痛。

Objective To analyze the epidemiological characteristics of acute coronary disease events in Zhumadian from 2015 to 2021.Methods This study was a retrospective observational research.A total of 1587 cases of acute coronary disease event in Zhumadian from 2015 to 2021 were investigated.The prevalence and clinical manifestations(typical chest pain,atypical chest pain,painless)in different years,in patients with different ages(<35 years,35-45 years,46-55 years,56-65 years,66-75 years,>75 years),in patients with different genders,in patients with different diagnostic typing(sudden coronary disease death,acute myocardial infarction),in patients with different occupations(farmers,workers,unemployed,cadres,others)were analyzed.Results Among the 1587 patients with acute coronary disease events surveyed,the incidence gradually increased in 2015,2016,2017,2018,2019,2020 and 2021;the incidence of acute coronary disease events gradually increased with age in the order of<35 years old,35-45 years old,46-55 years old,56-65 years old,66-75 years old,and>75 years old.The incidence of males(69.06%,1096/1587)was higher than that of females(30.94%,69.06%).Among the 1587 patients with acute coronary disease event investigated,the incidence of farmers was the heighest followed by workers,unemployed individuals,cadres,and other individuals.The incidence of acute myocardial infarction(87.52%,1389/1587)was higher than that of sudden death from coronary disease(12.48%,198/1587).Conclusions The incidence of acute coronary disease events in Zhumadian gradually increases from 2015 to 2021.The prevalence of males and farmers are higher,and acute myocardial infarction is the main type.Typical chest pain is the main clinical symptom.