中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2012年
4期
274-278
,共5页
万浩%李岩%刘静%谢学勤%韦再华%王薇%王淼%孙佳艺%秦兰萍%刘军%齐玥%赵冬
萬浩%李巖%劉靜%謝學勤%韋再華%王薇%王淼%孫佳藝%秦蘭萍%劉軍%齊玥%趙鼕
만호%리암%류정%사학근%위재화%왕미%왕묘%손가예%진란평%류군%제모%조동
冠心病%死亡率%流行病学
冠心病%死亡率%流行病學
관심병%사망솔%류행병학
Coronary disease%Mortality%Epidemiology
目的 研究北京地区青年人群急性心血管事件院前死亡的现状及在不同特征人群中的特点.方法 以北京市公共卫生信息中心的“北京市出院病人信息系统”以及北京市疾病预防控制中心的“北京市死因监测系统”这两个政府常规卫生信息系统为基础,获得并分析25 ～ 45岁年龄组不同性别、不同区县、不同职业、不同婚姻状况的人群中,急性冠心病事件的总病死率和院前死亡构成.结果 2007-2009年北京地区25～ 45岁急性冠心病事件共3489例(男3183例,女306例),年龄(40.5±4.3)岁.总病死率3年合计为26.0％,女性明显高于男性(51.0％比23.6％,P＜0.05),郊区和农村地区的总病死率高于城区(28.9％比22.9％,P＜0.05).25～45岁急性冠心病事件院前死亡在总死亡中的比例3年合计为95.0％(男95.2％,女94.2％),个体经营者的院前死亡在总死亡中的比例最高,为98.6％.64.8％的院前死亡发生地点在家中.结论 北京地区25～45岁急性冠心病事件的死亡90％以上发生于院前,死亡地点主要发生在家中.
目的 研究北京地區青年人群急性心血管事件院前死亡的現狀及在不同特徵人群中的特點.方法 以北京市公共衛生信息中心的“北京市齣院病人信息繫統”以及北京市疾病預防控製中心的“北京市死因鑑測繫統”這兩箇政府常規衛生信息繫統為基礎,穫得併分析25 ～ 45歲年齡組不同性彆、不同區縣、不同職業、不同婚姻狀況的人群中,急性冠心病事件的總病死率和院前死亡構成.結果 2007-2009年北京地區25～ 45歲急性冠心病事件共3489例(男3183例,女306例),年齡(40.5±4.3)歲.總病死率3年閤計為26.0％,女性明顯高于男性(51.0％比23.6％,P＜0.05),郊區和農村地區的總病死率高于城區(28.9％比22.9％,P＜0.05).25～45歲急性冠心病事件院前死亡在總死亡中的比例3年閤計為95.0％(男95.2％,女94.2％),箇體經營者的院前死亡在總死亡中的比例最高,為98.6％.64.8％的院前死亡髮生地點在傢中.結論 北京地區25～45歲急性冠心病事件的死亡90％以上髮生于院前,死亡地點主要髮生在傢中.
목적 연구북경지구청년인군급성심혈관사건원전사망적현상급재불동특정인군중적특점.방법 이북경시공공위생신식중심적“북경시출원병인신식계통”이급북경시질병예방공제중심적“북경시사인감측계통”저량개정부상규위생신식계통위기출,획득병분석25 ～ 45세년령조불동성별、불동구현、불동직업、불동혼인상황적인군중,급성관심병사건적총병사솔화원전사망구성.결과 2007-2009년북경지구25～ 45세급성관심병사건공3489례(남3183례,녀306례),년령(40.5±4.3)세.총병사솔3년합계위26.0％,녀성명현고우남성(51.0％비23.6％,P＜0.05),교구화농촌지구적총병사솔고우성구(28.9％비22.9％,P＜0.05).25～45세급성관심병사건원전사망재총사망중적비례3년합계위95.0％(남95.2％,녀94.2％),개체경영자적원전사망재총사망중적비례최고,위98.6％.64.8％적원전사망발생지점재가중.결론 북경지구25～45세급성관심병사건적사망90％이상발생우원전,사망지점주요발생재가중.
Objectives To explore the characteristics of status and different populations of prehospital death associated with acute coronary events among young adults in Beijing.Methods Data of acute coronary events of hospitalization or death were obtained from the Hospital Discharge Information System from Beijing Public Health Information Center and Death Register System from Beijing Center for Disease Control in Beijing.The total case fatality rate of acute coronary events and proportion of prehospital coronary heart disease (CHD) death were compared upon gender,area,occupation and marital status among people aged between 25-45 years old.Results A total of 3489 cases were identified during 2007 to 2009 with acute coronary events ( male:3183,female:306),with a mean age of (40.5 ± 4.3 ) years old.The 3-years' overall mortality was 26.0％,with female's higher than male's (51.0％ vs 23.6 ％,P ＜ 0.05 ) ; and it was higher in rural area than in urban areas (28.9％ vs 22.9％,P ＜0.05).Ninety-five percent of death due to acute coronary events occurred prehospital,with the proportion of 95.2％ in male and 94.2％ in female. Among the people with different occupations, self-employed people had the highest rate of prehospital death.Majority of prehospital deaths (64.8％ ) occurred at home.Conclusion More than 90％ of deaths caused by acute coronary events among young adults aged between 25-45 years old occurred before been admitted into hospital,and the site of prehospital deaths was mainly at home.
