CAJ | 학술논문

目的初步探讨北京市城区居民心脏性猝死(SCD)发生率及分布特点.方法 2008年10月至2009年9月在北京市海淀区和西城区抽取4个街道社区进行SCD发生率的监测,系统收集辖区内的人口和死亡资料,采用统一表格收集可能的心脏性猝死发病情况及相关资料.结果监测人群共计47.0万人,男性24.4万人,女性23.6万人.监测期间共发生各种原因死亡1 285例(男性642例,女性643例),其中SCD 184例(男性86例,女性98例),SCD发生率:男性为35.2/10万(95％ CI 27.8/10万～42.7/10万),女性为41.6/10万(95％ CI 33.4/10万～49.8/10万).SCD占总死亡人数的比例:男性为13.4％,女性为15.2％.55岁后发生SCD 171例,占SCD人数的91.0％.0～ 24、25 ～ 34、35～ 44、45～ 54、55～ 64、65～ 74和≥75岁年龄组SCD的发生率男性分别为5.6/10万、4.6/10万、3.0/10万、9.8/10万、78.4/10万、88.4/10万和272.8/10万,女性分别为6/10万、0、3.2/10万、0、21.1/10万、84.2/10万和470.0/10万.男性SCD患者有心血管病史者的比例为57.0％ (49/86),女性为60.2％ (59/98).184例SCD发生在家中、赴医院途中、医院急诊室、医院病房以及其他场所的比例分别为53.3％(98例)、12.2％(22例)、9.2％(17例)、12.5％(23例)和13.0％(24例).结论心脏性猝死是危害北京市城区居民生命健康的重要问题,其主要发生在家中以及55岁以后的人群中.随着年龄增加,SCD发生率显著增加.加强55岁以后人群的防控和现场急救对减少心脏性猝死的危害具有重要意义.
목적 초보탐토북경시성구거민심장성졸사(SCD)발생솔급분포특점.방법 2008년10월지2009년9월재북경시해정구화서성구추취4개가도사구진행SCD발생솔적감측,계통수집할구내적인구화사망자료,채용통일표격수집가능적심장성졸사발병정황급상관자료.결과 감측인군공계47.0만인,남성24.4만인,녀성23.6만인.감측기간공발생각충원인사망1 285례(남성642례,녀성643례),기중SCD 184례(남성86례,녀성98례),SCD발생솔:남성위35.2/10만(95％ CI 27.8/10만～42.7/10만),녀성위41.6/10만(95％ CI 33.4/10만～49.8/10만).SCD점총사망인수적비례:남성위13.4％,녀성위15.2％.55세후발생SCD 171례,점SCD인수적91.0％.0～ 24、25 ～ 34、35～ 44、45～ 54、55～ 64、65～ 74화≥75세년령조SCD적발생솔남성분별위5.6/10만、4.6/10만、3.0/10만、9.8/10만、78.4/10만、88.4/10만화272.8/10만,녀성분별위6/10만、0、3.2/10만、0、21.1/10만、84.2/10만화470.0/10만.남성SCD환자유심혈관병사자적비례위57.0％ (49/86),녀성위60.2％ (59/98).184례SCD발생재가중、부의원도중、의원급진실、의원병방이급기타장소적비례분별위53.3％(98례)、12.2％(22례)、9.2％(17례)、12.5％(23례)화13.0％(24례).결론 심장성졸사시위해북경시성구거민생명건강적중요문제,기주요발생재가중이급55세이후적인군중.수착년령증가,SCD발생솔현저증가.가강55세이후인군적방공화현장급구대감소심장성졸사적위해구유중요의의.
Objective To explore the incidence of sudden cardiac death (SCD) of urban residents in Beijing.Methods A community based epidemiology survey was performed on the residents of 4 communities in the Xicheng and Haidian districts in Beijing from October 2008 to September 2009.Data on the total population,age,gender and vital status were monitored,and incidence of SCD as well as related information were collected from the household administrative workers,the family members of the deceased,the hospital personnel and the witnesses.Results 479 521 subjects (244 000 men and 235 521 women) were monitored,a total of 1 285 (642 men and 643 women) all cause death occurred during the study period and 184 (86 men and 98 women) deaths were identified as SCD.The incidence of SCD was 35.2 (95％ CI 27.8-42.7) per 100 000 per year for men and 41.6 (95％ CI 33.4-49.8) per 100 000 per year for women.SCD accounted for 13.4％ mortality in men and 15.2％ mortality in women.There were 171 (91.0％) SCD cases in residents over 55 years of age.The incidence of SCD for the age group 0-24,25-34,35-44,45-54,55-64,65-74 and 75 years and over was 5.6,4.6,3.0,9.8,78.4,88.4,and 272.8 per 100 000 per year for men,and 1.6,0,3.2,0,21.1,84.2 and 470.0 per 100 000 per year for women,respectively.The proportion of the cases that have at least one cardiovascular disease history was 57.0％ (49/86) for men and 60.2％ (59/98) for women.The cases that occurred at home,on the way to hospital,in the hospital emergency room,in the hospital ward and other places account for 53.3％ (98 cases),12.2％ (22 cases),9.2％ (17 cases),12.5％ (23 cases) and 13.0％ (24 cases) of the 184 SCD cases,respectively.Conclusion SCD is a great threat to the urban residents in Beijing.Most SCD cases occurred at home on residents over 55 years of age.More than half SCD residents have at least one cardiovascular disease.It is important to take preventive measures in the urban residents over 55 years old and with history of cardiovascular disease.