CAJ | 학술논문

目的监测2010至2012年浙江省30个监测区25岁及以上居民急性冠心病事件(非致死性急性心肌梗死和冠心病死亡)的发病情况,分析其变化趋势和在不同人群中的分布特点.方法通过对数据库的匹配和查重,整合浙江省慢性病监测信息管理系统中冠心病报告模块和死因监测模块数据,计算2010至2012年浙江省25岁及以上居民急性冠心病事件的发生率,分析其在不同性别、年龄、地区和时间上的分布差异.结果监测区报告的25岁及以上居民急性冠心病事件共3 1 872人次,3年平均性别年龄标化发生率为81.56/10万,男性年龄标化发生率为94.33/10万,女性年龄标化发生率为68.27/10万;城市居民年龄标化发生率为87.90/10万,农村居民年龄标化发生率为77.36/10万.城市地区3年的年龄标化率均高于农村居民,急性冠心病事件发生率呈上升趋势(趋势性x2检验,P ＜0.001),而农村居民3年的年龄标化率差异无统计学意义(趋势性x2检验,P=0.331).急性冠心病事件的发生率随年龄的增加呈上升趋势(P＜0.001),不同年龄段发生率男性均高于女性(P均＜0.001),年龄75岁及以上人群发生率迅速增加,85岁及以上人群达高峰(男性和女性分别为2 371.67/10万和1 873.92/10万).急性冠心病事件在夏季发病人次较少,冬季发病人次较多.结论 2010至2012年浙江省监测区25岁及以上居民急性冠心病事件的人次数和发生率逐年上升,男性高于女性,城市高于农村,75岁及以上老年人群是急性冠心病事件发病的高危人群,冬季为高发季节.
목적 감측2010지2012년절강성30개감측구25세급이상거민급성관심병사건(비치사성급성심기경사화관심병사망)적발병정황,분석기변화추세화재불동인군중적분포특점.방법 통과대수거고적필배화사중,정합절강성만성병감측신식관리계통중관심병보고모괴화사인감측모괴수거,계산2010지2012년절강성25세급이상거민급성관심병사건적발생솔,분석기재불동성별、년령、지구화시간상적분포차이.결과 감측구보고적25세급이상거민급성관심병사건공3 1 872인차,3년평균성별년령표화발생솔위81.56/10만,남성년령표화발생솔위94.33/10만,녀성년령표화발생솔위68.27/10만;성시거민년령표화발생솔위87.90/10만,농촌거민년령표화발생솔위77.36/10만.성시지구3년적년령표화솔균고우농촌거민,급성관심병사건발생솔정상승추세(추세성x2검험,P ＜0.001),이농촌거민3년적년령표화솔차이무통계학의의(추세성x2검험,P=0.331).급성관심병사건적발생솔수년령적증가정상승추세(P＜0.001),불동년령단발생솔남성균고우녀성(P균＜0.001),년령75세급이상인군발생솔신속증가,85세급이상인군체고봉(남성화녀성분별위2 371.67/10만화1 873.92/10만).급성관심병사건재하계발병인차교소,동계발병인차교다.결론 2010지2012년절강성감측구25세급이상거민급성관심병사건적인차수화발생솔축년상승,남성고우녀성,성시고우농촌,75세급이상노년인군시급성관심병사건발병적고위인군,동계위고발계절.
Objective To survey the incidence of acute coronary events (nonfatal acute myocardial infarction and death from coronary heart disease),and analyze the trend and distribution characteristics in permanent residents aged 25 years and more across 30 surveillance regions of Zhejiang province from 2010 to 2012.Methods Through databases matching and duplicate checking,this study incorporated the register module of coronary disease and the cause of death register module in Zhejiang provincial information system for chronic non-communicable diseases surveillance and management.The distribution of incidence was calculated across gender,age groups,regions and times.Results A total of 31 872 person-time acute coronary events were identified.The gender-and age-standardized mean annual incidence was 81156 per 100 000 people in overall population,with 94.33 in males and 68.27 in females.Age-standardized incidence was 87.90 and 77.36 per 100 000 people in urban and rural area,respectively.Urban area had higher incidence rate than rural in each of the three years,and had obvious trend of increasing (P ＜0.001) compared with rural area (P =0.331).Incidence rate also increased significantly with age (P ＜ 0.001).In addition,compared with women,men had higher incidence in each age group (all P ＜ 0.001).The incidence rate increased rapidly in population older than 75 years old.The highest incidence was observed in age group ≥85 years old,with 2 371.67 and 1 873.92 per 100 000 in males and females,respectively.Apparent seasonal trend was observed for acute coronary events,which was low in summer and high in winter.Conclusions Quantity and incidence for acute coronary events in residents aged 25 years and more of Zhejiang surveillance regions increased during 2010 to 2012.Male had higher incidence than female,and the incidence in urban areas was higher compared with rural areas.Residents older than 75 years old were high risk population of events,and winter was the high-occurrence season.