[1]丛革新,贾 鑫,刘 辉.2009年~2019年天津市河北区居民心脑血管疾病死亡趋势分析[J].医学信息,2021,34(13):156-159.[doi:10.3969/j.issn.1006-1959.2021.13.043]
　CONG Ge-xin,JIA Xin,LIU Hui.Analysis of Death Trend of Cardiovascular and Cerebrovascular Diseases Among Residents in Hebei District of Tianjin from 2009 to 2019[J].Medical Information,2021,34(13):156-159.[doi:10.3969/j.issn.1006-1959.2021.13.043]
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2009年~2019年天津市河北区居民心脑血管疾病死亡趋势分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年13期
页码:
156-159
栏目:
调查分析
出版日期:
2021-07-01

文章信息/Info

Title:
Analysis of Death Trend of Cardiovascular and Cerebrovascular Diseases Among Residents in Hebei District of Tianjin from 2009 to 2019
文章编号:
1006-1959（2021）13-0156-04
作者:
丛革新; 贾 鑫; 刘 辉
（天津市河北区疾病预防控制中心，天津 300150）
Author(s):
CONG Ge-xin; JIA Xin; LIU Hui
(Tianjin Hebei District Center for Disease Control and Prevention,Tianjin 300150,China)
关键词:
心脑血管疾病; 标化死亡率; 死亡趋势
Keywords:
Cardiovascular and cerebrovascular diseases; Standardized mortality; Mortality trend
分类号:
R195.4
DOI:
10.3969/j.issn.1006-1959.2021.13.043
文献标志码:
A
摘要:
目的 了解2009年~2019年天津市河北区居民心脑血管疾病死亡特点及变化趋势。方法 收集2009年~2019年天津市河北区居民死因监测数据，采用粗死亡率、标化死亡率及年度变化百分比（APC）等指标进行统计学分析。结果 2009年~2019年天津市河北区全死因报告70,160例，心脑血管占33,607，其中心脏病20,855例，脑血管12,752例，分别占全死因47.90%、29.72%和18.18%。心脑血管病粗死亡率455.10/10万~529.49/10万，标化死亡率124.27/10万~179.98/10万。2009年~2019年心脑血管粗死亡率变化呈上升趋势（APC=1.34%，P=0.019）；但标化率比较，差异无统计学意义（APC=-2.41%，P=0.152）。心脏病粗死亡率278.39/10万~338.41/10万，标化死亡率76.19/10万~114.05/10万；2009年~2019年心脏病标化率变化趋势比较，差异无统计学意义（APC=-3.69，P=0.077）。脑血管病粗死亡率在155.18/10万~213.93/10万，标化死亡率在58.66/10万~69.83/10万；2009年~2019年男、女和合计脑血管病粗死亡率呈上升趋势（APC=3.16、1.75、2.52，P=0.000、0.030、0.000），但标化率变化趋势比较，差异无统计学意义（P＞0.05）。脑血管病和心脏病是循环系统疾病的主要构成部分，2019年心脑血管共死亡2012例，占循环系统死亡人数95.58%；心脑血管疾病死亡以心脏病为主，男性脑血管病居于第1位，女性心脏病居于第1位。不同性别心脑血管死亡率均随着年龄的增长而增高，且呈倍数递增。2009年~2019年，男性35~44岁、女性55~64岁和≥65岁心脑血管疾病死亡率呈下降趋势（APC=-7.53%、-4.57%、-1.86%，P=0.000、0.015、0.037），其他各年龄组死亡趋势比较，差异无统计学意义（P＞0.05）。结论 天津市河北区居民心脑血管疾病标化死亡率均从2012年开始下降，部分年龄组呈下降趋势，老年人是重点关注人群，应采取有针对性的预防和干预措施，减少心脑血管死亡。
Abstract:
Objective To understand the death characteristics and changing trends of cardiovascular and cerebrovascular diseases among residents in Hebei District of Tianjin from 2009 to 2019.Methods The monitoring data of the causes of death of residents in Hebei District of Tianjin from 2009 to 2019 were collected.The crude mortality rate, standardized mortality rate and annual percentage change (APC) were used for statistical analysis.Results From 2009 to 2019, 70,160 cases of death were reported in Hebei District, Tianjin, 33,607 were cardiovascular and cerebrovascular, of which 20,855 were heart disease and 12,752 were cerebrovascular, accounting for 47.90%, 29.72% and 18.18% of all deaths, respectively.The crude death rate for cardiovascular and cerebrovascular diseases was 455.10/100,000 to 529.49/100,000, and the standardized mortality rate was 124.27/100,000 to 179.98/100,000.From 2009 to 2019, the cardiovascular and cerebrovascular gross mortality rate showed an upward trend (APC=1.34%, P=0.019);However, the difference in standardized rate was not statistically significant (APC=-2.41%, P=0.152).The crude heart disease mortality rate was 278.39/100,000~338.41/100,000, and the standardized mortality rate was 76.19/100,000~114.05/100,000;From 2009 to 2019, the standardization rate of heart disease was compared,the difference was not statistically significant (APC=-3.69, P=0.077).The crude death rate of cerebrovascular disease was 155.18/100,000~213.93/100,000, and the standardized mortality rate was 58.66/100,000~69.83/100,000;From 2009 to 2019, the crude death rate of male, female and total cerebrovascular disease showed an upward trend (APC=3.16, 1.75, 2.52, P=0.000, 0.030, 0.000),However, compared with the trend of standardized rate, the difference was not statistically significant (P>0.05).Cerebrovascular disease and heart disease were the main components of circulatory system diseases. In 2019, there were 2012 cardiovascular and cerebrovascular deaths, accounting for 95.58% of circulatory system deaths;Heart disease was the main cause of death from cardiovascular and cerebrovascular diseases, with male cerebrovascular disease ranking first, and female heart disease ranking first.Cardiovascular and cerebrovascular mortality of different sexes increased with age, and showed a multiple increase.From 2009 to 2019, the mortality rate of cardiovascular and cerebrovascular diseases in men aged 35-44, women aged 55-64 and ≥65 years showed a downward trend (APC=-7.53%, -4.57%, -1.86%, P=0.000, 0.015, 0.037),there was no statistically significant difference in death trends among other age groups (P>0.05).Conclusion The standardized mortality of cardiovascular and cerebrovascular diseases of residents in Hebei District of Tianjin City has been declining since 2012, and some age groups have shown a downward trend. The elderly are the focus of attention.Targeted prevention and intervention measures should be taken to reduce cardiovascular and cerebrovascular death.

参考文献/References:

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更新日期/Last Update: 1900-01-01