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目的利用北京市西城区居民死因登记报告,分析2003-2013年北京市某城区居民急性心肌梗死情况,为今后卫生防病策略的制定提供依据。方法利用全市各级医疗机构填报和10个街道派出所收集的户籍居民死亡医学证明书,及北京市疾病预防控制中心信息中心提供2003-2012年百岁表及出生人数作为基础资料,按照国际统一分类方法 ICD-10进行疾病分类编码,计算各种死亡指标。结果 2003-2013年西城区急性心肌梗死死亡率为46.78/10万,2013年比2003年上升93.83%。男性死亡率高于女性,随年龄上升,急性心肌梗死死亡率增加。32.38%的死亡发生在家中或赴医院途中。2003-2013年西城区急性心肌梗死死亡主要发生在1月上旬。结论加强急性心肌梗死防治工作,控制北京市某城区急性心肌梗死死亡率,是一个亟待解决的问题。
Objective To analyze the register of death causes of residents in Xicheng District of Beijing from 2003 to 2013 and analyze the situation of acute myocardial infarction among residents in a city of Beijing in the period of 2003-2013 so as to provide the basis for the formulation of future preventive strategies. Methods Medical certificates of death of household registration collected by medical institutions at all levels of the city at various levels and 10 street police stations and the information center of Beijing Municipal Center for Disease Control and Prevention for providing information on centenarians and births from 2003 to 2012 as the basic data were collected according to the International Uniform Classification Methods ICD-10 was coded for disease classification and various death indicators were calculated. Results The mortality rate of acute myocardial infarction in Xicheng District from 2003 to 2013 was 46.78 / 100 000, up from 93.83% in 2013. Mortality in males is higher than females, with increasing age, mortality from acute myocardial infarction increases. 32.38% of deaths occurred at home or on the way to the hospital. Death from acute myocardial infarction in Xicheng District in 2003-2013 mainly occurred in early January. Conclusion To strengthen the prevention and treatment of acute myocardial infarction and control the mortality of acute myocardial infarction in a city in Beijing is an urgent problem to be solved.