论文部分内容阅读
目的分析2015年广西壮族自治区急性心脑血管疾病发病及死亡情况,为制定心脑血管疾病综合防控策略提供参考。方法利用2015年广西壮族自治区急性心脑血管疾病国家级监测点的发病和死亡数据资料,通过计算发病率、死亡率,分析该地区监测点急性心脑血管疾病发病和死亡情况。采用SPSS 18.0统计软件进行χ2检验。结果 2015年广西壮族自治区国家级监测点居民急性心脑血管疾病发病率和死亡率分别为532.08/10万和144.33/10万,男性高于女性,差异有统计学意义(P<0.05),且随年龄的增加而逐渐上升,80~岁达最高峰;其中脑梗死发病率最高(410.41/10万),占总发病人数的77.13%,其次是脑出血(48.55/10万)、急性心肌梗死(44.43/10万),而死亡率最高的是脑出血(60.27/10万),其次是急性心肌梗死(48.46/10万)、脑卒中未特指脑出血或脑梗死(13.12/10万)。不同类型急性心脑血管疾病还存在着明显的城乡差异,城市居民急性心肌梗死发病率(96.68/10万)、死亡率(56.20/10万)均高于农村(分别为25.94/10万和45.72/10万),差异均有统计学意义(P<0.01);农村居民脑出血死亡率(72.25/10万)高于城市(26.43/10万),差异有统计学意义(P<0.01),不同地区发病率差异无统计学意义(P<0.05)。结论急性心脑血管疾病的防控应采取综合性预防控制措施,重点加强对老年、男性居民的健康教育和健康干预,针对不同类型的疾病采取不同的预防措施,同时要建立和完善心脑血管疾病监测系统,才能有效掌握发病、死亡流行趋势。
Objective To analyze the incidence and mortality of acute cardiovascular and cerebrovascular diseases in Guangxi Zhuang Autonomous Region in 2015 and provide reference for developing comprehensive prevention and control strategies of cardiovascular and cerebrovascular diseases. Methods The incidence and mortality of acute cardiovascular and cerebrovascular diseases in Guangxi Zhuang Autonomous Region in 2015 were calculated by using the data of incidence and mortality at the national surveillance points of acute cardiovascular and cerebrovascular diseases in Guangxi Zhuang Autonomous Region. SPSS 18.0 statistical software for χ2 test. Results The incidence and mortality of acute cardiovascular and cerebrovascular diseases were 532.08 / lakh and 144.33 / lakh respectively at the state-level monitoring points in Guangxi Zhuang Autonomous Region in 2015, which were significantly higher in males than in females (P <0.05) The incidence of cerebral infarction was the highest (410.41 / 100000), accounting for 77.13% of the total, followed by cerebral hemorrhage (48.55 / 100000), acute myocardial infarction (44.43 / 100000). The highest death rate was cerebral hemorrhage (60.27 / 100000), followed by acute myocardial infarction (48.46 / 100000), stroke without specific cerebral hemorrhage or cerebral infarction (13.12 / 100000) . There are also obvious differences between urban and rural areas in different types of acute cardiovascular and cerebrovascular diseases. The incidence of acute myocardial infarction in urban residents (96.68 / 100000) and death rate (56.20 / 100000) are higher than those in rural areas (25.94 / 100000 and 45.72 / 100000), the difference was statistically significant (P <0.01); The death rate of cerebral hemorrhage in rural residents was higher than that in urban area (72.25 / 100000), the difference was statistically significant (P <0.01) There was no significant difference in the incidence of different regions (P <0.05). Conclusion Prevention and control of acute cardiovascular and cerebrovascular diseases should take comprehensive preventive and control measures, focusing on strengthening health education and health interventions for the elderly and male residents, taking different preventive measures against different types of diseases, and establishing and perfecting cardiovascular and cerebrovascular Disease monitoring system, in order to effectively control the incidence, mortality trends.