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目的了解四川省居民心脑血管疾病的死亡特点及变化趋势。方法收集四川省全人群死因监测地区2002-2010年居民心脑血管疾病的死亡资料,对心脑血管疾病的死因构成、死亡率变化特点、城乡、性别、年龄分布进行描述性分析。结果心脑血管疾病是四川省居民的首要死因,在全省心脑血管疾病死亡当中,以脑血管病为主,占心脑血管疾病总死亡的59.46%。2002-2010年,四川省居民心脑血管疾病死亡率呈波动性上升,脑血管病标化死亡率高于心脏病,但心脏病标化死亡率的上升幅度和速度均大于脑血管病。城市居民心脏病的死亡率高于农村居民,差异有统计学意义(χ2=380.879,P<0.01),但脑血管病的死亡率低于农村居民,差异亦有统计学意义(χ2=6 817.804,P<0.01)。男性心脏病和脑血管病的死亡率均高于女性,差异有统计学意义(χ2=96.230,P<0.01;χ2=1 613.255,P<0.01)。心脑血管病的死亡率随年龄的增长而增加,从55~岁年龄组开始明显升高。结论四川省居民心脑血管疾病死亡率呈上升趋势,心脏病和脑血管病死亡率的变化特点、城乡分布、性别分布存在差异,55岁以上为心脑血管疾病死亡高危年龄段。
Objective To understand the characteristics and trends of death of cardio-cerebrovascular diseases in Sichuan province. Methods The death data of residents with cardiovascular and cerebrovascular diseases from 2002 to 2010 in the surveillance of all-cause-specific death cause in Sichuan province were collected. The cause of death, the causes of cardiovascular and cerebrovascular diseases, the characteristics of death rate, urban-rural, gender and age distribution were analyzed. Results Cardiovascular and cerebrovascular diseases were the leading cause of death among residents in Sichuan Province. Among the deaths caused by cardiovascular and cerebrovascular diseases in the province, cerebrovascular disease was the major cause, accounting for 59.46% of total deaths from cardiovascular and cerebrovascular diseases. From 2002 to 2010, the mortality of cardiovascular and cerebrovascular diseases in Sichuan Province showed a rising volatility. The standardized death rate of cerebrovascular disease was higher than that of heart disease. However, the rate of increase and speed of standardized mortality of heart disease were higher than that of cerebrovascular disease. The mortality rate of heart disease in urban residents was higher than that in rural residents (χ2 = 380.879, P <0.01), but the mortality rate of cerebrovascular disease was lower than that of rural residents (χ2 = 6 817.804 , P <0.01). Mortality rates of male heart disease and cerebrovascular disease were higher than those of women (χ2 = 96.230, P <0.01; χ2 = 1613.255, P <0.01). Cardiovascular and cerebrovascular disease mortality increased with age, from 55 ~ age group began to significantly increased. Conclusions The mortality rate of cardiovascular and cerebrovascular diseases in Sichuan Province is on the rise. The changes of death rate of heart disease and cerebrovascular disease, the distribution of urban and rural areas and the gender distribution are different. The age above 55 is the high risk of death from cardiovascular and cerebrovascular diseases.