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目的了解绍兴市4种主要慢性非传染性疾病(慢性病)发病特征,为制定防制措施提供依据。方法收集绍兴市2011—2012年恶性肿瘤、糖尿病、脑卒中和冠心病急性事件等4种慢性病发病资料并进行分析。结果绍兴市2011—2012年恶性肿瘤、糖尿病、脑卒中和冠心病急性事件报告发病率分别为278.46/10万、434.92/10万、282.91/10万和53.10/10万。其中前3种慢性病发病率城市均高于农村(P<0.01);恶性肿瘤、脑卒中、冠心病急性事件报告发病率男性均高于女性(P<0.01);随着年龄增加,4种慢性病的发病率均呈明显上升趋势(P<0.01)。恶性肿瘤发病率前5位依次为肺癌(51.02/10万)、胃癌(38.74/10万)、肝癌(28.61/10万)、乳腺癌(21.07/10万)和直肠癌(15.61/10万);糖尿病发病以2型糖尿病为主,占96.16%;脑卒中发病以脑血栓形成和脑出血为主,分别占51.51%和25.63%,冠心病急性事件报告发病以急性心肌梗死为主,占77.00%。结论绍兴市慢性病发病状况不容乐观,亟需制定有针对性的防制措施。
Objective To understand the characteristics of four major chronic non-communicable diseases (chronic diseases) in Shaoxing City, and to provide evidence for the establishment of control measures. Methods A total of 4 chronic diseases including malignant tumor, diabetes mellitus, stroke and coronary heart disease in Shaoxing from 2011 to 2012 were collected and analyzed. Results The incidence of malignant tumor, diabetes mellitus, stroke and coronary heart disease in Shaoxing from 2011 to 2012 were 278.46 / 100000, 434.92 / 100000, 282.91 / 100000 and 53.10 / 100000 respectively. Among them, the incidence rate of the first three kinds of chronic diseases was higher than that of the rural areas (P <0.01); the incidences of malignant tumors, stroke and coronary heart disease were higher in male than in female (P <0.01); with age, The incidence rate showed a clear upward trend (P <0.01). The top 5 malignant tumors were lung cancer (51.02 / 100000), gastric cancer (38.74 / 100000), liver cancer (28.61 / 100000), breast cancer (21.07 / 100000) and rectal cancer (15.61 / 100000) ; Diabetes mellitus mainly type 2 diabetes, accounting for 96.16%; cerebral apoplexy mainly cerebral thrombosis and cerebral hemorrhage, accounting for 51.51% and 25.63%, respectively. The incidence of acute myocardial infarction was mainly acute myocardial infarction, accounting for 77.00 %. Conclusion The incidence of chronic diseases in Shaoxing City is not optimistic, so it is urgent to make targeted prevention and control measures.