摘要
目的评估北京中关村人群1984-2000年16年间冠心病及脑卒中发病率的变化趋势,探讨脑卒中危险因素与它的关系。方法采用北京MONICA监测方案及后续研究中资料,按其统计方法用2000年全国人口年龄构成比计算标化发病率,并分析各年龄组在检测初、中、末期发病率变化。结果(1)中关村地区冠心病发病率46.55/10万,出血性脑卒中发病率41.47/10万,缺血性脑卒中251.33/10万。(2)冠心病男性发病率128.50/10万,女性51.40/10万。脑卒中男性发病率378.16/10万,女性209.95/10万。两种疾病男性发病率均大于女性(P<0.01)。(3)监测该地区总胆固醇水平冠心病与缺血性脑卒中发病率呈现总胆固醇水平上升的一致性。结论中关村地区缺血性脑卒中发病率高,总胆固醇水平变化与缺血性脑卒中相关,应加强这些危险因素的一、二级预防。
Objective To evaluate the trend of incidence of acute coronary heart disease and cerebral stroke from 1984 to 2000 in Zhong Guancun area of Beijing and discuss the related risk factor. Methods We use the year 2000 population census data for age standardization to calculate the standardized incidence according to the data from Beijing MONICA and subsequent study. And then we analyze the change of incidence rate in different monitoring time in different age group. Results （ 1 ） The average incidence rate of coronary heart disease in Zhong Guancun area of Beijing is 46. 55 per 10, 0000 while hemorrhagic apeplexy is 41.47 per 10, 0000 and cerebral arterial thrombosis is 251.33 per 10, 0000. （2） The incidence rate of coronary heart disease of Male is 128.50 per 10, 0000 while female is 51.40 per 10, 0000; The incidence rate of cerebral stroke of male is 378. 16 per 10, 0000 while female is 209. 95 per 10, 0000; The incidence rate of male is higher than that of female （ P 〈 0. 01 ）. （3） By monitoring the total cholesterol levels in this area, We find that the incidence rate of coronary heart disease and cerebral stroke was consistent with the change of the total cholesterol. Conclusion Zhong Guaneun area has a high incidence rate of cerebral ischemic stroke, The ischemic cardiovascular diseases is related to increasing level of the total cholesterol. So we should strengthen the primary and secondary prevention to these risk factors.
出处
《实用心脑肺血管病杂志》
2009年第5期366-369,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
冠心病
脑卒中
MONICA
缺血性心脏病
流行病学
Coronary heart disease
Cerebral stroke
MONICA
Ischemie cardiovascular diseases
Epidemic disease
