摘要
目的 分析2004-2011年中国35岁以上人群缺血性心脏病死亡的分布特征和变化趋势.方法 利用全国疾病监测系统2004-2011年死因监测数据,选取我国不同地区35岁以上人群缺血性心脏病死亡病例信息,共493 274例纳入分析.描述调查对象缺血性心脏病标化死亡率的变化情况,并采用对数线性回归方法对年龄组死亡率和标化死亡率的年度变化进行分析.结果 2004-2011年,全国各类地区35岁以上人群缺血性心脏病标化死亡率均呈上升趋势.2004年35岁以上城市男性人群缺血性心脏病标化死亡率为176.2/10万,城市女性为131.7/10万,至201 1年时已分别上升为204.6/10万和147.9/10万.2004年35岁以上农村男性和女性缺血性心脏病标化死亡率分别为164.4/10万和122.2/10万,2011年分别上升至236.8/10万和151.5/10万.无论男性还是女性,农村缺血性心脏病标化死亡率均已由2004年低于城市转变为2011年高于城市.全国35岁以上男性缺血性心脏病死亡率年增长率为5.00％,女性为3.65％.其中农村男性年上升幅度最为明显（7.09％）,其次是农村女性（5.06％）,城市女性年上升幅度最低（1.69％）.城市和农村男性,农村女性缺血性心脏病标化死亡率上升趋势均有统计学意义（P＜0.05）.结论 2004-2011年中国缺血性心脏病的死亡率呈现明显上升趋势,尤其是农村地区,上升速度较大.
Objective To analyze the features of distribution and variation trends of mortality of ischemic heart disease over the age of 35 years old in China,2004-2011. Methods A total of 493 274 cases were recruited in the study, the mortality data of the ischemic heart diseases were collected from the national disease surveillance point （ DSP ） system between 2004 and 2011. The change of isehemic heart disease standardized mortality was described, and the annual change percentage of age group mortality and standardized mortality were analyzed using log linear regression method. Results In 2004-2011, the stamtardized mortality of ischemic heart disease over the age of 35 showed an upward trend in each regions of China. In 2004,the isehemie heart disease standardized mortality over the age of 35 was 176. 2/100 000 among males and 131.7/100 000 among females in urban areas, and the figures increased to 204. 6/100 000 and 147.9/100 000 respectively in 2011. In 2004,the ischemic heart disease starldardized mortality over the age of 35 was 164. 4/100 000 among males and 122. 2/100 000 among females in rural areas, and the figures increased to 236. 8/100 000 and 151.5/100 000 respectively in 2011. The ischemic heart disease standardized mortality was lower in rural regions than in urban regions in 2004, but it changed to be higher in rural regions than in urban regions in 2011 both in males and female. The annual growth rate of ischemic heat/disease mortality over the age of 35 was separately 5.00% in male and 3.65% in female. The annual growth rate was highest among males in rural areas （7.09%） , followed by females in rural areas （5.06%）. The growth rate was lowest among females in urban areas （ 1.69% ）. It was found that the increasing trends of ischemic heart disease mortality of males both in urban and rural areas, and females in rural areas was statistically significant （ P 〈 0. 05 ）. Conclusion The mortality of ischemic heart disease has still been showing an uprising trend, especially in the rural
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2014年第6期502-506,共5页
Chinese Journal of Preventive Medicine
基金
国家科技支撑计划（2013BAI04B02）
关键词
心肌缺血
心脏病
死亡率
纵向研究
Myocardial ischemia
Heart diseases
Mortality
Longitudinal studies
